Lose Weight Before Brazilian Butt Lift?

Question

I'm 5'11", 200 lbs. with a BMI of about 27. I'm trying to get down to 150 lbs., which depending on how much fat I lose, should get me down to a size 8. Is it best for me to lose the weight before getting my Fat grafting/Liposuction/Brazilian butt lift?

Armando Soto, MD, FACS · Answer

Hi there-
The answer would really depend on your goals for body and buttock contour and volume...
In most cases, I would say that you are probably better off having the surgery first, in order to have the maximum amount of fat available to your surgeon for your buttocks. Once you have the body shape and buttock volume you want, you can lose whatever weight you still want to lose (you may not feel you have as much in excess after the re-shaping of the operation), comfortable that the new shape will be maintained.
Please also read her about how best to choose a plastic surgeon:

Johnny Franco, MD, FACS · Answer

Brazilian butt lift (fat transfer to the buttock) is so
popular because it enables your plastic surgeon to transform your entire
shape.  Liposuction is performed over
several areas depending on the individual patient needs, but typically of the
flanks, abdomen, back and thighs.  You
currently have a very square shape (which is more common than most people
realize).

The liposculpting will allow your surgeon to bring in your
hips and waist giving you more of an hour glass figure.  You already have some shape to your buttock
and this will be able to be enhanced to give you a very attractive buttock.

The amount of fat needed depends on the shape and needs of
each individual patient, however in general at least 500cc per buttock need to
be placed to see a significant difference. On average patients typically
receive around 800cc per buttock side for a total of 1600cc of fat
transfer.  However just like a breast
augmentation the amount of fat needed various from patient to patients.  Also the sculpting done with the liposuction
is a big part of the procedure to improve the overall shape.

However if a patient has a BMI of 22 they typically will
have enough fat for the Brazilian butt lift. 
If they are smaller than this then they will need to consider doing an
augmentation with implants.

I typically tell patients that they should be at their ideal
weight prior to their Brazilian Butt Lift surgery.  I don’t want patients losing weight after the
surgery as they can lose some of the fat that was transferred to their
buttock.

When considering this procedure it is very important that
you have your procedure performed by a board certified plastic surgeon.

Emmanuel Mallol Cotes, MD · Answer

Thank you for your question. To provide a valid medical opinion I will need to see pictures of you body from different angles. I would suggest to be treated by board certified plastic surgeon with experience in this procedure, to get the best desired results.
Respectfully,Dr. Emmanuel Mallol Cotes.-

Jaime S. Schwartz, MD, FACS · Answer

A good candidate has enough fat available for transfer in the procedure. The amount of fat that can be transferred in a BBL depends on how much fat the patient has to harvest and the amount of space there is to move the fat into. It is recommended for the patient to have a BMI of 30 or less. If you are too thin, a Brazilian Butt Lift may not be possible.

Richard J. Bruneteau, MD · Answer

The ideal pre-operative weight for Brazilian butt lift
surgery varies from patient to patient and depends upon a large number of
variables. These variables include the patient’s anatomic findings and their
aesthetic goals.In the
vast majority of patients dieting should be delayed until the patient has
undergone Brazilian butt lift surgery. This approach has significant benefits
for most patients. In many cases this approach assures adequate fat donor sites
which might not be available following weight loss. Furthermore, most surgeons
prefer that patients have stable weight for at least six months before
proceeding with surgery.In
addition, when liposuction is performed to harvest fat, significant contour
improvement is noted in the surrounding areas. This may address many of the
patients’ body image concerns.For
these reasons, patients should consult a board certified plastic surgeon who
has experience performing the Brazilian butt lift. This surgeon should be able
to make an appropriate weight loss recommendation.

Larry S. Nichter, MD, MS, FACS · Answer

Best Weight for Brazilian Butt lift -
	A physical exam and review of your medical history is important to answer your specific question. In general however it is best to be at your stable long term weight to reduce the probability for revision surgery. It makes little or no sense to loose or gain weight for a surgical procedure unless you can maintain that weight for many years.

	The reason for this is that the fat cells tend to remember it origin and behave that way. In other words when you lose weight you will also shrink the size of the fat cells transferred to your buttocks

Ron Hazani, MD, FACS · Answer

You can and it seems to me that you have enough to transfer. Seek a plastic surgeon who performs hundreds of these procedures, has great reviews and photos, and is an expert in this field.

Mel T. Ortega, MD · Answer

Thank you for your question . You are good at that weight to have a Brazilian Butt Lift.

Pat Pazmino, MD, FACS · Answer

A Brazilian butt lift is a safe and effective procedure that combines liposuction of the abdomen hips waist and back and grafting this fat to the gluteal (butt) region. This is a safe and great way to create a tight waist and abdomen and a full, beautiful bottom.

	For best results, only work with an experienced plastic surgeon who is board-certified by the American Board of plastic surgery. It is essential that you receive a thorough evaluation where the plastic surgeon will determine the areas that require liposuction and the amount of fat that must be removed and transplanted to the butt region to achieve your goals. In our practice, we discuss with the patients if they need to lose or gain weight before their procedure to achieve the results they're looking for. Please take a look at the photos we have posted to get an idea of what this procedure can accomplish.

Peter A. Aldea, MD · Answer

People often lose sight of what a Brazilian Butt Lift is and when it is indicated.
Brazilian Butt lift is adding volume to a close to or perfectly shaped - but volume deficient buttocks. If you have such buttocks filling them strategically with fat WILL make them much more appealing.
On the other hand, if you do have large buttocks which are NOT attractive (which is the case with many women), it is far more important to first use liposuction to sculpt out and recreate attractive an butt BEFORE (if ever) any fat is added to augment their volume.
In your case, you have full buttocks which are only deficient in fat on the sides (the area doctors call the trochanteric depression). The only reason why your buttocks SEEM flat and unattractive is the ramp of fat extending from the low back to the tops of the buttock cheeks which obliterates and covers the natural "V Zone" valley normally seen as the cheeks diverge. ALL of this can be unveiled and recreated with liposuction and fat grafting to the cheeks (Brazilian Butt lift) may not even be needed in your case.
To learn everything you need to know about BRAZILIAN BUTT LIFT and BUTTOCK ENHANCEMENT, follow the comprehensive link below - 
Dr. P. Aldea

Lose Weight Before Brazilian Butt Lift?

Answers (11)