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작성자 Brittny
댓글 0건 조회 3회 작성일 26-07-29 20:52

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Can Butt Implant Removal Be Combined with a BBL?


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Yes — buttock implant removal and a Brazilian Butt Lift can be performed in the same operation, and for many patients it’s the most sensible approach. Removing implants alone leaves the buttocks deflated; combining with fat transfer restores volume and contour using the patient’s own tissue, in a single recovery rather than two.


This article covers when the combined approach works, when a staged procedure is safer, and what to expect during recovery.


Why patients have implants removed


The most common reasons for buttock implant are capsular contracture (where the scar tissue around the implant tightens and distorts shape), implant displacement, chronic discomfort, infection, and a change of mind about the look of synthetic implants over time.


sit deep within the gluteal muscle or beneath the gluteal fascia, in an area that bears significant weight and movement. Long-term complication rates are higher than for breast — published series report capsular contracture rates 5–30% depending on the technique used and follow-up duration.


involves reopening the original incision ( intergluteal), the implant, and excising scar tissue from around the implant capsule. The pocket is then irrigated and closed.


Why combine removal with a BBL?


Removing implants restoring volume produces a flat, sometimes hollowed appearanceparticularly if the implants have been in place long enough to the surrounding tissue.


A uses fat harvested via liposuction from the abdomen, flanks, or thighs, processed and reinjected into the buttocks. it with implant removal:


The trade-off is that combined surgery takes longer under anaesthesia and carries the risk of two procedures rather than one. For most healthy patients, that’s an acceptable trade.


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When a staged approach is safer


Combined surgery isn’t always appropriate. The implant pocket is reshaped or removed during the first procedure, and the surrounding tissue has been stretched and inflamed for years. Injecting fat into that environment immediately can compromise fat survival.


A staged approachimplant first, then BBL three to six months later once the tissue has healed — is recommended when:


The decision is made at consultation based on examination findings, imaging where appropriate, and the patient’s overall health.


Suitability for the combined procedure


The most important practical consideration is whether the has enough donor fat to produce a meaningful volume increase. Very lean patients may not — in which case the BBL is delayed until weight is gained, or the patient accepts a more modest volume.


Other suitability requirements:


The procedure step by step


Combined surgery is performed under general anaesthesia at our Baker Street day surgery facility, typically taking three to four hours.


The implant is first through the original incision, with the surrounding capsule excised where appropriate. The pocket is irrigated to reduce infection risk and seroma formation.


Power-assisted liposuction is then used to harvest fat from the agreed donor sites — most commonly the abdomen, flanks, and lower back. The harvested fat is processed to separate viable adipocytes from blood, oil, and tumescent fluid.


The processed fat is injected above the muscle layer using . This is the safest techniquekeeping fat placement above the muscle avoids the deep gluteal venous plexus, where fat embolism has historically been the cause of BBL deaths.


Compression garments are fitted before the patient leaves the operating theatre.


Recovery


The first 48 hours are the most uncomfortable. Patients are advised to sleep on their stomach or side, and to avoid directly on the buttocks for two to three weeks. A BBL pillow distributes pressure to the thighs when sitting is .


A compression garment is worn 24 hours a day for the first six weeks, removed only for showering. Most patients return to office work at two to three weeks; strenuous exercise is delayed until six to eight weeks.


Final results are visible at three to six months, once the surviving fat has stabilised and swelling has fully resolved.


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Risks specific to this combined procedure


In addition to the standard risks of BBL and implant removal individually, the combined carries some specific considerations:


Reduced fat survival. Tissue that has held an implant has altered vascularity. Fat into this environment may have a lower survival rate than fat grafted into an untouched buttockmeaning a second touch-up is more often needed.


Skin laxity. Long-term implants the overlying skin. Once the implant is removed, the skin may not contract back fully even with fat replacement. In that case, a buttock lift to remove excess skin can be added — either at the same time or later.


Asymmetry. Existing capsule can affect the symmetry of the fat-grafted result. Patients are counselled that perfect is rarely in revision surgery.


Cost


The combined procedure is priced based on the implant removal complexity, the volume of liposuction required, and the volume of fat to be transferred. Detailed pricing is given at consultation. Finance including 0% APR are available through Chrysalis Finance.


Frequently asked questions


The fat that survives the first six months becomes permanent — it behaves like any other fat in the body and is affected by weight changes. Significant weight loss after a BBL will reduce volume; significant weight gain will increase it.


The most common solutions are to gain a modest amount of weight before surgery, accept a more conservative volume increase, or stage the procedure with implant removal first and BBL later once weight is gained.


The original implant is reopened during removal, so no new scar is created in that area. The scar can be revised at the same time if it has healed badly.


Office-based work: two to three weeks. Physical work: six to eight weeks. Driving: typically two weeks, once you can sit comfortably.


Fat that has established a blood supply (around six weeks post-op) is permanent. Before that point, fat is sensitive to pressure on the buttocks — which is why and sleeping position matter during early recovery.


Booking a consultation


For a buttock and BBL at our Baker Street clinic, call or email .





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Centre for Surgery is a CQC-regulated private hospital on London’s Baker Street, plastic and surgery through GMC-registered specialist surgeons. Our expertise spans facial procedures including and , , for men, and body contouring procedures such as and . safety, excellence and natural-looking results sit at the heart of everything we do.


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