Right now im 278, I know I have to lose weight I want to get down to 240 or no less than 235. I attached photos of me at 240. One doctor told me to lose 76 pounds, If I do that I won't get what I want because the way my body is I will have a flat stomach and no fat rolls. I want someone that doesn't use drains and can give me a huge but natural bubble, I don't want to do a round two. I'm in Philadelphia and looking to spend no more than 7,000 in cash! Look at thepics please and tell me bbl or implants!
Answer: Brazilian Butt Lift Thank you for your question and pictures.Given the pictures posted, I would avoid implants. Fat transfer is the way to go for you. Liposuction of the abdomen and flanks will provide enough fat for transfer to the upper buttocks.Be sure to consult with a board eligible/certified plastic surgeon with experience in the brazilian butt lift operation. I hope this helps.- Dr. Bryson Richards
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CONTACT NOW Answer: Brazilian Butt Lift Thank you for your question and pictures.Given the pictures posted, I would avoid implants. Fat transfer is the way to go for you. Liposuction of the abdomen and flanks will provide enough fat for transfer to the upper buttocks.Be sure to consult with a board eligible/certified plastic surgeon with experience in the brazilian butt lift operation. I hope this helps.- Dr. Bryson Richards
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CONTACT NOW January 1, 2015
Answer: I'm a black women with a really flat butt. Do I need implants or bbl? The Brazilian buttlift can produce dramatic changes. You are probably an excellent candidate. I would search for the surgeon who you feel is most likely to give you the best results. Look at reviews and before and after pictures on that surgeon's website. Kenneth Hughes, MDLos Angeles, CA
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Answer: I'm a black women with a really flat butt. Do I need implants or bbl? The Brazilian buttlift can produce dramatic changes. You are probably an excellent candidate. I would search for the surgeon who you feel is most likely to give you the best results. Look at reviews and before and after pictures on that surgeon's website. Kenneth Hughes, MDLos Angeles, CA
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December 30, 2014
Answer: Fat grafting to buttocks As long as you have enough fat to spare, fat grafting is always preferable over implants. Fat grafting , if done correctly, has a very low complication and a high satisfaction rate.Implants are good if you are too thin and lack donor fat.
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CONTACT NOW December 30, 2014
Answer: Fat grafting to buttocks As long as you have enough fat to spare, fat grafting is always preferable over implants. Fat grafting , if done correctly, has a very low complication and a high satisfaction rate.Implants are good if you are too thin and lack donor fat.
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December 29, 2014
Answer: Buttock augmentation options Regarding buttock augmentation, let me start off by saying that I currently see at least 1 - 2 patients per week that failed "brazilian buttock lift" (i.e. the fat melted away after 10 - 12 months) and are now seeking a more reliable and permanent option (i.e. buttock implants). Allow me to share with you some information that you may not hear elsewhere. There are only two proven safe and relatively effective methods for Buttock Augmentation and Hip Augmentation: 1) Autologous Fat Transfer (using your own fat, transferring from one area of the body to the other) and 2) Buttock/Hip Implants (semi-solid silicone rubber implants that cannot rupture &/or leak). Both are very good options so what it comes down to, like any surgery, is proper patient selection.Indeed because at least 50+ % of the fat transferred will melt away within a year, most patients are not good candidates because they lack an adequate amount of fat to harvest. Another tip is that if you purposely gain weight (i.e. fat) for the procedure, the fat you lose first as you get back to your baseline weight is that very same fat that was transferred into your buttock...so don't fall victim to this recommendation. Although using your own fat is relatively safe, the one serious complication that can rarely (< 1%) happen is "fat embolism" in which some of the fat gets into the blood stream and travels up into the lungs, heart, and/or brain causing serious problems. This complication is more likely to happen with the larger amount of fat being transferred. This is even more likely to happen when using fillers like PMMA and hyaluronic acids. Also fillers, when injected in large quantities, have a relatively high tendency to migrate away from the original area they were placed and tend to stimulate a lot of inflammation and a subsequent disastrous amount of scar tissue/hardening.Thus buttock/hip implants become a very good, safe, and long term reliable option for most patients seeking buttock augmentation (at least in my practice). I prefer to insert the buttock implants through a 2 inch long incision along the inner curve of each upper buttock cheek at the level of the tailbone, similar to two opposing parentheses ")(" (concealed within the crevice between the buttock cheeks) and the hip implants through a ~ 1 inch incision just below the beltline above the hip region. The buttock implant should always be placed under or within the gluteus maximus muscle. In this position, the implant is less palpable, less visible, and does not sag or shift/migrate over time unlike implants placed on top of the muscle. Therefore it is extremely important to seek consultation with a board certified plastic surgeon who specializes in this procedure (in fact both implants and fat transfer so that s/he is not bias). And in this case too, at least in my surgical practice, the infection rate is minimized to ~5%. Glad to help.Depending upon the amount of your current fat reserves and their distribution, you may or may not be a reasonable candidate for fat transfer. If you are wanting to utilize the fat to further augment your buttock in addition to implants, then I caution you against this. The reason being that the fat needs to be placed into the buttock muscles for optimal survival, however, this is exactly where the implant needs to reside and thus risks infection and/or death of the fat. Because of this risk, I frequently avoid fat grafting into a buttock that has an implant. Bottom line, I recommend consulting with a board certified plastic surgeon specialist in buttock augmentation (BOTH implants and fat transfer) to determine what option is best for you. Glad to help.
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CONTACT NOW December 29, 2014
Answer: Buttock augmentation options Regarding buttock augmentation, let me start off by saying that I currently see at least 1 - 2 patients per week that failed "brazilian buttock lift" (i.e. the fat melted away after 10 - 12 months) and are now seeking a more reliable and permanent option (i.e. buttock implants). Allow me to share with you some information that you may not hear elsewhere. There are only two proven safe and relatively effective methods for Buttock Augmentation and Hip Augmentation: 1) Autologous Fat Transfer (using your own fat, transferring from one area of the body to the other) and 2) Buttock/Hip Implants (semi-solid silicone rubber implants that cannot rupture &/or leak). Both are very good options so what it comes down to, like any surgery, is proper patient selection.Indeed because at least 50+ % of the fat transferred will melt away within a year, most patients are not good candidates because they lack an adequate amount of fat to harvest. Another tip is that if you purposely gain weight (i.e. fat) for the procedure, the fat you lose first as you get back to your baseline weight is that very same fat that was transferred into your buttock...so don't fall victim to this recommendation. Although using your own fat is relatively safe, the one serious complication that can rarely (< 1%) happen is "fat embolism" in which some of the fat gets into the blood stream and travels up into the lungs, heart, and/or brain causing serious problems. This complication is more likely to happen with the larger amount of fat being transferred. This is even more likely to happen when using fillers like PMMA and hyaluronic acids. Also fillers, when injected in large quantities, have a relatively high tendency to migrate away from the original area they were placed and tend to stimulate a lot of inflammation and a subsequent disastrous amount of scar tissue/hardening.Thus buttock/hip implants become a very good, safe, and long term reliable option for most patients seeking buttock augmentation (at least in my practice). I prefer to insert the buttock implants through a 2 inch long incision along the inner curve of each upper buttock cheek at the level of the tailbone, similar to two opposing parentheses ")(" (concealed within the crevice between the buttock cheeks) and the hip implants through a ~ 1 inch incision just below the beltline above the hip region. The buttock implant should always be placed under or within the gluteus maximus muscle. In this position, the implant is less palpable, less visible, and does not sag or shift/migrate over time unlike implants placed on top of the muscle. Therefore it is extremely important to seek consultation with a board certified plastic surgeon who specializes in this procedure (in fact both implants and fat transfer so that s/he is not bias). And in this case too, at least in my surgical practice, the infection rate is minimized to ~5%. Glad to help.Depending upon the amount of your current fat reserves and their distribution, you may or may not be a reasonable candidate for fat transfer. If you are wanting to utilize the fat to further augment your buttock in addition to implants, then I caution you against this. The reason being that the fat needs to be placed into the buttock muscles for optimal survival, however, this is exactly where the implant needs to reside and thus risks infection and/or death of the fat. Because of this risk, I frequently avoid fat grafting into a buttock that has an implant. Bottom line, I recommend consulting with a board certified plastic surgeon specialist in buttock augmentation (BOTH implants and fat transfer) to determine what option is best for you. Glad to help.
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February 20, 2015
Answer: Dont do it until you be under 220 pounds Actually you are over weighted, no good for having liposuction. Reduce about 50 to 60 pounds...The right surgery after loosing 60 pounds should be tummytuck. So Tummy tuck, back liposuction and fat transfer should be the best option for best results. Here in Dominican republic, we prefer to perfor tummytucks on heavy patients for best results.
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February 20, 2015
Answer: Dont do it until you be under 220 pounds Actually you are over weighted, no good for having liposuction. Reduce about 50 to 60 pounds...The right surgery after loosing 60 pounds should be tummytuck. So Tummy tuck, back liposuction and fat transfer should be the best option for best results. Here in Dominican republic, we prefer to perfor tummytucks on heavy patients for best results.
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