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This is a 41-year-old Western female, now 1 month after BBL with liposuction of the waist and lower scapular (bra-line) area.

This is a 41-year-old Western female, now 1 month after BBL with liposuction of the waist and lower scapular (bra-line) area. before
Before
This is a 41-year-old Western female, now 1 month after BBL with liposuction of the waist and lower scapular (bra-line) area. after
After

She originally had a central dip in her buttocks, giving a somewhat trapezoid shape.

Case overview

ProcedureLiposuction (back (shoulder blade area), waist) / Buttock fat grafting (BBL)
Sessions1 session
CostApprox. ¥780,000 (estimate based on the current monitor price, tax included; anesthesia, tests, etc. are charged separately; the final total is confirmed at counseling) Price list
Main risksswelling, bruising, pain, edema, skin irregularities, asymmetry, scars, lumps, calcification, fat embolism (rare), etc. (see details below)
DoctorDr. Shin Moriwaki (Director)

With fat grafting, we were able to restore volume to the middle and create a smooth, rounded, and aesthetically balanced contour.

At just 1 month post-op, the waist area still shows post-liposuction fibrosis and uneven firmness, which is completely normal. This will continue to soften, and the waistline will become even more defined as swelling resolves.

This post is for medical education purposes.

Risks include infection, asymmetry, and variability in fat-graft retention.

Surgeon: Dr. Shin Moriwaki (Director, AVAN TOKYO Ginza Liposuction Clinic)

Risks and side effects

Liposuction may cause swelling, bruising, pain, edema, skin irregularities or tightness, asymmetry, pigmentation, and scars at the small incision sites. Rarely, complications such as infection, hematoma, numbness, or reduced sensation may occur. On the upper arms, shoulders, and back, skin laxity, rippling, or a pulling sensation may occur. On the abdomen and waist, temporary hardness or irregularities due to tissue contraction, and skin laxity may occur.

Fat grafting may cause calcification, lumps or cysts, individual variation in fat survival, asymmetry, and irregularities at the donor site.

Fat grafting to the buttocks (BBL) may, in rare cases, lead to serious complications such as fat embolism, and may also cause infection, asymmetry, and individual variation in fat survival.

These symptoms may occur during recovery and most improve over time, but their severity and the recovery period vary from person to person. If you have any concerns, please consult your doctor rather than judging for yourself.