Should I get a bbl or just liposuction? (Photo)

Hi and thanks for your question. Your concerns are very real and I applaud you for thinking this way. On the other hand, a BBl does not necessarily have to make you look like a caricature. Even when a woman has sufficient buttock volume, they are usually deficient on the sides, from the hip bone down to about the buttock crease. The purpose of a BBl should be to achieve an attractive pear shape, some call it a guitar shape. Liposuction alone will not add to the area I was speaking about. IMHO based on your photos, I would encourage you to have lipo with a BBl. You need to see many, many photos from different surgeons to get an idea of their work. It's analogous to a baseball player. Would you rather have someone who hits a home run once in awhile or one that has a consistent batting average?The key is............ does the surgeon have a keen sense of aesthetics? Can he/she create a shapely, attractive buttock or are they just technicians that wind up with large unshapely behinds? The same holds true for the liposuction portion of the procedure. Understand that liposuction whether SAL, PAL or UAL ( not including LAL because the fat obtained through this technique will not be useful) is not that technically challenging. However, the keen aesthetic eye will determine the eventual work of art.We are creators and have the ability to turn out beautiful works of art. Simply put................not all artists create quality work.In our office we use TouchMD which is a web based program in which patients have the ability to load their picture unto the program. We can accommodate patients from as far away as California. I then evaluate them and can actually draw on the picture to show a potential patient where the incisions would be located and how the procedure is to be realized. It's all done to comply with HIPPA which is the federal law that protects the patient's medical information. Look them up. I personally perform the virtual consultations.Give yourself the highest percentage of a sucssesful operation. I wish you the best on your journey, Good luck, Dr. PG. 

You seem to have answered your own question!  Liposuction of the waist, abdomen, and back can "enhance" the appearance of the buttocks even with out fat transfer (see link below).  If you do not want your buttock to look too big, BBL may not be for you.  Be sure to discuss these concerns (and be comfortable with the answers) with your local BCPS before you proceed!  Good luck :)

This is a personal decision. If you want to add more volume to your buttocks then a BBL is recommended. Please consult with a board certified plastic surgeon to discuss your options.