Background:
Autologous gluteal fat grafting (AFG), otherwise referred to as Brazilian Butt Lift (BBL) has gained popularity for its natural outcomes and lower complication compared with implants. However, despite its appeal, fat resorption often reduces long-term volume retention, prompting the desire to seek repeat lift procedures. Patients’ aesthetic goals may also influence the desire for repeat operation, yet still little is known about the tendency to seek a redo surgery.

Objective:
To evaluate the proportion of patients expressing desire to undergo repeat gluteal augmentation following initial gluteal fat grafting and identify factors likely to influence this desire.

Study Design:
This was a multicenter prospective cohort, Patient reported outcome study.

Study Setting:
This study was carried out in four selected private aesthetic hospitals in Nairobi.

Subjects/Participants:
Forty seven (47) eligible participants were selected by consecutive non-random sampling and recruited during consultative screening clinic visits over a period of seven months; these were mostly women who presented requesting for buttock enhancement surgery for the first time. Subjects meeting the selection criteria had demographic characteristics and pertinent history recorded, then followed up for a period of six-months, we then assessed surgical outcomes and ultimately desire to repeat the procedure, using the BODY-Q™ for buttocks and a five-point Likert scale questionnaire tools respectively. The likelihood to repeat the surgery was especially evaluated by question 5 of the Likert Scale (Table 1). The relationship between; Marital status, Occupation, Body shape, satisfaction with outcome was evaluated against the desire to repeat surgery. Spearman’s correlation was used for analysis of ordinal data.

Results:
Thirty one point seven per cent (31.7%) of respondents were open to repeat surgery, 41.5% were unlikely and the rest remained neutral. Marital status and dissatisfaction with certain physical outcomes, say; buttock smoothness and skin quality impacted this desire.

Conclusion:
One-third of respondents desired to repeat the butt fat grafting procedure whereas majority did not desire.