Can I Get Buttock Implants After A BBL and Weight Loss?

Q: Dr. Eppley, I had a BBL in 2021 but have lost around 35 pounds since then and now have no butt. I also have a very prominent tailbone that causes me a lot of pain. The tailbone shape is an inherited trait, also worse since losing weight. Interested in discussing options for augmentation.

A:Thank you for your inquiry and sending your pictures. You have two buttock problems due to the weight loss which may also have exaggerated your natural buttock shape. First you have a vertically long buttocks with very low infragluteal folds and lax overlying skin folds and 2) a central lack of buttock projection. Your volume addition option as this point after having had BBL surgery and losing the weight are implants. But implants will not produce much volume projection or create a good shape when the buttocks are so vertically long and the folds are so low. As a result both buttock issues have to be addressed. You need a lower buttock lift to establish a higher fold and shorten the lengths of the buttocks followed by implant augmentation. While in theory both can be performed together I don’t recommend that combination for both the recovery as well as the best infragluteal scar outcome.

Dr. Barry Eppley

World-Renowned Plastic Surgeon