BEST BRAZILIAN BUTTLIFT (BBL) LOS ANGELES and BEVERLY HILLS with Dr. Kenneth Hughes

Answer: Dr. Kenneth Hughes achieves a very smooth and even liposuction result for each and every operation. This is the intrinsic skill associated with liposuction. Dr. Kenneth Hughes can frequently discern technical issues by another surgeon versus normal swelling.

Answer: For most patients, Dr. Kenneth Hughes tells 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.

Answer: Having had heart transplant surgery does not automatically exclude you from being evaluated as a candidate for a BBL and tummy tuck. You would have to receive medical clearance from all the specialists involved in your surgery and treating you now. Your plastic surgeon, anesthesiologist, and surgical team would need to review medical history, lab work, medications, etc. to determine if the surgery would be worth the risks.

Answer: In most cases, patients have a certain shape, which makes conversion to another shape more difficult. In general, the goal should be to create a rounder, fuller, more projected buttock and a more hourglass figure.

Answer: No. The thinner patient requires an expert at liposuction to remove as much fat as possible while leaving the skin smooth. There are a lot of women who can get nice results despite thinking that there is not enough fat. The fat should always be injected subdermally to avoid intravascular injection (see Dr. Kenneth Hughes’s Safer Brazilian buttlift above).

Answer: Removal of skin is the most effective stretchmark treatment available. Liposuction will not really change the appearance of stretchmarks on the abdomen.

Answer: Gaining weight is often counterproductive. If you gain weight that is fat, some of the fat will likely be associated with the buttocks. In almost every case, Dr. Kenneth Hughes does not recommend weight gain prior to a BBL. Dr. Hughes recommends that a patient maintain a stable weight.

Answer: BMI is just one measure of your fitness for surgery; current health is also important. In his practice, Dr. Kenneth Hughes looks for a BMI approximating 30 to lessen the risks of complications during and after surgery and to enhance the results of the procedures. A BMI of 35 is probably the upper limit that a plastic surgeon would consider for this procedure.

Gaining weight is often counterproductive. Dr. Kenneth Benjamin Hughes recommends that a patient maintain a stable weight and be within 10 pounds of goal weight for three months or more prior to the BBL.

A. An exam would provide a better way to evaluate you for the procedure. You may notice the enhancement you are seeking with 250cc fat SURVIVAL in each buttock if the liposuction creates more contours to give the illusion that your buttocks are larger. You and your PS will have to determine whether the fat harvest and transfer will provide a significant improvement.

A. Gaining weight is often counterproductive. If you gain weight that is fat, some of the fat will likely be associated with the buttocks. In almost every case, I do not recommend weight gain prior to a BBL. I think it is better to maintain your stable weight.

A. For safety reasons, 5000 cc is the generally accepted upper limit for liposuction in an outpatient setting, with the transfer being less than that. Depending upon how much the buttock will stretch, you may be able to inject 2000 cc per buttock.

A. This is a question that should be answered by the board certified plastic surgeon who is to perform your liposuction and BBL. Dr. Hughes’s post-operative protocols may be different than your PS’s, and Dr. Kenneth Benjamin Hughes will not have the benefit of knowing the extent of your surgery and seeing you in person to know how you are recovering.

A. A patient could have surgery as early as 3 months following an uneventful childbirth, but each individual recovers differently. Therefore, depending upon how quickly a patient returns to a stable weight, a patient may want to schedule consultations with board certified plastic surgeons who are experts at both procedures at about 2 months after delivery.

Sometimes, the tummy tuck and Brazilian buttlift (BBL) can be done at the same time. Sometimes, the liposuction and BBL is needed before the tummy tuck to produce a better result. In a patient with a particularly thick upper abdominal flap, a patient will get a better result with liposuction and BBL first. If the patient has a hernia or an overwhelming amount of skin, the tummy tuck may be necessary before liposuction is performed.

A. Have your labs repeated a few days before your scheduled surgery. If they remain low, ask your plastic surgeon if he/she recommends that you postpone your BBL until they reach a satisfactory level. Besides eating dark leafy veggies, liver, lentils, almonds, dried apricots, beets, and other high iron foods, your plastic surgeon or internist could prescribe iron pills or infusions upon the cause of the anemia.

A. Gaining weight is often counterproductive. If you gain weight that is fat, some of the fat will likely be associated with the buttocks. In almost every case, Dr. Kenneth Hughes does not recommend weight gain prior to a BBL. Dr. Kenneth Hughes thinks it is better to maintain your stable weight. The thinner patient requires an expert at liposuction to remove as much fat as possible while leaving the skin smooth.

A. Fat transferred to the buttocks can and does improve dimpling. In the thousands of BBLs Dr. Kenneth Hughes has performed, Dr. Hughes has not found the buttocks to look saggy as you heal. In general, the dimpling, which is different from true cellulite, is improved with the BBL and typically resolves with time as the fat becomes part of your body and swelling subsides.

A. Your body did not reject the fat. The results you experienced are typical: at about six weeks 50% of the fat transferred has an established blood supply and is viable. The revision implies that there is less fat than the first time, and scar tissue will make the surgery much more difficult on the surgeon. The percentage of fat survival in the BBL the second time should be about the same. Photos show major improvement in contours from liposuction.

A. Gaining weight is often counterproductive. If you gain weight that is fat, some of the fat will likely be associated with the buttocks. In almost every case, I do not recommend weight gain prior to a BBL. I think it is better to maintain your stable weight. The thinner patient requires an expert at liposuction to remove as much fat as possible while leaving the skin smooth. Recommend that you discuss realistic results with a board certified plastic surgeon who performs hundreds of BBLs annually with great results.

A. From my perspective, I hardly ever see fat necrosis after the BBL procedure. I think that this may soften with time. If there is a large area, it is less likely to soften. If you are uncomfortable and want it removed, follow up with your PS.

A. This is more plastic surgeon preference than anything else. Dr. Kenneth Hughes recommends no lymphatic massage, as he does not want any of his surgical results altered. Dr. Kenneth Hughes achieves as perfect a result on the table as possible, and he does not want his result compromised.

A. BMI is just one measure of your fitness for surgery; current health is also important. Dr. Kenneth Hughes looks for a BMI approximating 30 to lessen the risks of complications during and after surgery and to enhance the results of the procedures. It is best to be within 10 pounds of your weight goal for three months prior to the BBL.

A. Liposuction will not improve the skin, but it can create a dramatic improvement in the way a person looks. It will not alter the underlying musculoskeletal anatomy or help with any amount of significant laxity. Recommend that you wait six to 12 months after BBL recovery and then consider a tummy tuck to address the laxity on your abdomen.

A. Recovery from BBL is patient dependent. Much of this depends upon the amount of liposuction performed and the amount of fat transferred. The fluid in your lower abdomen, if not present as a collection, should be absorbed. Usually by 3 months, the swelling is minimal and totally resolved by 6 months.
Follow whatever post-operative protocols, such as wearing your compression garment, were provided by your plastic surgeon for optimum recovery.

A. Sometimes, individuals will have problem areas that are relatively exercise and diet resistant. These are the focus areas for your plastic surgeon to liposuction. Liposuction will remove the excess fat on your sides, abdomen, and thighs and make the waist as small as possible. The fat harvested can be transferred to the buttocks to ensure optimal fat viability and projection.

A. You do not necessarily need general anesthesia, but Dr. Kenneth Hughes thinks it is a better patient experience.
This procedure can be extraordinarily painful for the patient. You want the most dramatic transformation possible, and you do not want to be in pain. You also only want to have the procedure performed once. Surgery time will vary greatly by skill level of the plastic surgeon, the number of areas liposuctioned, and the amount of fat transferred.

A. Having been an athlete and natural bodybuilder for over 20 years, I share my wealth of knowledge and experience in nutrition and exercise regimens with my patients. I carefully evaluate my patient’s anatomy and goals and then tailor the results to an individual’s preference and specification.
I would recommend that you evaluate the following in selecting a PS that understands the BBL look you are seeking: (1) before and after photos on the board certified plastic surgeon’s website, (2) personal time with the PS through email or Skype before and after meeting in person. (3) Patient reviews to obtain an understanding of the types of procedures the PS performs and his/her availability to answer your questions pre-operatively and post-operatively. Good communication is critical.

A. Ask for your board certified plastic surgeon’s opinion regarding flying from Chicago to LA following BBL surgery. I recommend that my BBL patients remain in LA for at least a week in a near-by location for follow-up and recuperation. With an uneventful surgery and recovery, you may not need to return to Chicago for follow up exams and treatment. Otherwise, you may find that local plastic surgeons may have different post-operative protocols and are reluctant to assume responsibility for your care should an emergency arise and you cannot return to Chicago in a timely fashion.

A. Fat can be taken from many different areas of the body including abdomen, sides, back, bra rolls, thighs, arms, underarms, etc. You have to consider not only which areas will have perhaps the best fat, but also you have to consider which donor sites will have the fewest problems afterward with the liposuction. In general, the abdomen and thighs are preferred, but, if those sites are not available, other areas can be used. Most lipomas do not need to be removed, unless they are painful or need formal diagnosis.

A. Recovery from BBL is patient dependent. Much of this depends upon the amount of liposuction performed and the amount of fat transferred. I have observed that between 4 and 6 weeks the buttocks tend to stabilize in volume. Usually by 3 months, the swelling is minimal and totally resolved by 6 months. Suggest that you follow up with your PS to discuss your concerns and gain approval to start exercising such as squats. At six weeks, my BBL patients can return to the gym.

A. Recovery from BBL is patient dependent. Much of this depends upon the amount of liposuction performed and the amount of fat transferred. I have observed that between 4 and 6 weeks the buttocks tend to stabilize in volume. Usually by 3 months, the swelling is minimal and totally resolved by 6 months. Suggest that you follow up with your PS to discuss your concerns.

A. Creative liposuction will allow you to have stubborn fat resistant to exercise and diet removed from unwanted areas (abdomen, love handles, thighs, back) and transferred to the hips for a lifted and rounder appearance. If the waist was smaller at one time, the waist can likely be reduced to those same measurements or smaller provided the muscular and fascial integrity has remained the same. Schedule an email, Skype or in-person consultation with a board certified plastic surgeon.

A: Butt implants range in size from very small (100+ cc) to the largest of 712 cc. The most common sizes fall in the range of 360 cc to 580 cc. While placing smaller implants is technically easier and does result in fewer complications, the truth is that most patients are not interested in buttock implants smaller than 300 cc in the vast majority of cases. In fact, most patients want to push their anatomic limits with implants larger than 400cc. If the waist was smaller at one time, the waist can likely be reduced with liposuction to those same measurements or smaller provided the muscular and fascial integrity has remained the same.

A: Risks should be evaluated and managed appropriately by your plastic surgeon. Blood clots after BBL are not common. Blood clots that lead to pulmonary embolus are even more uncommon. However, if you have more than one risk factor for blood clots other than having liposuction and BBL, you may need Lovenox or something similar. Your plastic surgeon should be familiar with the Caprini assessment, and he or she should be able to determine if this is indicated. Although you have only one gene for factor v Leiden, I would only get necessary surgeries since it is unpredictable to tell when and where a blood clot can happen.

A: Sculptra is FDA-approved for the treatment of facial wrinkles, including smile lines. Off-label uses include the Sculptra butt lift and the treatment of cellulite. Sculptra is considered a very safe treatment, but it should only be placed superficially with blunt cannulae to avoid intravascular injection. Some patients may experience some redness, swelling, and discomfort but very few will experience serious side effects.

A: If you stay within 10 or 20 lbs of your operative weight, you are likely to maintain the results. The fat will not move, but losses in weight will distribute differently. The fat that lives in the buttocks from the procedure will get larger with weight gain and smaller with weight loss.

A: Dr. Kenneth Hughes had great success with BBLs for thinner women, but these surgeries are not easy. Maximal fat must be harvested without creating any contour deformities. If the waist was smaller at one time, the waist can likely be reduced with liposuction to those same measurements or smaller provided the muscular and fascial integrity has remained the same. There are a lot of women who can get nice results from the BBL despite thinking that there is not enough fat. Schedule an email, Skype, or in-office consultation with a board certified plastic surgeon who specializes in thin patients.  Dr. Kenneth Hughes performs about 500 BBLs each year, and this procedure is the most surgeon dependent plastic surgery procedure.

A: The final shape of the buttocks is largely determined by the starting anatomy, the distensibility of the tissues injected, and the surgical skill employed by the plastic surgeon. The fat is expertly placed to produce very shapely, custom tailored buttocks. Even large defects in the buttocks or marked asymmetry can be remedied with this fat transfer technique.

Certain aspects of the buttocks or hips may not be improved as much if the tissues do not allow for much stretch or cannot accommodate the fat that is transferred. In these cases, the final result will be limited by the skin envelope. This is an issue that cannot be completely controlled by the surgeon. Finally, the ability of some patients to heal and retain more of the fat than another patient accounts for differences in shape and result following BBL.

A: Creative liposuction will allow you to have stubborn fat resistant to exercise and diet removed from unwanted areas (abdomen, love handles, thighs, back) and transferred to the hips for a lifted and rounder appearance. If the waist was smaller at one time, the waist can likely be reduced to those same measurements or smaller provided the muscular and fascial integrity has remained the same. If you have some skin laxity in the abdomen after the liposuction, you can always tighten the skin with BodyTite.

A: Overall medical health and suitability of the procedure are just as important as the BMI. In my practice I look for a BMI approximating 30 (yours is 30) to lessen the risks of complications during and after surgery and to enhance the results of the procedures. No need to lose weight.

You should be a good candidate for liposuction and BBL. Fat can be taken from many different areas (abdomen, sides, back, bra rolls, thighs, arms, etc) depending upon the areas of excess and what your goals may be. Most patients get an immense benefit with maximal liposuction of the abdomen, sides, and back to obtain the smallest waist possible and then maximal fat transfer to the buttocks and hips. The goal is to transfer fat from areas where you find it displeasing to areas in which you would like more volume. Set up an appointment with a board certified plastic surgeon for proper evaluation.

A: Your risk is greater for having keloids as you have evidenced a proclivity in the past; but it does not necessarily mean that you will have keloids from the small incisions. For keloid formers, there is not a way to prevent keloids. In general, the longer the scar or the greater the number of scars, the greater the chance for keloids. The keloids may require multiple modalities to achieve the best results. Laser may help to some extent with some types of scarring issues.

As an author of “Scars and Scar Revision” in Reoperative Plastic and Reconstructive Surgery, I am well versed in the potential treatment options. One treatment may be helpful for one patient while another treatment may help another patient. Keloids can be reexcised, injected with steroids, and irradiated.

A: Most surgeons will wait to perform surgery until after an infection resolves. It’s in your and the PS’s best interest to take care of an infection before surgery to prevent complications with healing. I think that most PSs would prefer that patients inform them of any infections prior to the day of pre-op.

A: The thinner patient requires an expert at liposuction to remove as much fat as possible while leaving the skin smooth. This is more dependent upon the individual goals. Dr. Kenneth Hughes would need to examine you or examine photos to determine if you have enough fat to reach your final goals. As long as you maintain the same amount of body fat after the surgery, the buttock will remain improved long term.

A: You may be able to avoid the tummy tuck, but this will depend upon your exam and the precision with which the liposuction is performed for the BBL. How flat the abdomen will be will depend upon how much fat is removed from the area as well as how you heal. If you plan to have additional children, you will probably want to postpone the tummy tuck. The rectus diastasis is repaired at the time of the tummy tuck and would get stretched if you were to get pregnant again. Make sure that your BMI is close to 30 to lessen the risks of complications during and after the liposuction and BBL and to attain maximum results.

A: You may be able to avoid the full tummy tuck, but this will depend upon your exam and the precision with which the liposuction is performed. How flat the abdomen will be will depend upon how much fat is removed from the area as well as how you heal. Unfortunately, no amount of exercise or physical therapy will bring the muscles back together.

A: Unless you develop post-operative complications, you should be able to return to normal activities two to three days after the extraction. Your oral surgeon will be able to tell you if he clears you for the BBL to occur about a month later. Your plastic surgeon has already approved of the BBL within the time frame mentioned so you already appear to have the best answer.

A: Dr. Kenneth Hughes performs the liposuction, tummy tuck and BBL in combination for many of his patients though the BMI must be reasonable to reduce the risk for complications. However, if they prefer staging the procedures I always recommend the liposuction and BBL first, followed by the tummy tuck three to six months later so that the result will be as tight as possible.

A tummy tuck addresses both the loose skin and the lax abdominal wall as to give a nice, flat youthful contour to the abdomen. The tummy tuck also creates a more youthful belly button. Tummy tuck without muscle repair may make the recovery easier, but, if you have laxity in that area, the result will be better with plication. In general, the muscles should be brought to anatomic norms. The smaller the separation, the less tightening required and probably the less discomfort. Swelling will occur irrespective of muscle repair, and almost every patient requiring a tummy tuck will benefit from the muscle repair.

A: You can likely benefit from a BBL. Fat can be taken from many different areas (abdomen, sides, back, bra rolls, thighs, arms, etc) depending upon the areas of excess and what your goals may be. Most patients get an immense benefit with maximal liposuction of the abdomen, sides, and back to obtain the smallest waist possible and then maximal fat transfer to the buttocks and hips. The goal is to transfer fat from areas where you find it displeasing to areas in which you would like more volume.

A: You should likely be able to pursue your surgical desires even with psoriasis. Going through the stress of having the surgery may cause your psoriasis to flare up temporarily. Consult with your dermatologist or other specialist who is treating your condition for clearance to have the surgery and then schedule a consultation with a board certified plastic surgeon who can explain any risks associated with surgery.

A: If the thyroid levels can be predictably optimized, a BBL could be considered. Your PS may require you to be cleared by your PCP and/or endocrinologist.

A: Make your board certified plastic surgeon aware of the inguinal hernia. The liposuction cannula should not be used in an area of hernia due to risk of injury to abdominal and pelvic contents.

A: Dr. Kenneth Hughes’s office and surgery center in Los Angeles was closed for cosmetic and reconstructive surgery until May 15th, amounting to 2 months of closure to new patients. During this time, Dr. Kenneth Hughes and his surgical team have been in constant contact with anesthesia, nursing, and hospital staff to generate the safest surgical experience for those concerned about COVID-19. In addition to permitting only one patient in the surgery center (SC) at a time, our staff checks temperatures of all staff and patients upon entry to the surgery center. Friends/family of patients having surgery are not allowed in the surgery center.

A: You may be able to avoid the tummy tuck at this time, but this will depend upon your exam and the precision with which the liposuction is performed. How flat the abdomen will be will depend upon how much fat is removed from the area as well as how you heal. Fat can be harvested from the abdomen, flanks, thighs, arms, back, etc. and transferred to the hips and buttocks. If the waist was smaller at one time, the waist can likely be reduced with liposuction to those same measurements or smaller provided the muscular and facial integrity has remained the same.

A: The real question is has there been resolution of the symptoms and signs of infection at the surgical sites and whether there are any other reservoirs harboring the bacteria. Be sure and provide your medical history to your board certified plastic surgeon so that appropriate medications can be prescribed.

A: These two procedures can be done at the same time with favorable outcome, one recovery, and less expense. The one major drawback is that resting comfortably following the surgery is a challenge. Dr. Kenneth Hughes recommends that his patients sleep on their sides. Patients can also rest in other positions as long as the other areas do not receive pressure. There are creative ways to manage this. For example, you can sleep on your back with pillows underneath the back and posterior thighs. Dr. Kenneth Hughes, Los Angeles plastic surgeon, typically performs liposuction of the front with the breast reduction and then liposuction of the back with the fat transfer. Special care is taken so that the breasts are not compromised during the BBL.

A: An exam or pictures would be helpful to determine where your fat stores reside. Gaining weight is often counterproductive. If you gain weight that is fat, some of the fat will likely be associated with the buttocks. In almost every case, Dr. Kenneth Hughes does not recommend weight gain prior to a BBL. Dr. Hughes recommends that a patient maintain a stable weight.

A: The risk of perforation with liposuction is extremely small, but previous poor liposuction and open surgeries as well as hernia repairs put patients at higher risk for perforation.

A: If the thyroid levels can be predictably optimized, surgery could be considered. Obtain clearance from your primary care practitioner or internist who is overseeing your thyroid treatment.

A: Dr. Kenneth Hughes has had great success with BBLs for thinner women, but these surgeries are not easy. Maximal fat must be harvested without creating any contour deformities. If the waist was smaller at one time, the waist can likely be reduced with liposuction to those same measurements or smaller provided the muscular and facial integrity has remained the same. There are a lot of women who can get nice results from the BBL despite thinking that there is not enough fat. Schedule a Skype or email consultation with a board certified plastic surgeon who specializes in thin patients to determine available fat stores for the transfer.

A: The issue with nicotine is that it also acts as a vasoconstrictor, clamping down of blood vessels. Blood supply is always of great concern during any surgical procedure. Typically, Dr. Hughes recommends at least 4 weeks of smoking cessation prior to any surgical procedure. Smoking always increases the risk for fluid collection, flap death, and wound complications, as well as other health consequences.

A: With loose skin, you may benefit from a Liposuction, BBL and tummy tuck. Dr. Kenneth Hughes performs the liposuction, tummy tuck, and BBL in combination for many patients to generate the best mommy makeover results.

A: Dr. Kenneth Hughes in Los Angeles performs the liposuction, tummy tuck, and BBL in combination for many patients. However, if they prefer staging the procedures I always recommend the liposuction and BBL first, followed by the tummy tuck three to six months later so that the result will be as tight as possible.

A tummy tuck addresses both the loose skin and the lax abdominal wall as to give a nice, flat youthful contour to the abdomen. The tummy tuck also creates a more youthful belly button.

A: You can obtain nice contours from liposuction and BBL. You can achieve a very good result with a board certified plastic surgeon with extensive experience with male BBLs. Vaser has no nothing to do with the result, but the skill of the plastic surgeon does.

A: It is best to be within 10 pounds of your weight goal for three months prior to the BBL. It appear that you would benefit from a Liposuction, BBL, and tummy tuck.

A: You usually need 3 to 6 months after delivery to reach a stable, healthy weight for the BBL. This procedure is all about getting the most out of your physique. After pregnancy, a tummy tuck will help with tightening the skin and the abdominal muscles stretched with pregnancies. Dr. Kenneth Hughes performs the liposuction and BBL with tummy tuck in combination for many of his patients.

A: Most patients can benefit from much more than 1 liter of liposuction. Also, the limitation is for the lipoaspirate and not the amount of fat. Therefore, the amount of fat may only be half of that amount.

A: Dr. Kenneth Hughes has had great success with BBLs for thinner women, but these surgeries are not easy. Maximal fat must be harvested without creating any contour deformities. If the waist was smaller at one time, the waist can likely be reduced with liposuction to those same measurements or smaller provided the muscular and facial integrity has remained the same. There are a lot of women who can get nice results from the BBL despite thinking that there is not enough fat. Schedule a Skype or email consultation with a board certified plastic surgeon who specializes in thin patients to determine available fat stores for the transfer.

A: Dr. Kenneth Hughes in Los Angeles have had great success with Brazilian buttlifts for thinner women, but these surgeries are not easy. Maximal fat must be harvested without creating any contour deformities. There are a lot of women who can get nice results from the Brazilian buttlift despite thinking that there is not enough fat.

A: Having the BBL done is an option as long as you have enough fat to be transferred. Consult with a board certified plastic surgeon for a proper evaluation.

A: It seems like you may benefit from a BBL revision, find a board certified plastic surgeon who performs hundreds of Brazilian butt lift revisions each year. Then look at the plastic surgeon’s website before and after photo galleries to get a sense of who can deliver the results.

A: Too early to judge on the final result, you are still at the healing stage. This will take two or three months to settle, wait until then to determine if you want to consider a revision. Having the BBL done a second time is an option as long as you have enough fat to be transferred. The revision implies that there is less fat than the first time, and scar tissue will make the surgery much more difficult on the surgeon. The percentage of fat survival in the BBL the second time should be about the same

A: Sorry that your result did not meet your expectation. A larger butt than desired after a BBL can be liposuctioned to improve contours by an expert in the field. Schedule an email, Skype or in-person consultation with a board certified plastic surgeon.

A: Sorry that your result did not meet your expectation. A larger butt than desired after a BBL can be liposuctioned to improve contours by an expert in the field. Schedule an email, Skype or in-person consultation with a board certified plastic surgeon.

A: Having the BBL done is an option as long as you have enough fat to be transferred. Consult with a board certified plastic surgeon for a proper evaluation.

A: It is hard to tell without pictures, you may be a candidate for a second BBL, a physical examination is needed. I recommend you to schedule a consultation with a board certified plastic surgeon.

A: More than how many procedures can be done in one time, the question is, how long will your plastic surgeon take to perform these procedures under anesthesia? Patient safety it is very important, so keeping a procedure under 6 hours, with limited blood loss in a patient who is healthy with a reasonable BMI are some guidelines to observe, while planning multiple procedures in a patient. Consult with your plastic surgeon and anesthesiologist.

A:  Dr. Kenneth Hughes has utilized several techniques to improve this appearance, but it requires great precision to improve this. You need to find a board certified plastic surgeon who does a lot of revisions.

A:  Having the BBL done a second time is an option as long as you have enough fat to be transferred. The revision implies that there is less fat than the first time, and scar tissue will make the surgery much more difficult on the surgeon. The percentage of fat survival in the BBL the second time should be about the same. Select a board certified plastic surgeon who has performed numerous successful BBL revisions is key to the outcome.

A:  It seems like you may benefit from a BBL revision, find a board certified plastic surgeon who performs hundreds of Brazilian butt lift revisions each year. Then look at the plastic surgeon’s website before and after photo galleries to get a sense of who can deliver the results.

A: The dent looks like cellulite. Remember a BBL does not take cellulite away and in fact can make it worse as more fat in an area where cellulite exists can make it more pronounced. To determinate what is the best option to change the shape of your buttocks I suggest to get a physical examination with a Board Certified Plastic Surgery, who has made numerous reconstructions. A Liposuction procedure will be one option.

A: This sagging element could be due to either one or both.  Weight loss is certainly not going to help the appearance of tightness of skin.   Weight loss will result in a more deflated look.  Dr. Kenneth Hughes also sees many patients who have had liposuction of the posterior thighs or at the butt cuff and have produced a droopier butt and sagging skin.

A: It would be important to examine preoperative pictures as well as understand your postoperative course.  Are there areas of fat necrosis?  Was there infection?  Was there existing asymmetry prior to surgery that cannot be fully improved with further surgery?

A: There are several ways to address cellulite depending upon depth of cellulite, location, elasticity of overall skin envelope, and subcutaneous fat layer. There is no uniformly successful method for treating it. My practice is now using BodyTite, a non-invasive procedure, that requires no down time to reduce the appearance of cellulite. The procedure combines different clinically proven modalities (radio frequency energy, deep tissue heating and suction coupled negative pressure) to distribute heat to the skin and underlying fat, causing the tissues to contract. Weekly sessions over an eight week period are recommended, but improvement is likely seen after the first few sessions. I recommend you to schedule a consultation with a board certified plastic surgeon to determine if a BBL revision would help you.

A: There are many ways to address butt indentations based upon the etiology of the underlying development.  If the dents are caused by tethering similar to cellulite, the cellulite tendrils can be released in a specialized procedure developed by Dr. Kenneth Hughes.  If the dents are due to reduced skin elasticity at a point or from scarring or other forms of skin envelope restriction, fat grafting may improve this significantly but each patient will be different.  The degree to which a dent can expand is dictated by individual anatomy and traits.  The best surgeon for the procedure will get the best result for an individual, but one individual’s result is not entirely predictable due to intrinsic patient traits and healing characteristics.

A: It seems like you may benefit from a BBL revision, find a board certified plastic surgeon who performs hundreds of Brazilian butt lift revisions each year. Then look at the plastic surgeon’s website before and after photo galleries to get a sense of who can deliver the results.

A: Having the BBL done a second time is an option as long as you have enough fat to be transferred. The revision implies that there is less fat than the first time, and scar tissue will make the surgery much more difficult on the surgeon. The percentage of fat survival in the BBL the second time should be about the same. Harvesting fat from only your arms will not change the shape of your buttocks.

A: It seems like you may benefit from a BBL revision, find a board certified plastic surgeon who performs hundreds of Brazilian butt lift revisions each year. Then look at the plastic surgeon’s website before and after photo galleries to get a sense of who can deliver the results.

A: It seems like you may benefit from a BBL revision, find a board certified plastic surgeon who performs hundreds of Brazilian butt lift revisions each year. Then look at the plastic surgeon’s website before and after photo galleries to get a sense of who can deliver the results.

A: If the areas are hard, these areas could represent areas of fat necrosis.  Fat necrosis must be removed by excision through an incision.

A: Based on your images, it appears you may benefit from a BBL procedure. Please visit a board certified plastic surgeon for a detailed surgical plan to achieve your desired results.

A: There are several ways to address cellulite depending upon depth of cellulite, location, elasticity of overall skin envelope, and subcutaneous fat layer. There is no uniformly successful method for treating it. My practice is now using BodyTite, a non-invasive procedure, that requires no down time to reduce the appearance of cellulite. The procedure combines different clinically proven modalities (radio frequency energy, deep tissue heating and suction coupled negative pressure) to distribute heat to the skin and underlying fat, causing the tissues to contract. Weekly sessions over an eight week period are recommended, but improvement is likely seen after the first few sessions.

A: It appear that you may benefit from a revision.  Dr. Kenneth Hughes recommends that you to schedule a consultation with a bard certified plastic surgeon.

A: It seems like you can benefit from a BBL revision, you will have find an expert at BBL revisions. Find a board certified plastic surgeon who performs hundreds of Brazilian buttlifts each year. Then look at the plastic surgeon’s website before and after photo galleries to get a sense of who can deliver the results.

A:  It seems like you can benefit from a BBL revision, the buttocks can be reshaped with a combination of liposuction and fat grafting to that area. I recommend you schedule an email, Skype or in-person consultation for proper evaluation.

A: The buttocks can be reshaped with a combination of liposuction and fat grafting to that area. The revision implies that there is less fat than the first time, and scar tissue will make the surgery much more difficult on the surgeon. The percentage of fat survival in the BBL the second time should be about the same. You will have to find a surgeon who does mainly revisions and is capable of getting fat where others have not been able to do so.

A: The buttocks can be reshaped with a combination of liposuction and fat grafting to that area. The revision implies that there is less fat than the first time, and scar tissue will make the surgery much more difficult on the surgeon. The percentage of fat survival in the BBL the second time should be about the same. You will have to find a surgeon who does mainly revisions and is capable of getting fat where others have not been able to do so.

A: The Brazilian buttlift results are highly surgeon dependent. Some surgeons can do almost anything and change the shape of anything. You have to be creative. There are some anatomic limits, but, for the most part, dramatic transformations can be achieved.

A: Your should ask this question of the plastic surgeon who performs or performed your BBL as all PSs have different post-operative protocols based upon your health, the procedures performed, how you are recovering, and travel destination along with mode of transportation.

Most plastic surgeons would recommend limiting your driving the first 6 to 8 weeks following the BBL. I recommend that my patients minimize sitting, even with a pillow, for the first two weeks. If they have to sit, it is critical that every 30 minutes or an hour you stop, get out of your vehicle, and stand for a few seconds to take the pressure off. Driving is much worst than sitting as pushing on the accelerator or brake involves pushing back against the buttocks and lower back.

A: Having the BBL done a second time is an option as long as you have enough fat to be transferred. The revision implies that there is less fat than the first time, and scar tissue will make the surgery much more difficult on the surgeon. The percentage of fat survival in the BBL the second time should be about the same. Select a board certified plastic surgeon who has performed numerous successful BBL revisions is key to the outcome.

A: Too early to judge on the final result, you are still at the healing stage. This will take two or three months to settle, wait until then to determine if you want to consider a revision.

A: Sorry that your result did not meet your expectation. It is hard to give you a recommendation without proper photos. Schedule an email, Skype or in-person consultation with a board certified plastic surgeon.

A:  Too early to judge on the final result, you are still at the healing stage. This will take two or three months to settle, wait until then to determine if you want to consider a revision.

A: Sorry that your result did not meet your expectation. A larger butt than desired after a BBL can be liposuctioned to improve contours by an expert in the field. Schedule an email, Skype or in-person consultation with a board certified plastic surgeon.

A:  I have utilized several techniques to improve this appearance, but it requires great precision to improve this. You need to find a board certified plastic surgeon who does a lot of revisions.

A:  Unfortunately, there are risks to every procedure and so your concerns are mirrored by many people who have undergone cosmetic plastic surgery, had an unsatisfactory result, desire a revision, but are unsure of who will pay for the revision. The short answer is that every case is different and you need to discuss this issue with your plastic surgeon.

A: Wish pictures are helpful to determine if a patient has realistic expectations so I take a look at these whenever a patient wants to show me.

A:  It is hard to give a recommendation without proper photos, schedule an email, Skype or in-person consultation with a board certified plastic surgeon.

A: It is hard to tell without proper photos. Though an exam would be necessary, this may represent fat necrosis. These areas if larger or painful can be surgically excised. Contour irregularities can then be fat grafted. I recommend you to schedule an email, Skype or in-person consultation with a board certified plastic surgeon for proper evaluation.

A: Dents may be the result of lumpy fat deposits, or fat necrosis. Fat transfer works well to fill in the dent. I recommend you to schedule an email, Skype or in-person consultation with a board certified plastic surgeon for proper evaluation.

A: A traditional buttock lift would tighten the contours if there is a laxity issue, but an exam would be necessary to make a determination.

A: Without before photos, it is difficult to recommend the best procedure for correcting the irregularities. I recommend you to schedule a consultation with a board certified plastic surgeon to determine if a revision is necessary.

A: Sorry to hear that, I suggest that you follow up with your board certified plastic surgeon and review the before and after photos to get a better understanding of your results.

A: You need to see your plastic surgeon. If the pain went away for months or a year and there is now buttock pain, it may be unrelated to the surgery.

A: Fat can be taken from many different areas (abdomen, sides, back, bra rolls, thighs, arms, etc) depending upon the areas of excess and what your goals may be. Schedule an email, Skype or in-person consultation with a board certified plastic surgeon.