If I am 5’7" and weigh 200 lbs, am I overweight to get a BBL done or should I lose weight before the surgery? (Photo)

Based on your photos and your BMI (body mass index) I would recommend losing some weight prior to having any elective cosmetic surgery. You may also benefit from a tummy tuck at some point after your fat transfer procedure as this will give you a better contour. Watch this brief video for more information.Best wishes,Dr.Bruno

Hello TeamJR_35,
I appreciate your questions! Based on your pictures and description, you seem to be a good candidate for VASER Liposuction with fat transfer to the buttocks (Brazilian Butt Lift (BBL) and an abdominoplasty (tummy tuck) 6 months after you’ve fully recovered from the initial procedure. Many of my full-figured patients who desire flat abs and a fuller, beautifully rounded backside opt for BBL surgery, and get amazing results. Dividing the surgical plan into two stages would the best option for: 1) removing excess fat from specific areas such as arms, back, abs and flanks while reshaping your figure and giving you a fuller, beautifully rounded backside, and 2) getting rid of excess skin, and eliminating stretch marks in the abdominal area, while tightening your skin for a more athletic look. Request an in-person consultation with a board-certified and experienced plastic surgeon to assess your candidacy for BBL and abdominoplasty based on your age, skin laxity, body shape, and health status, among other factors. During the initial consultation, he/she can help you decide if adding volume to your rear will be proportionately appropriate for your appearance and how much fat volume should be grafted. Have in mind that in states such as Florida and New York, the maximum liposuction aspirate that can be taken out are 4 and 5 Liters, respectively. When the lipoaspirate surpasses the 5 Liters, my patients get admitted overnight in the hospital. The maximum liposuction that one can be safely removed depends on the amount of lidocaine in the tumescent fluid (not more than 35mg/kg which is the gold standard of care) that can be infused to perform the procedure. Moreover, I also recommend my patients obtaining a medical clearance from their primary care physician (or cardiologist for age >45) prior to BBL procedure. Safety is of utmost importance when undergoing large volume liposuction. Body Mass Index (BMI) over 30 is associated with higher risk of complications such as infection and wound dehiscence. This applies specifically to patients who are undergoing procedures that include large incisions such as an abdominoplasty and breast reduction. Your current BMI estimate of 31.3 surpasses the range recommended for a safe and successful tummy tuck procedure and recovery. Your plastic surgeon may recommend you following a weight loss program to lose at least 10 lbs. before abdominoplasty. Hope this is helpful! Dr. De La Cruz.