Aesthetic trends change — and for many people who once chose a dramatically enlarged buttock, the look no longer fits their life or their body. Heavier buttocks sag more noticeably with age and gravity, and what once felt bold can begin to feel disproportionate and difficult to dress. Reversing a Brazilian butt lift restores a smaller, more natural, better-proportioned shape — and it calls for a surgeon experienced in both sculpting and managing the scar tissue that earlier grafting can leave behind.
Dr. David N. Sayah is a board-certified plastic surgeon and Fellow of the American College of Surgeons with more than 26 years of experience and residency training at UCLA Medical Center. BBL reversal has become a growing part of his practice as more patients seek to undo earlier procedures, and he approaches it with an artist’s eye for proportion and a refined, scar-conscious technique. Working through a single small incision hidden in the crease over the tailbone, he sculpts the buttocks back to a natural, balanced contour without conspicuous scars.
Excellent caring physician, with attentive and caring staff. Dr. Sayah has excellent bedside manners, listened to my requests, did not push anything extra. He is also compassionate, caring and his patients have his full attention at all times. The most important I have phenomenal results after lipo and tummy tuck. Very happy with Dr. Sayah’s work, would definitely recommend him for any cosmetic procedure.
What Is BBL Reversal?
A Brazilian butt lift adds volume and projection to the buttocks by grafting the patient’s own fat. A reversal does the opposite — carefully reducing and reshaping that volume to create a smaller, more proportionate result. Because grafted fat behaves differently from native tissue and can, in some cases, leave firm areas of fat necrosis, or scarred fat, behind, reversal is often more technically demanding than the original procedure. The aim is not simply to remove fat, but to re-sculpt the buttocks into a smooth, natural shape that suits the rest of your figure.
Why Patients Choose BBL Reversal
- Shifting Aesthetic Preferences: Many patients no longer want the dramatic projection that was once in style.
- Sagging Over Time: Larger buttocks tend to descend more with age and gravity, altering the original result.
- Comfort And Clothing: Excess volume can make sitting, exercising, and dressing more difficult.
- Correcting Prior Work: Firmness, irregularity, or fat necrosis from an earlier graft can be refined and improved.
What to Expect
Treatment begins with an evaluation of your current shape, skin quality, and any firmness or irregularity left by previous grafting. Through a discreet incision in the natural crease over the tailbone, Dr. Sayah reduces and re-contours the buttocks; where fat necrosis is present, he uses specialized instruments to morselize and remove the scarred tissue through that same hidden incision. The goal is a smaller, smoother, naturally proportioned result for both men and women. Recovery and final outcomes vary with the extent of the reversal, and Dr. Sayah will review what you can realistically expect.
Frequently Asked Questions About BBL Reversal
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The procedure is performed through a single small incision hidden in the crease over the tailbone, so there are no conspicuous scars.
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Yes. Dr. Sayah uses specialized instruments to break down and remove scarred fat tissue through the same hidden incision.
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It can be more technically demanding, because grafted fat and any scar tissue must be reshaped carefully rather than simply added to.
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No. Dr. Sayah performs BBL reversal for both men and women seeking a more natural, proportionate shape.
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The goal is a smooth, balanced contour that suits your overall figure rather than an obviously altered appearance.
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Recovery depends on the extent of the reversal; Dr. Sayah will outline a personalized timeline at your consultation.
Why Choose Dr. Sayah for BBL Reversal
- Artistic Proportion: As a trained sculptor and painter, Dr. Sayah re-sculpts the buttocks with a careful eye for natural balance.
- Scar-Conscious Technique: A single hidden incision in the tailbone crease keeps the procedure discreet.
- Skill With Scarred Tissue: He is experienced at removing the fat necrosis left behind by previous grafting.
- Results For Men And Women: His approach is tailored to each patient’s anatomy and goals.
Meet Dr. David Sayah
Dr David Sayah is a board certified plastic surgeon in Beverly Hills known for his natural approach to aesthetic surgery. With more than 26 years of experience, he combines surgical precision with artistic insight to deliver balanced and refined results. His philosophy centers on enhancing individual beauty rather than changing it.
A graduate of the UCLA School of Medicine and a Fellow of the American College of Surgeons, Dr Sayah trained at leading medical centers including NYU and UCLA. His work in wound healing and scar formation research helps patients heal beautifully with minimal scarring. Fluent in five languages, he welcomes patients from Beverly Hills, Los Angeles, and across the world who seek exceptional, natural results.
Schedule a BBL Reversal Consultation in Beverly Hills
If a previous Brazilian butt lift no longer suits you, a reversal can restore a smaller, more natural shape. Serving Beverly Hills and the greater Los Angeles area, Dr. Sayah brings sculptural precision and a discreet, scar-conscious technique to every reversal. Contact the office today to schedule your consultation.
