Key Takeaways
- Sacral dents after BBLs are a common occurrence and can greatly detract from your overall look and self-esteem. Especially in markets like Los Angeles, where body sculpting procedures are the hottest fad!
- Fat transfer with your own tissue is a safe and effective way to correct these divots. It provides patients with natural-looking results and minimizes the risks associated with synthetic fillers.
- As always, a customized method is essential. Discuss your individual circumstances with a board-certified, experienced surgeon to evaluate your specific needs and establish appropriate expectations for your outcome.
- Taking care of yourself before your procedure and practicing aftercare are important parts of the process that contribute to healing and increasing the chances that fat will survive.
- Don’t just think about the cosmetic benefits, but the cosmetic risks associated with fat transfer. As always, pay attention to the likelihood of asymmetry or fat reabsorption occurring when weighing your options.
- Non-surgical alternatives and implants exist! Make sure to have a thorough conversation about all treatment options with an experienced, board-certified specialist to determine which option is best suited to your goals.
Fat transfer works by transferring fat from other areas of the body. This procedure corrects these divots or uneven areas above the buttocks. An alternative to surgery in Los Angeles, plastic surgeons use this technique to fill in divots.
These flaws infrequently occur following a BBL. The majority of doctors perform BBLs with the patient’s own fat, usually harvested from the waist or thighs. The ideal result is a smooth, even transition between the lower back and the new butt, without divots or irregularities.
It’s no wonder that so many folks in LA choose this treatment to achieve a more harmonious appearance and to improve contour irregularities after surgery. The balance of this post will discuss how the process works, what to expect, and typical results.
Understanding Post-BBL Sacral Dents
Following a Brazilian Butt Lift (BBL), some patients become aware of post BBL dents or dips. These dents show up around the sacrum, the flat bone at the base of the spine.
These dents can disrupt the transition from lower back to upper buttock, occasionally interrupting the graceful contours patients desire. Knowing why these dents form and how they affect both look and confidence helps set smart expectations for anyone thinking about fat transfer correction.
What Causes These Divots?
Sacral dents typically occur when fat is not distributed uniformly in the buttocks during a BBL. First, how fat is taken out with liposuction or injected back in contributes to creating small, shallow dents.
When a patient either gains weight or loses weight postoperatively, these dramatic shifts will cause the dents to become more pronounced. Skin that’s less elastic—commonly from genetic predisposition or age—can exacerbate the appearance of these areas.
For many people in Los Angeles, body contouring is the go-to option. Patients often complain of these dents post BBL, especially once the swelling subsides and the new shape takes hold.
The Sacrum’s Role in Curves
The sacrum plays an important role in how the lower back transitions into the butt. When this area is flat, the entire appearance is much more harmonious.
Any dent or bumpy area around the sacrum interrupts this flow. This can result in the butt appearing flat or lumpy. In order to get the best outcome, maintain a nice, smooth curve of the sacrum.
Even a slight modification in this region can affect how individuals feel about their lateral or posterior silhouette.
How Dents Affect Your Look
Dents can make the butt look bumpy instead of round. Clothes may not fit comfortably anymore and many patients report being self-conscious of their new appearance.
Regardless, these dents often alter patients’ perceptions of their own curve and may even impact how others perceive their shape. For most people, having these dents corrected is less about vanity and more about feeling like themselves.
Fat Transfer: Your Natural Solution
Fat transfer, or autologous fat grafting, is a natural solution to contour correction. It’s especially effective when used in conjunction with a Brazilian Butt Lift (BBL).
The fat transfer procedure is a minimally invasive process that first flushes fat from an area where you have excess—typically your abdomen or thighs. It then injects that fat into the sacral area, filling in dents or divots and contouring the area. Because you’re using your own tissue, there’s significantly less concern about rejection or adverse reactions. The final results look and feel more natural compared to synthetic fillers.
1. The Magic of Fat Grafting
The art of fat grafting begins with a meticulous procedure. Surgeons then spin and purify the fat with advanced centrifuge systems. Only the healthiest fat cells are returned to your body, allowing those grafts to survive and thrive.
This is important for the best results, as high fat survival rates lead to longer-lasting results. Fat grafting is a perfect solution for a variety of concerns—filling in divots, creating voluptuous curves, and even repairing more minor skin irregularities. Unlike fillers, fat is longer-lasting and behaves more like natural tissue.
2. Why Fat Beats Synthetic Fillers
Fat lasts longer than most fillers, which enzymatically break down over the course of several months. Because it’s your own tissue, fat integrates, feels natural, and avoids a lot of dangers associated with synthetics.
There is reduced swelling, no unusual lumps, and a significantly decreased chance of any allergic response.
3. Using Your Own Tissue
Using your own tissue prevents foreign substances from entering your body. This reduces the chances of complications such as rejection or infection.
Every plan is tailored to your anatomy and aesthetic goals, creating a more natural, safer, and individualized solution.
4. Customizing Your Correction
Surgeons examine your specific concerns—dent depth, skin texture, and body shape. By using imaging and your detailed feedback, they’re able to plan for optimizing the best approach.
This ensures that your results are tailored to your unique body, instead of a one-size-fits-all approach.
5. New Techniques, Better Outcomes
New techniques such as microfat grafting and improved purification technology help achieve longer-lasting and more natural-looking results.
The most talented Los Angeles surgeons are committed to continuing education, using the latest research and techniques to minimize the loss of fat and achieve overall better results.
Is Divot Correction For You?
Fat transfer for sacral divot correction after a BBL is not a cookie cutter procedure. Most patients in Los Angeles are requesting this procedure to help get rid of any dents or divots that are created after liposuction. Before deciding which correction technique to use, it is beneficial to consider your personal goals, physical condition, and what type of correction is required.
Considering what you really need and what’s out there is the best way to ensure you get the most out of your time and money.
Evaluating Your Specific Dent
Start by looking at the dent’s size and depth. Small, shallow dents might respond well to a single session, while deeper or wider dents may need extra steps or more than one round. Some people see volume loss that’s barely noticeable, while others have more visible dips.
A skilled surgeon will check the area and may suggest taking photos to track changes over time. This helps set a clear baseline and guides the treatment plan. In Los Angeles, there are clinics that use digital imaging to help patients see what changes to expect.

Setting Realistic Goals
It’s important to be clear about what you desire and discuss your goals with your surgeon. Many people have the unrealistic desire for a perfectly smooth lower back, but as the body continues to heal, outcomes can be affected.
Visual aids, such as before-and-after photos, help facilitate candid conversations about what can realistically be achieved. Swelling and bruising is common, and the ultimate appearance can take a few months. Some fat can be reabsorbed, so you might need a touch-up procedure.
Key Health Considerations
An excellent evaluation of your medical history and a careful physical exam are essential before any surgery can be performed. Our surgeons are experienced in identifying health risks, discussing them with the individual and their families, and addressing concerns.
Adhering to all pre-operative instructions reduces your risk and aids in the healing process.
Your Fat Transfer Journey
Getting a fat transfer for sacral divot correction after a BBL is a multi-step process. It does take some serious consideration, lots of planning, and a highly qualified plastic surgeon. Starting with that initial conversation, every step along the way to recovery continues to set the tone and control expectations.
In Los Angeles, patients often pursue surgeons with a significant track record of performing body sculpting. These experienced surgeons know how to listen to the perfect tone of this delicate art. With proper education and a clear timeline, pre-op jitters can be calmed and the proper resources can help provide a seamless experience.
The All-Important Consultation
Your initial consultation with your surgeon is extremely important. This is where your goals, medical history, and specific concerns really start to be discussed and addressed. This is the time to ask questions about all of it!
Ask how long recovery will take and what my results will be if as much as 40% of the transferred fat does not “take.” Digital imaging tools are a great resource for both patients and surgeons when it comes to seeing potential outcomes and easing decision-making. Creating trust through your consultation will go a long way in making you feel comfortable. Openness and transparency go a long way in increasing its value!
Preparing for Your Procedure
- Follow pre-op instructions from your care team.
- Arrange a ride home and someone to help you.
- Stop taking blood thinners or other flagged meds.
- Stick to the dietary plan your surgeon gives you.
Proper preparation goes a long way, especially for those considering a Brazilian butt lift procedure. Planning for post-op care and following pre-surgical protocols reduces complications and promotes a smooth recovery.
What to Expect on Procedure Day
You’ll get to meet the surgical team and review the plan for the day. Local or general anesthesia makes the procedure comfortable. The procedure timeline is pretty simple—the majority of fat transfers only take a few hours.
If you remain calm, trust in the process, and prepare yourself, you can arrive feeling collected and ready.
Recovery: Healing and Results
Be prepared for mild to moderate pain, bruising and swelling lasting two to three weeks. In other areas, swelling will gradually subside, sometimes over the course of several months. Avoid sitting on your backside for at least 2–4 weeks.
Though light walking is acceptable after two weeks, complete recovery can require up to two months. Your follow-up visits allow your surgeon to monitor your healing progress and the survival of infused fat, adjusting your post-op care if necessary. When combined with good habits, results can last 5-10 years.
Weighing Benefits and Risks
Fat transfer for sacral divot correction following a Brazilian butt lift (BBL) offers potential but questionable complexity. It is a significant and complex undertaking, and each individual must weigh the benefits and risks before choosing to pursue this avenue.
Sure, it can provide better, less jarring, more organic curves, but it’s not without its risks. To make the best decision possible takes more than surface-level research, consideration of future effects, and an understanding of the process.
Potential Downsides to Consider
Fat transfer is not a miracle, one-size-fits-all solution. Another potential pitfall is fat absorption, with only 50-70% of the fat transferred staying deposited long-term.
That means for some individuals, two or three sessions may be required to achieve optimal results. Additional risks, such as asymmetrical results or lumps, may occur if the fat does not heal uniformly.
The process usually takes a lot of donor fat—300 to 500 ccs per side. This can make it difficult to heal and may lead to more serious complications, like fat embolisms.
Recovery is not fast under any circumstances. Swelling and bruising often persist for weeks. Give it a few months to six months for the final form to take shape and for your body to completely recuperate.
Setting clear, realistic expectations and understanding these barriers goes a long way toward preventing disappointment.
The Upside: Smoother Contours
When it does work, fat transfer can create a smoother, fuller appearance by replacing lost volume and filling in sacral divots. This leads to enhanced self-esteem and body image, contributing to a more proportionate figure.
In fact, results typically endure from six months to many years. Many people find even small changes can make daily life feel better.
Long-Term Success Factors
Success all comes down to establishing and maintaining healthy habits, thorough aftercare, and routine follow-ups with your bariatric surgeon. Following the above guidance ensures that the fledgling new fat survives and reduces unintended harmful consequences.
Maintaining a healthy weight and regular physical activity can help maintain the effects over time.
Other Paths to Smoothness
Everyone knows their best solution and approach to achieving their desired outcomes. They try to fix sacral dents created during a BBL. Although fat transfer is the most common and popular method of treating these dips, it isn’t the only option available.
Others might be looking for quicker, non-invasive solutions. In the meantime, some may be interested in implants as a more long-term solution. Each path has unique advantages and disadvantages.
Non-Surgical Quick Fixes
For those who prefer a non-surgical path, there are a few non-invasive alternatives that are good to be aware of. Some popular non-surgical treatments include:
- Dermal fillers to even out small dents
- Skin tightening with radiofrequency (30% improvement after three treatments)
- Laser therapy to boost collagen
- Topical treatments and massage
While fillers can provide a quick fix with immediate results, those results are transient often requiring the patient to make return visits.
Radiofrequency and laser skin resurfacing treatments can improve skin laxity but aren’t a solution for underlying, deeper dips. Note, these approaches are preventive or palliative at best and can’t achieve the full, permanent benefits of an operation.
As always, consult with a licensed professional before selecting a non-surgical quick fix. They can take into account your shape and what your goals are to help inform the decisions that you make.
Considering Implant Alternatives
Another method for treating shape issues is using buttock implants, which may be appropriate when fat transfer is not possible. Implants have the benefit of providing stable volume and shape.
They require a much more difficult surgery and carry risks such as shifting, infection, or rejection. Unlike fat transfer, where your own fat is injected, implants are synthetic and require more extensive aftercare.
It’s important to discuss your priorities, health, and lifestyle with an expert to determine whether this option is the right one for you. While implants will be the best choice for some people, others will be a better candidate for fat transfer or in-office touch-up procedures.
Conclusion
Fat transfer is often the best solution for filling in a sacral dent or divot following a BBL. People in LA are savvy enough to want results that look authentic and endure. Since this correction employs your own fat, you avoid the artificial appearance and texture. There are skilled craftspeople in the city who understand how to create the intentional area and how to make it smooth. The process does carry risks, but when done by an experienced doctor, most people agree that it is safe. LA clinics report successful outcomes all around, with patients reporting a greater sense of comfort in their own skin. Planning your next move? Contact an experienced board-certified, LA-based surgeon today to schedule your consultation. Know the risks, question assumptions, and determine if this option is right for you. Your comfort and peace of mind should be priority number one.
Frequently Asked Questions
What is a sacral divot after a BBL?
What is a sacral divot after a Brazilian Butt Lift (BBL) procedure? You usually notice it during the recovery process, as it occurs when transferred fat cells shift or are absorbed incorrectly, affecting the buttock contours.
How does fat transfer fix a sacral divot?
Fat transfer, a popular surgical solution, works by using your own fat to fill in the dent, thereby restoring a more natural shape and creating smooth contours in the buttock area.
Is fat transfer safe for sacral divot correction?
So, to answer our question—is fat transfer safe for sacral divot correction during a Brazilian butt lift procedure? There are minimal risks involved, which may occur as swelling, bruising, or an uneven result.
How long is recovery after fat transfer for divot correction?
The average downtime reported by real patient results for the Brazilian butt lift procedure is only 1-2 weeks until resuming all light activity. You might need to avoid putting weight directly on the buttock area for a few days.
Will my results from fat transfer be permanent?
Most of your results from the Brazilian butt lift procedure will be permanent, although some of the transferred fat cells can be reabsorbed by your body. Once the initial settling occurs, the final appearance is usually quite permanent within a few months.
Can I combine sacral divot correction with other procedures?
Yes, it can be combined with touch-ups to your Brazilian butt lift procedures or other minor body contouring treatments for optimal healing. Request an individualized plan from your experienced surgeon.
Who is a good candidate for fat transfer to correct a sacral divot?
Who is a good candidate for buttock enhancement through fat transfer to correct a sacral divot? A simple consultation with a highly experienced surgeon specializing in Brazilian butt lift procedures will determine your candidacy.










