Am I a good candidate for a BBL procedure? My BMI is 20.8 (Photo)

Question

I'm just a little under 5'3, and weigh 115.6 lbs. I store fat primarily in my abdomen, back/lower back, and waist. My arms are skinny and so are my legs. Am I a good candidate for a BBL?

Finny George, MD · Answer

Hi, thank you for sharing your question. While you’re BMI is on the lower side, you are still a candidate for a BBL. Depending on where your fat is located and your desired goal for buttock volume and projection, you can have a great result.

Moises Salama, MD · Answer

Thanks for your question. From your pictures, I would recommend gaining weight for a BBL. The BBL includes 360 lipo, which is lipo of the upper and lower abdomen, the upper and lower back and the flanks. So, you would need enough fat in these areas for transfer to the buttocks. I recommend you schedule a consult for a proper evaluation. Make sure your surgeon you choose has extensive experience with Skinny BBLs and clean credentials. Always consult with a board certified plastic surgeon. Take care, Moises Salama MD, Board Certified Plastic

Kenneth Hughes, MD · Answer

There are a lot of patients who can get nice results from the BBL despite thinking that there is not enough fat. The thinner patient requires an expert at liposuction to remove as much fat as possible while leaving the skin smooth. Fat can be harvested from the abdomen, flanks, thighs, arms, back, etc. and transferred to the hips and buttocks. You will find that the results are very much surgeon dependent.

Luis A. Mejia, MD · Answer

Dear lobstars, thank you for sharing your question. 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.

Emmanuel Mallol Cotes, MD · Answer

Thanks for the question. I recommend you waist and back Liposculpture, getting better curves especially in the waist, improving your body contour. I suggested take the fat we get and transfer to the buttocks and hips, to mold them and get better volume, contour and butt projection, is that we know as "Brazilian Butt Lift" (BBL).

Kind regards

Kind regards

Alan Gonzalez, MD, FACS · Answer

Hello @lobstars thank you for your question and showing your picture. Yes you area great candidate for a BBL, just have to be in good health and have excess fat in some parts of the body. The Brazilian Butt lift or body sculpting with lipoinjection is a a treatment to improve the body contour and thus to improve the body proportions and from that enhance your beauty. I suggest you consult a board-certified plastic surgeon if you are considering a surgery. That way you will have more information and recommendations. Best Regards! Alan Gonzalez MD.

George Marosan, MD · Answer

Thank you for your question and photos. You are a good candidate for VASER Hi Def Lipo 360 and fat transfer to the buttocks for shaping and enhancement. It is imperative that you choose a surgeon who has experience in advanced body sculpting techniques, since you have one chance to get this right. You do not have enough fat to do this more than once.
See a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person consultation/evaluation. Good luck.

Daniel Barrett, MD · Answer

Dear lobstars,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Arian Mowlavi, MD, FACS (license on probation) · Answer

If you are concerned about not having enough fat for a BBL, do not worry, it is false that skinny patients cannot get a BBL. Based on your pictures, you are an excellent candidate for a Brazilian Butt Lift (BBL). The optimal BBL outcomes are achieved with: 1) use of VASER liposuction to harvest the fat, 2) a closed looped system such as Puregraft to process the fat, and 3) strategic micro-packet transplant technique. These three processes have demonstrated over 95% fat graft take. This means that your results will be stable as long as you maintain your weight. As an official VASER trainer, I am routinely referred unhappy BBL patients. One of the most common reasons for disgruntled BBL patients is that patients are not able to accurately communicate their desired buttocks goals to their surgeons. A buttocks assessment tool can be an invaluable tool to communicate to your surgeon the exact buttocks size and shape you are desiring. A Skype or FaceTime consultation with a BBL specialist can help you get an accurate recommendation and pricing.

Respectfully,
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Mats Hagstrom, MD (license on probation) · Answer

I would say you are an excellent candidate for a BBL procedure.

That said, your BMI is on the low side so harvesting as much fat as possible is important to get good results.

Personally I would emphasize most of the volume in the hip dip area blending onto the buttocks and outer thigh to create a wide sweeping continuous S curve.

When the area being augmented is expanded surgeons can use up a lot of fat for grafting so harvesting is a big part of the procedure.

For most patients the torso is the go to area for harvesting fat. I view the torso as a single anatomic unit and tried to treat the entire torso if I’m going to do Liposuction of the abdomen.  A full torso technically includes upper abdomen, lower abdomen, love handles, waist, full back and under arm area.

In patients who need more fat than conservative inner thigh liposuction or arm Liposuction are typically added.  I do not recommend people gain weight for the purpose of having fat transfer procedures unless they are underweight to start with.

Delivering consistent high-quality liposuction and fat grafting results is more difficult than people believe.

I cannot emphasize enough the importance of finding the most experienced and talented provider for these procedures.

The variation in outcome among different providers can be astonishing.
 
The following is a list of general recommendations for those seeking cosmetic surgery. It is particularly appropriate for liposuction and fat transfer results.

In addition I would also say that when reviewing before and after results always confirm that after pictures were taken at least three months from the date of surgery.

Early fat transfer results can look very impressive but do not buy any stretch represent final results.
One looking at before and after pictures make sure after pictures we’re not taken immediately after the procedure. Things like pictures taken in the procedure room or patients still having surgical markings is a tip of that pictures were taken immediately after the procedure.

Final results don’t look anything like early results for these procedures.

1. I recommend patients avoid traveling long distances for elective surgical procedures. There are of course instances where there is a lack of local talent and traveling to some degree is inevitable. If traveling for the procedure patients should be ready to travel to have the consultation, post operative appointments and follow up should there be issues or complications.
Patients sometimes do not appreciate the importance of in person consultations, that complications do happen or the number of people who have issues with their results or need revisions.

2. Schedule multiple consultations with different providers in your area who seem to have a good reputation for the procedure you’re interested in. Starting with at least five consultations seems like a reasonable number to me.

3. Whenever possible schedule in person consultations.  
4. During in person consultations ask each plastic surgeon to show all of their before and after pictures for the procedure you’re interested in.

The goal is not to see the best results of their career but to get an idea of what average results look like and get some type of confirmation of how many of these procedures that provider has performed.

Ask to see results that were not as good as the doctor would’ve hoped for and talk about the differences in outcomes.

Honest and experienced providers should have no problems presenting this type of information.

A highly experienced plastic surgeon should have hundreds of before and after pictures for the procedure you’re interested in. At a minimum at least 20+.

5. Read all the reviews on various physician review websites paying close attention and avoiding providers with any significant number of justified negative reviews.  Providers with an abundance of reviews often have aggressive marketing campaigns.

The plastic surgeons I respect most all have the single variable of not having justified negative reviews on their online profiles. 
In my opinion justified negative reviews are far more telling than an abundance of positive reviews.

6. Avoid scheduling for surgery or making a deposit on the day of the consultation.  Give yourself some time to think about the decision and make sure you finished all scheduled consultations before committing to having surgery that will permanently and irreversibly change your body.

When in doubt slow down and schedule more consultations.

Choosing the right plastic surgeon is the single most important variable to having a positive experience.

7. Don’t go chasing after technology or names of certain equipment. Instead focus all your efforts on finding the most experienced and talented board-certified plastic surgeon.

Best,

Mats Hagstrom, MD

Am I a good candidate for a BBL procedure? My BMI is 20.8 (Photo)

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