Can I get another Brazilian Butt Lift and get dramatic results or should I go with implants? (photos)

You are in good company with many others who had high hopes for BBL but instead received disappointing results (lumpiness, unevenness, lack of projection in the central and/or lower buttock, post-deflation sagging, etc.). It is not quite as much the quality of the doctor but rather the quality of the procedure that is a large part of the problem. Additionally, you appear to have nearly no fat for a second round BBL. Thus, going back for round 2 BBL most often produces the same disappointing results but at another financial loss. Buttock implants indeed provide a more reliable, predictable, relatively safe, and permanent result, especially for adding projection to the buttock and often smoothing out lumpiness. Occasionally a lower buttock tuck may be advantageous for lower buttock fold asymmetries and/or sagging. Please keep in mind that an extremely few number of board-certified plastic surgeons specialize in buttock implants so be sure to consult with one that is reputable and experienced. Unfortunately you may have to travel long and far away from home to find this particular surgeon. Glad to help.

Thank you for the question. It depends on how much fat there is available to transfer to your buttocks. An in-person examination is needed in order to accurately determine this. I wish you the best of luck. Vasileios Vasilakis, MD. Double board-certified, fellowship-trained plastic surgeon, Houston. TX.

Dear Awesome1940,
it is hard to tell for sure without an examination. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

A second BBL may be a good option if you really want to have a larger bottom. Projection can sometimes be inherently limited in certain parts of the buttocks because of connective tissue that anchors the skin to underlying muscle fascia. This can be particularly true for the inner lower part of the buttocks. There are inherent limitations in what can be achieved with a single round of fat transfer. Typically secondary BBL‘s or second rounds of fat transfer are often more successful than the first because the area has more host tissue to support grafted fat from the previous graft.

Implants may be an option but that procedure has a long list of complications and potentially undesirable side effects.

The majority of plastic surgeons in the United States do not offer gluteal implants and there is a good reason why they don’t.

To me your bottom looks excellent, is proportional and sometimes stopping while you’re ahead is a good idea.

To judge the outcome of a procedure we really need to see proper before and after pictures. If you don’t have your before and after pictures then ask your surgeon to forward the ones they took.

If you opt for gluteal implants then I suggest finding a plastic surgeon who does that procedure on a regular basis and puts the implant intramuscularly. It seems that the key to getting good outcomes gluteal implants is to use appropriate size implants that properly fit inside the gluteus muscle and placing it in the muscle.

Implants placed above the gluteus muscle often become visible and can shift position.

Best,

Mats Hagstrom MD