6 weeks post op BBL with 360 lipo and I've noticed that when I put on my pants I'm still flat. Am I not waiting long enough?

For most of my patients, I tell them that at 6 weeks there is still a great deal of swelling in the abdomen, sides, and back (or wherever the liposuction was performed);  and they will only look better in 6 months. About 50% of the fat that is transferred lives and becomes a part of you.  This will hold stable as long as there is no weight fluctuation.
Kenneth Hughes, MD, ABPS Board Certified Plastic SurgeonLos Angeles, CA

Dear kazualrose,
I understand your concern and it is quite normal to be concerned about the outcome following a BBL surgery. However, you are still in the very early stages of the healing process.Your will need to be patient at this moment and follow what your surgeon has instructed you to do post operatively.At the early stage of the healing process, the tissues are still swollen. Once the swelling subsides  you will be able to see the final result of your surgery.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thank you for your question and photos. A BBL is a technical and artistic operation. You do concentrate  Although you are still early in your recovery, I can see that you have a  square buttock, with a ridge of fat going across the upper part, no sculpting of the upper buttock shape and gluteal cleft and excess fat laterally in the upper buttock. Your back is poorly sculpted, no definition of the waist, lower and upper back with lots of fat giving you a rectangular shape from behind. One analogy I bring up with my patients is breast reconstruction. It is not enough to place a lump of tissue on the chest wall, it has to look, feel and be shaped like an attractive breast.Although it might not be possible to add too much fat for projection, but you certainly can benefit from reshaping your body and makes the buttocks more attractive. Over 50% of my body sculpting practice is on patients who had suboptimal results from other surgeons, just like you did. You need to wait at least 6 months before considering revision surgery. See a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person consultation/evaluation. Good luck.

Hello dear!!
Thanks for the question and provided information as well.
You are still early on the healing process, it can take up to six months to see your final results, so please be patient. 
If you have any concerns, please follow up close with your plastic surgeon.
Good luck :)

Final results are typically seen with-in one to three months. Do you know what technique your doctor used to harvest and graft your fat? The optimal BBL outcomes are achieved with: 1) use of VASER liposuction to harvest the fat, 2) a closed looped system such as Puregraft to process the fat, and 3) strategic micro-packet transplant technique. These three processes have demonstrated over 95% fat graft take. This means that your results will be stable as long as you maintain your weight. If skin redundancy is observed, Renuvion technology can be simultaneously applied to tighten your skin to optimize your overall contour outcome. One of the most common reasons for disgruntled BBL patients is that patients are not able to accurately communicate their desired buttocks goals to their surgeons.  A buttocks assessment tool can be an invaluable tool to communicate to your surgeon the exact buttocks size and shape you are desiring. A Skype or FaceTime consultation with a BBL specialist can help you get an accurate recommendation and pricing.
Respectfully,
Arian Mowlavi MD,FACS
Realself 100 Hall of Fame Inductee