A 30 year old female following her BBL revision using lateral thigh and buttock lift
Indications for BBL revision with lateral thigh and buttock tuck are several. The first indication for BBL revision with lateral thigh and buttock lift is buttock cheek sagging. Buttock cheek sagging is best appreciated by a buttock mound drooping with the appearance of a diaper butt. Often the buttock cheek is observed leaning over the upper posterior thighs. The second reason to consider a BBL revision with lateral thigh and buttock tuck is if the original buttock fat transfer was overdone. When patients desire a reduction in their buttock volume using liposuction, then they must acknowledge that significant buttock skin redundancy will be created by volume reduction. The resultant side effect of creating buttock skin redundancy is buttock cheek sagging.
In cases where buttock volume reduction is planned, it is prudent to incorporate a butt lift in your surgical procedures to avoid buttock sagging. A final reason for considering a BBL revision with lateral thigh and buttock lift is the appearance of cellulite over the lower buttock or residual prominence of the lateral thighs. Cellulite appearance is best appreciated by dimples or divots observed on the skin surface. Although it has been hypothesized that cellulite is caused by skin being tethered down by ligaments, the main cause of buttock cellulite is skin redundancy which can be corrected with a combination of filling and elimination of skin.
To correct buttock skin redundancy, patients must choose between two surgical interventions. If they are willing to have a larger buttock size, then a Brazilian Butt Lift or fat transfer should be considered. If you desire a smaller buttock volume or a firmer buttock appearance, a lateral thigh and buttock tuck are a better option.
BBL revision with lateral thigh and buttock lift tuck involves a lower back and upper buttock/lateral thigh excision gull wing excision design that hugs the new upper buttock cheek junction. The positioning of the lateral thigh tuck and buttock tuck incision will determine how much lift is achieved and the buttock’s final shape and height.
BBL revision with lateral thigh tuck will lift your buttock cheek and has several benefits:
- It will improve the cellulite in your lower buttock.
- It will reduce any prominence of the lateral thigh region.
- It will define your new buttock dimensions.
- A BBL revision with a lateral thigh tuck can eliminate an upper lateral buttock prominence that creates a shelf deformity.
The lateral thigh tuck is typically performed by extending the lateral extent of your tummy tuck incision from the front by wrapping it around the lateral thigh. How far the lateral thigh tuck incision line wraps around the buttock, which sets the buttock tuck proportions, is dependent on the degree of buttock droop. These maneuvers will result in making the buttock cheek firmer and smaller.
In summary, most patients have their BBL revision with lateral thigh tuck combined with either fat removal or additional fat grafting to specific buttock regions to reshape the buttock cheek. A BBL revision with lateral thigh and buttock tuck is a technical cosmetic surgery procedure that requires evaluating the outer thighs, lower back, flanks, buttock shape and size, and any skin redundancies requiring accommodation. It is prudent to complete a consultation with a buttock specialist to determine whether you are a good candidate for a BBL revision with lateral thigh and buttock lift.