Tummy Tuck First or Brazilian Butt Lift?

In my practice, I perform butt reshaping very frequently. To answer your question in regard to having multiple procedures done at the same time, including a tummy tuck, you have to understand what involves the postoperative recovery of the fat transfer procedure to the buttock area and what the procedure is about. The fact is that as much fat as possible is needed to reshape the person’s butt and make it proportionate to the body frame. In other words, fat will be taken from the abdomen, flanks, back, and axilla among other areas. Now, after surgery, you can’t sit constantly on the buttock for approximately 10-14 days to make sure the fat is not damaged. If going to the bathroom, the person can just sit for 5 minutes. That’s it.

Now, let’s think about the tummy tuck. You will have an incision on your lower abdomen that will hurt so most likely you won’t be able to lie on your stomach for some days. Let’s say you have a tummy tuck and a Brazilian butt lift. You won’t be able to lie on your back due to the Brazilian butt augmentation nor on your chest because of the tummy tuck. In other words, your recovery will be unbearable.

This is not a matter of having multiple procedures done at the same time. In fact, multiple procedures at the same time like a tummy tuck and a breast surgery (Mommy makeover) could be done but not together with the Brazilian butt lift. In my practice, I perform the Brazilian butt lift first, harvest as much fat as possible, and then do a tummy tuck at least 6 months after the procedure, if the patient needs it. This will depend on how your skin will respond to liposuction.

In my practice, some of my patients have indicated me that certain surgeons recommend having multiple procedures done with the buttock augmentation.  On further questioning, they even recommend having a tummy tuck and also the butt augmentation while the patients are on their back on the surgical table. Injecting the butt with fat when the patients are lying on their back is a bad idea. You will need to be on your chest for the surgeon to visualize the areas of deficiency and inject the buttock properly. In addition, if you take into consideration the surgical implications of both procedures, you come to the conclusion that it is not possible. For example, when you close the incision for a tummy tuck, many times the patient’s belly needs to be bent forward to excise the excess abdominal skin. Consequently, this will prevent the patient from lying on the chest for the buttock procedure once the tummy tuck is done.

Understanding the postoperative recovery is as important as the surgery itself. In conclusion, I do not recommend having any procedure done in addition to the butt sculpting procedure since you will compromise your recovery and long-term results

Thank you for your question regarding whether you should undergo a tummy tuck or Brazilian butt lift (BBL) first. Both procedures can provide excellent results, but the best approach depends on your specific goals and body composition.

If your goal is to maximize the amount of fat available for your BBL, it might be wise to consider doing the BBL first. The BBL procedure relies on transferring fat from areas such as the abdomen, flanks, and thighs to the buttocks. If you have the tummy tuck first, the excess fat in your abdomen will be removed, and you might not have as much fat available for the buttock augmentation. Many plastic surgeons suggest addressing the BBL first to ensure there's enough fat for grafting.

On the other hand, if your priority is to have a slimmer waist and a flatter abdomen, it might be better to have the tummy tuck first. A tummy tuck will remove excess skin and fat from your midsection and tighten the abdominal muscles, giving you a narrower waist. This improved contour could make the BBL results even more striking later on.

Given that you’ll need to travel for the BBL and your tummy tuck surgeon does not perform butt augmentation, it’s crucial to have consultations with board-certified plastic surgeons who specialize in both procedures. A surgeon who is experienced in body contouring can help guide you through the process and recommend the best approach for your goals.

In summary, if fat grafting for the buttocks is your top priority, most surgeons recommend the BBL first. If your main focus is achieving a flat abdomen and a slim waist, a tummy tuck may be the better starting point. Be sure to consult with skilled plastic surgeons who can help you develop the right surgical plan.

Sincerely,
Dr. Katzen

Thank you for your question. Based on your photos you will achieve your body goal with a full tummy tuck combined with intense liposuction including abdomen, waist, laterals and upper and lower back to improve your body contour and get better curves, especially in your waist area.
Kind regards,Dr. Emmanuel Mallol Cotes.-

It's difficult to suggest without a in-person one-on-one consultation. The Mommy Makeover is a combination of procedures to bring a woman’s body back to the way she looked prior to pregnancy. Most commonly some variation of a #TummyTuck and #BreastSurgery are performed. Additional procedures can include liposuction, umbilical hernia repair.  The most common #breastprocedures include #mastopexy or #breastlift, #breastaugmentation, or #breastreduction.  

#Combined operations are often performed with our #Gynecology colleagues. Tubal ligation is a common post pregnancy procedure which is done at the time of many of the surgeries included with a #MommyMakeover. If you require a gynecologic operation or study (laparoscopy) and are considering a plastic surgery procedure, discuss these issues with your physician and board-certified plastic surgeon. Also, combining these #procedures may decrease anesthetics, costs, and recovery time.In addition to a one-on-one consultations with a board certified Plastic Surgeon, patients always need to be seen by their primary care doctor prior to such procedures.  We screen every patient and their medical records for risks of blood clots (DVT) and then take appropriate measures.  MWL (massive weight loss patients of  75 lbs or more) tend to have poor skin elasticity and will frequently need additional tightening even afte 6 -12 months regardless of who or how their surgery is performed. This is simply the nature of such body tissues and the ability to heal with the lack or limited elasticity. 

Your procedures should be performed by a #PlasticSurgeon who is board-certified and has a great deal of experience specializing in cosmetic #surgery. You will then greatly improve your chances of getting the result you desire, and, without the need for a revision surgery. It is suggested that you look at before and after photos of the surgeons actual patients, and read patient reviews. Gathering all of this information will help you make a well-informed decision.

Thank your for your question. A tummy tuck can address the skin and
muscle laxity of the abdominal region as well as reducing the excess
fatty tissue. A brazilian butt lift helps to shape the buttock by
borrowing fat from one part (or several) and transferring this fat to
another. They are both extremely rewarding procedures. The best
approach for a patient who wants to have both procedures is to stage
them and possibly start with the BBL. Here is why:1) A brazilian
butt lift is transferring fat from one area to the buttock. One common
donor area is the tummy. Once the fat is transferred, you need to keep
pressure off the buttock as this allows new blood supply to develop to
the newly grafted fat cells. Any stress such as pressure can reduce the
efficacy of this process and hence you may lose some fat. Hence, no
sitting or laying on your bottom for ~2 weeks.2) A tummy tuck is
removing excess skin and tightening the muscle as well as remove extra
fat. To make the skin removal efficient and protect the incision, you
surgeon will often remove skin while your hips are flexed. You will
need to maintain this position after surgery for about a week. This
will required you to sleep in a recliner position for a good week. In
addition, l often combine liposuction of the abdomen and flanks as part
of this procedure and once this fat is removed, it cannot be stored for
the brazilian buttock lift in the future.Since the recovery process
for these two popular procedures compete, I would recommend staging
them. If you are surgeon is needing as much donor areas to recruit as
much fat as possible, then I would start with the brazilian buttock lift
so you can use the abdominal and flank regions as donor areas.

Great question. Some Surgeons
will perform both procedures at the same time. I prefer to stage them to
allow for greater viability of the fat transfer. I would start with the BBl follwoed by the tummy tuck.  Good luck and choose a Board certified
Plastic Surgeon.