I'm 5'6 and my BMI is 23.4; should I gain more weight for better results? I want a big BBL (Photo)

Question

I'd like to have my butt look more proportional than having more hips.

Emmanuel Mallol Cotes, MD · Answer

Thanks so much for your inquire,

In a BBL, fat is typically harvested from areas of your body through liposuction and then injected into your buttocks to enhance their shape and size. Gaining weight prior to the procedure might increase the amount of fat available for transfer, potentially leading to more significant results.

Whether or not to gain weight for better results in a Brazilian butt lift (BBL) is a decision that should be made in consultation with a qualified medical professional, preferably the plastic surgeon who will be performing the procedure.

Sincerely, 
Dr. Emmanuel Mallol

Krishna Vyas, MD, PhD, MHS · Answer

Your current body fat seems to be sufficient for the procedure, as fat for BBL is harvested through liposuction from areas like the abdomen, flanks, and back. Gaining weight could potentially provide more fat for liposuction and fat transfer, but not all fat gained is usable for the procedure, and some may go to internal fat stores that cannot be used for transfer. If you’re seeking a more proportional look with a focus on a fuller butt without increasing your hips too much, liposuction to create an hourglass figure will help enhance your shape, and the transferred fat can create fullness in your gluteal area. It is very rare that I request a patient to gain weight for a BBL.
Consulting with an experienced plastic surgeon is the best next step. They can provide personalized advice, evaluate your body, and help you determine the most effective approach for achieving the results you want.
Krishna Vyas, MD, PhD, MHSHarvard, Hopkins, & Mayo Clinic Trained Aesthetic Plastic SurgeonNew York, New York

Moises Salama, MD · Answer

Thanks for your question. From your pictures, you seem to be a good BBL candidate. The BBL includes 360 lipo, which is lipo of the upper and lower abdomen, the upper and lower back and the flanks. In addition, if you do not have enough fat in these areas, liposuction can be performed in many other areas of the body for fat transfer to the buttocks, such as the upper arms and chin. Depending on your desired results, you may be asked to gain some weight. I recommend you schedule a consult for a proper evaluation. Make sure your surgeon you choose has extensive experience and clean credentials. Always consult with a board certified plastic surgeon. Take care, Moises Salama MD, Board Certified Plastic Surgeon

Fernando Ovalle Jr., MD · Answer

Hello and thank you for your question. In general, patients with a healthy/slightly overweight BMI are the best candidates for a BBL as the amount of fat that can be transferred is dependent on the amount of quality donor fat. However, please do not misinterpret this - gaining just a few pounds is not a bad/unhealthy thing but we can't necessarily choose where our body gains the fat. Some of the extra weight/fat will be in the form of visceral/internal abdominal fat which is bad for your long term health and this is also fat that we cannot safely remove with liposuction (behind the abdominal muscle fat). So too much weight/fat gain is ultimately unhealthy and some of that fat will go to places that can't be used for fat transfer anyways. Judging from your photos, liposuction of the abdomen, flanks and lower back will cinch/create a narrow waistline and will better frame the upper pole of the gluteal region. This, in combination with transferring the available quality fat to the gluteus will create a nice result. The next best step is to see a board certified plastic surgeon for an-office consultation!

Daniel Barrett, MD · Answer

Dear kimmyp1997,
based on your photos, you look like a good candidate for a BBL. 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. 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Anmol Chugh, MBBS, MS, MCh · Answer

Yes a BMI of 25 in case you want to have a large BBL. Make sure that the viability of fat cells is thereby ensuring the pocket is not stretched out so much.

Manuel Torreira, MD · Answer

Thank you for your question. A Brazilian Butt Lift (BBL) typically involves 360-degree liposuction, targeting the upper and lower abdomen, upper and lower back, and flanks. If there isn't enough fat in these areas for transfer to the buttocks, liposuction can be performed in other areas like the upper arms and chin. I advise scheduling a consultation, so your selected surgeon can have a better understanding of what you're looking for and work from there. It's crucial to choose a surgeon with extensive experience in BBL procedures and impeccable credentials. Always consult with a board-certified plastic surgeon. Take care.

Karl William Schwarz, MD · Answer

You are an excellent candidate for a BBL. I would not suggest gaining any weight prior to having a BBL as the fat most likely will go internally and this will actually take away from your shape and you have sufficient fat right now to be able to use to get more fullness in your gluteal area as well as hips. You have a naturally small waist so when liposuction reveals the waist it will automatically make your butt appear fuller even before the fat is injected. I left a link to a video for you.

Kenneth R. Francis, MD, FACS · Answer

Dear kimmyp1997,
You appear to be a great candidate for a BBL at your current weight.  I would not recommend gaining any more.  Good luck!

Mats Hagstrom, MD (license on probation) · Answer

Unless somebody is under nourished, I don’t think I’ve ever met a person who was happy gaining weight.
There is no shortage of fat in your case and really must of what you need is Liposuction with a small emphasis on fat transfer.
I did not recommend anybody gain weight for the purpose of having fat transfer.
 Unless people maintain the weight, it becomes a few tile exercise.
You have plenty of fat to work with.
The biggest problem with the BBL procedure is finding a provider who has mastered this type of work.
Delivering consistent quality, liposuction, and fat transfer results is more difficult than most people realize.
The number of providers were truly excellent at this type of work is small.
You appear to be a more or less perfect candidate for Liposuction with or without fat transfer.
Hopefully you’ll be able to find a sufficiently skilled provider to deliver quality outcomes.
Finding the right provider is time-consuming and a fairly substantial commitment.
My personal recommendation is to have a lot of consultations meeting the provider in person.
I generally do not recommend people have virtual consultations.
During each consultation, ask each provider to open up their portfolio and show you their entire collection of before and after pictures of previous patients who had very similar body characteristics to your own parent.
Bring pictures of your body to the consultation to use as reference.
Don’t rely in your memory or looking in the mirror when reviewing before and after pictures.
And provider should have no difficulty showing you the before and after pictures of at least 50 previous patients.
Highly experienced providers should have accessed 100s or preferably thousands of before and after pictures.
Being shown a handful of pre-selected images representing only the best results of a providers career may be insufficient to get a clear understanding of what average results look like in the hands of each provider.
 There’s a lot of bad work that’s not represented in what patients are allowed to see.
Generally providers will only display their very, very best work. These outcomes are not reflective of average outcomes.
Because you have an above average candidate, see you have the potential for having a very high-quality outcome.
You can also have a poor outcome if the procedure is not done well.
Other patients who are not good candidates, don’t have the potential for getting quality outcome since the results are based on candidacy and skill of the provider.
There is no correct number of consultations needed to find the right provider.
The more consultations you scheduled the more likely you are to find the better provider for your needs.
Considering how much variation there is among plastic surgeons for this type of work, I think having five or more consultations before having a permanent irreversible body contouring procedure seems appropriate.
Best,
Mats Hagstrom MD

I'm 5'6 and my BMI is 23.4; should I gain more weight for better results? I want a big BBL (Photo)

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