Can a BBL add roundness to my gluteal fold? (Photos)

Question

the left side is unedited, the right side is my edited ideal outcome. would this be a possible outcome from a bbl?

S. Alexander Earle, MD, FACS · Answer

Based on your photos, I think your edited goal is realistic. A well-performed BBL can absolutely add fullness to the lower pole of the buttocks and improve the transition into the gluteal fold, creating a rounder appearance.

The key is that a BBL isn't just about adding volume, t's about strategic fat placement. By carefully shaping both the buttocks and the surrounding areas with liposuction, we can often create a smoother, more projected, and more balanced contour.

That said, the final result depends on several factors, including how much fat you have available for transfer, your skin quality, and your natural anatomy. An in-person consultation is the best way to determine whether your ideal result is achievable safely.

Natalia Vidal Laureano, MD, FACS · Answer

Thank you for your question! The gluteal fold itself usually doesn’t change very much with surgery. Looking at your example, what you’re really trying to improve appears to be the fullness and shape of the lower portion of the buttocks rather than the fold itself.

The good news is that the result you're showing looks very achievable. Because the change is subtle and focused on improving contour rather than creating significant volume, a BBL can be an excellent option. Adding a modest amount of fat to the lower buttock can help create a smoother, rounder shape, while selective liposuction in the surrounding areas can further enhance the contour and definition.

Overall, I think your goal is realistic, and a combination of strategic fat transfer and contouring would likely be the best approach to achieve that softer, more rounded appearance.

Daniel Barrett, MD · Answer

Dear Imaginative628400,

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

Semih Yildiz, MD, FEBOPRAS · Answer

In the photo, the edited side shows more lower and outer buttock roundness with a softer transition at the gluteal fold. A BBL can sometimes move the shape in that direction by combining liposuction of the waist/flanks/back with careful fat grafting to the buttock, but it cannot reliably recreate an edited image exactly. The final contour depends on your pelvic shape, existing buttock volume, skin elasticity, donor fat, and how firmly the lower buttock crease is attached.

The gluteal fold is not just a missing-volume area; it is an anatomic crease, so adding too much fat low in the buttock can sometimes make the butt look heavier or less supported rather than simply rounder. A good plan would focus on balanced waist-to-hip contouring and conservative lower-pole shaping, with safety as the priority. For BBL, fat should be placed only in the safe subcutaneous plane, and an in-person exam is needed to judge whether your ideal is realistic for your anatomy.

Manuel Diaz, MD · Answer

Hi. Yes, based on your description, a buttock augmentation with fat transfer (BBL) could help you achieve rounder, fuller buttocks, similar to the result in the edited image In addition to increasing volume and improving projection, a BBL can also help correct visible dimples or depressions in certain areas of the buttocks. By strategically placing fat in these areas, it's often possible to create a smoother, rounder, and more harmonious contour.The changes you describe can generally be achieved with a well-planned BBL procedure.

Can a BBL add roundness to my gluteal fold? (Photos)

Answers (5)

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