Stanley Taub, MD (retired)

The dimples in your buttock are generally superficial indentations in the skin that are not corrected by fat injections into the buttock for enlargment purposes.  If you want to correct dimples, you need to have specific fat injections under those sites along with a release of the skin attachments under the dimples. 

There is a certain amouont of fat loss after fat injections, however, buttock enlargement with fat is generally successful with little fat loss.  The survival of fat injections depends upon the technique used and the amount of tension in the buttock that the fat is exposed to.  With increased tension, there is a greater tendency for fat absorption. 

Regarding the size of the butt, you can make the butt look larger by scupting the fat off of your waist and lower back.  Additional fat injections will increase the size but you will probably lose some fat with additional procedures, as well.

As a simpler approach without the use of breast Implants, I would recommend the following:

1. Bilateral areolae reductions tailored to each tuberous projection to remove excess skin.

2. Fat injections to the inferior poles of the breast to expand constricted skin.

3. If necessary to use an external breast suction tissue expander to provide increased expansion and relaxation of lower pole skin to allow for additional fat injections to further improve breast contouring.

Pricing of the BBL is based upon: 1. The cost of liposuction to obtain fat for transfer to the buttocks and  2. The cost of the transfer itself.

It does not include the cost of anesthesia, the  garment or the facility fee.

If you are taking fat  from a kangaroo pouch resulting from a C section, you may not have sufficient fat for a BBL. If fat is taken from the pouch plus the upper abdomen and waist, and you weigh more than 150 lbs, then you would probably have enough.  Generally 800cc of fat must be obtained for an adequate BBL (400cc injected into each buttock). If you are thin, less fat may not give you the look you want. The total fee including everything for this BBL procedure based upon liposuction from the abdominal pouch alone is $6,125. Regarding loose skin or a TT, this is impossible to determine without seeing you and Yes, a medical clearance is required.

Photos of your torso, abdomen and buttocks would help make a more accurate cost determination. I hope this information is helpful to you

Happy Holidays,

Dr. Stanley Taub

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 I have performed BBL's on many heavy women, all in the range of  260lbs and over and they have loved the results. There is always enough fat to enlarge the buttock beyond its preoperative size,. The fat transfers have all been greater than 600 cc for each buttock and the healing has been absolutely uneventful.

Dear Jacqueline,

I'm sorry but an implant alone will not significantly improve the size of the left areola and will definitely cause a marked asymmetry of both breasts. The left breast will be directed upwards and the right will be pointing downwards.

You will need an areola reduction as well as a mastopexy on the right to lift and align the areola with the left breast. After healing I would wait 6 or more weeks and do a bilateral breast augmentation, the size of the implant to be determined for each breast at that time. Then the  breasts will be properly aligned and the nipples pointing in the same direction.

Best of luck, Dr. Stanley Taub