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)

Question

I am interested in BBL and maybe tummy tuck or lipo on stomach 6 months from now to improve shape and get a better version of myself. I’m not sure if it’s safe and if I can get great results with the weight I’m at now so do you suggest I lose or would I be able to proceed and get BBL done now?

Donovan Rosas, MD · Answer

Optimal candidates for surgery should have reached a healthy stable weight preferably with a BMI < 30. My recommendation is for pre-op weight loss (easier said than done). This will lower your overall surgical risk profile and likelihood of complications. 
With regards to your specific question, your current BMI of 31 puts you just above the goal standard as far as weight. Some additional weight loss would help improve your risk profile. However, patients regularly undergo procedures with BMI above 30. If you plan to lose weight it is always best to pursue this pre-op rather than post.Based on your photos, you are a good candidate for an abdominoplasty. I do not regularly perform BBL and tummy tuck simultaneously. Stacking these procedures can be safe, although staggering them is relatively more practical/sensible (when one considers post op recovery). If one can make the necessary accommodations for recovery, the procedures should have no effect on each other. There are pillows/mattress which may be of help, however, it is up to the patient to decide of these accommodations can be made.
If you choose to stage, there is no perfect order for undertaking these procedures. Undergoing BBL first necessitates fat harvest from areas where skin laxity/excess may already be an issue. Harvest will only exacerbate the problem which will then only be addressed at the time of the abdominoplasty. This does, however, optimize fat harvest. Beginning with an abdominoplasty, will avoid the problem of excess skin but compromises fat harvest. 
As always, discuss your concerns with a board certified plastic surgeon (ABPS).

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.

Daniel Barrett, MD · Answer

Dear  TeamJR_35,Generally speaking, you want to reach your goal weight before you consider a BBL, otherwise your results will be suboptimal if you continue to lose weight after the surgery. Based on your photos, you look like a good candidate for a BBL and TT. Liposuction of your abdomen, back and flanks should give you more curves and hourglass shape and fat transfer to buttocks should give you more projection. Full tummy tuck should tighten your abdominal muscles and remove the excess skin.  I would suggest you to consult a board-certified plastic surgeon because only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

William Bruno, MD · Answer

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

Emmanuel De La Cruz, MD · Answer

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.

Kenneth Hughes, MD · Answer

If you are in good health and have a BMI approaching 30, you would be a good candidate for lipo and BBL.  Most patients get an immense benefit with maximal liposuction of the abdomen, sides, and back to obtain the smallest waist possible and then maximal fat transfer to the buttocks and hips. Losing 10 pounds and maintaining a stable weight for six months will allow you to attain better results. As you stated, waiting six months after recovery from the lipo and BBL before having the TT is reasonable.

Carolina Restrepo, MD · Answer

Thanks for your question. You appear to be a good camndidate for a tummy tuck along with liposuction and BBL. You would get bestter results if you lose some weight as the closer you are to your goal weight the better your results will be. That said, you definitely have to choose your surgeon correctly and make sure that he/she has the training and experience to meet your goals with absolute safety.  A key quality indicator is Board Certification by the American Board of Plastic Surgery.  Don’t settle for less than a Board Certified Plastic Surgeon with specialized expertise in this procedure.

Tania Medina de Garcia, MD · Answer

Hello dear!
Thanks for the pictures and provided information as well.
Based on your photos, you are a great candidate for liposuction with a BBL and a tummy tuck, to give you a nice tight tummy and to get rid of the extra skin, and I think you'll get very good results. For safety and recovery reasons, it is not advisable to combine these procedures. You can divide these procedures in two sessions, six months apart.
Liposuction allows your plastic surgeon to transform your entire shape. You can improve your waist, back, arms, thighs, hips and flanks, and of course your buttock, to give you a beautiful heart shape, along with the tummy tuck.
In general, you need to be physically healthy and at a stable weight, have realistic expectations, be a non-smoker and your BMI needs to be 30 or less.
l recommend you to make an appointment with a board certified plastic surgeon to talk about your goals and anything you need to know.
Good luck :)

Alejandro Hernandez Pizzoglio, MD · Answer

After seen your pics, we think you have extra skin on your abdomen that needs to be removed. Liposuction alone wont work. Think on having  Tummytuck, full back and waist liposuction and bbl  at same time for best resultRegardsDr hernandez

Ron Hazani, MD, FACS · Answer

Thank you for your photos and question. I recommend losing some weight first to lower your rate of complications during surgery and after surgery, and optimize your final results. BBL can be done first to help you achieve a more contoured and hourglass shape, and a tummy tuck later will treat the loose skin and tighten the abdominal muscles. Seek a board certified plastic surgeon who performs many of these procedures, has great reviews and photos, and is an expert in this field.

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