Am I a candidate for butt implants plus BBL? (Photos)

Question

Hi, i am 55 years old and always had a dream to have perfect butt. Now, i am ready to get started. However, i have worries , i have heard that the butt implants can move or flip over... Please, help me to make right decision and find a doctor. Thank you.

Ryan A. Stanton, MD · Answer

In short, butt implants yes, BBL no and not necessary. Please read on.

Allow me to answer your question as best i can based upon your photos. However, please keep in mind that an in-person, or at least a virtual, consultation with physical exam is first necessary before any legitimate evaluation or final surgical recommendations can be made.

There are currently only two FDA approved surgical options for augmenting the buttock/hip area:  1) Buttock and cosmetic Hip Implants (which are soft semi-solid silicone rubber implants that cannot rupture &/or leak) and 2)Brazilian Butt Lift (aka BBL) - which utilizes the patients own fat from liposuction then transfers this fat into the buttock. On the other hand, BBL using Sculptra is a dangerous waste of money and is NOT FDA approved. and/or hips and   . So what it comes down to, like any surgery, is proper patient selection and long-term results. Implants provide the only guarantee for a sustained permanent result and tend to be ideal for perking up not only lean or deflated buttocks but also providing substantial projection to any butt, which is what every single patient wants.

Unfortunately, fat typically melts away leaving disappointing results after 12 months, often sooner.  Unless your BBL surgeon is injecting only 200 to 300 ccs of fat into each buttock cheek, a large percentage of that fat is going to die.  Dead fat leads to dents and dimpling like cellulite, unevenness, loss of projection, and fatty necrotic oil cysts which are hard marbles and can be very tender 
Unfortunately, because ~70+ % of the fat transferred will melt away within a year, most patients are not good candidates for BBL because they lack an adequate amount of fat to harvest. Beware, if a surgeon asks you to purposely gain weight (i.e. fat) before BBL, know that the fat you lose first as you get back to your baseline weight after surgery is that very same fat that was transferred into your buttock, hence your new buttock shrinks first, the fastest, and the most...so please do not fall victim to this recommendation. Even those patients that had adequate amounts of fat pre-operatively, still end up seeking buttock implants after a year or so because most of the fat transferred melted away leaving them with minimal result.  Fillers such as Sculptra are cost prohibitive, provided enough volume is injected (i.e. at least 400 cc of active ingredient costing over $300,000) and last only 12 - 18 months.  So, if you're looking for a reliable, predictable, and long-term permanent option that also provides projection in the central buttock, buttock and hip implants are your solution. Please note that an extremely few number of board certified plastic surgeons specialize in buttock implants, so you may need to travel far and away from home to find this particular surgeon.  If you do have surgery by a true specialist, your risk of implant problems such as flipping or moving should be less than 0.1%.  I hope this is useful information. Glad to help.

Carlos Marciales, MD · Answer

It will depende on how big you want the butt, I think you have enough fat to get a good result with out using the implant

Luis A. Mejia, MD · Answer

Dear Krasotka968 , thank you for sharing your concerns and Pictures. After analyzing your case I can say you're a good candidate for Lipo in your abdomen, flanks and back + BBL. I'm sure those procedures will give you an amazing result! Make sure you go on consultation with a board-certified plastic surgeon. Hope this helps and best of lucks. Dr. Luis Mejia.

Zoran Potparic, MD · Answer

Based on these photos, you should also consider fat grafting of buttocks. Considering volume you need for shaping/augmentation, one can expect that sufficient amount of fat will be available after liposuction of torso (lipo 360). Liposuction will further improve your abdomen and waist and fat augmentation will give desired size/shape. In person consultation with a board certified plastic surgeon, with experience in both techniques, is recommended. Good luck.

Paul E. Chasan, MD, FACS · Answer

Thank you for your question.  You are an excellent candidate for a Brazilian butt lift with a small buttock implant.  The implant adds a lot in terms of projection and shape to the buttock while the fat transplantation helps prevent being able to feel the implant and gives width to the buttock.  Performing body contouring-liposuction of the hips would further improve the appearance of your buttock.  Best wishes to you.

Am I a candidate for butt implants plus BBL? (Photos)

Answers (7)

Answer: Fat grafting

Answer: Fat grafting

Answer: Buttock Enhancement

Answer: Buttock Enhancement

Recommended reading

Everything you need to know about Butt Implants

Our mission is to create a world where every investment in modern beauty is Worth It.

Am I a candidate for butt implants plus BBL? (Photos)

Answers (7)

Answer: Fat grafting

Answer: Fat grafting

Answer: Buttock Enhancement

Answer: Buttock Enhancement

Browse related questions

Recommended reading

Everything you need to know about Butt Implants

Our mission is to create a world where every investment in modern beauty is Worth It.