Would I be a good candidate for a BBL or would I need a tummy tuck? (Photos)

Question

Hello, I was wondering if my stomach would be a good candidate for a BBL without a tummy tuck? I was wondering if I have too much fat to get a bbl without having to get a tummy tuck?

Ajaya Kashyap, MD · Answer

Thank you for your query. If you have completed your family and want an improvement in the contours of your abdomen, it would be best to have a tummy tuck with the BBL. Otherwise you can delay the tummy tuck till you have completed your family,  and choose a non surgical skin tightening option along with liposuction and the BBL . Please find an experienced board certified Plastic surgeon who can examine you and help you with all your concerns. All the best.

Moises Salama, MD · Answer

Thanks for your question. It is difficult to provide you with a proper evaluation on a BBL without back pictures and proper side pictures. That said, I recommend scheduling a consult for a proper evaluation. Please always consult with a board certified plastic surgeon. Take care, Dr. Moises Salama, board certified plastic surgeon.

Daniel Barrett, MD · Answer

Dear jess822,
based on your photos, you look like a good candidate for a TT. Full tummy tuck should tighten your abdominal muscles and remove the excess skin. Flanks liposuction would give you a better shape. 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

Emmanuel Mallol Cotes, MD · Answer

Thanks so much for your question,

Whether you’re a good candidate for a Brazilian Butt Lift (BBL) or a tummy tuck depends on your body goals and current body composition. A tummy tuck is best if your primary concern is loose abdominal skin or muscle separation (common after pregnancy or significant weight changes). combining a BBL with a tummy tuck is sometimes an option.

If you’re aiming for both a contoured waist and fuller buttocks but aren’t sure if a tummy tuck is necessary, your surgeon can evaluate your skin tone, muscle integrity, and body goals to determine the best approach.

Sincerely, 
Dr. Emmanuel Mallol

Rajaie Hazboun, MD, MBA · Answer

Thank you for posting your question here,Let me start by saying that my answer is based on the limited information and pictures provided , for a more detailed and bespoke plan please consult with your plastic surgeon in person.
It is hard to tell without examining you , but from the pictures you have a good amount of abdominal fullness and bulging. If a good amount of fat was taken from your belly for the BBL there is a good chance you might end up with loose skin there. Having an abdominoplasty will help address those issues and give you a more aesthetic result.
I hope this helps, best of luck!

Mathew A. Plant, MD, FRCSC · Answer

Hi there, ​without examining you it is difficult to be certain but based on the photos it appears as though the best procedure for you would be a combination of a BBL and tummy tuck. You do not have "too much fat" to get a BBL but you are likely to still have roundness in the abdomen and excess skin afterwards. Adding a tummy tuck with muscle repair would address both of those issues in addition to giving you the curves you want. I’d suggest having a consultation with a local plastic surgeon who has expertise in combining BBL and Tummy tuck to be examined and get a better sense of what your options are. Hope that helps!

Daniel P. Markmann, MD · Answer

You are definitely a good candidate for a BBL.  You appear to have a lot of fat available in your abdomen.   This is going to make the skin below your bellybutton a little loose, but not more saggy!   There are options for tightening this skin including minimally invasive BodyTite and Morpheus or Surgical via Mini Tummy Tuck

Mats Hagstrom, MD (license on probation) · Answer

A BBL stands for Brazilian butt lift.
It is a gluteal procedure.
Without seeing your buttocks, we can’t make an assessment regarding a gluteal procedure.
The BBL does include liposuction for the purpose of harvesting fat.
I think your question is if you’re a good candidates for Liposuction?In regards to procedures for your abdomen, the choice of operation should be based on having a clear understanding of what the underlying problem or ideology is.
There are four tissue layers that determine what the abdomen looks like.
These are abdominal skin laxity due to previous pregnancies or weight loss, excess subcutaneous fat, muscle separation from previous pregnancies, excess visceral, or intra-abdominal fat.
Liposuction only reduces subcutaneous fat.
A Tummy tuck primarily treats, abdominal skin laxity, and muscle separation from previous pregnancies.
Excess visceral fat can only be reduced through weight loss.
In your case, I believe you have all four.
If I was going to list these in order of significance, I would say that number one is obesity and excess visceral fat.
After that is abdominal muscle separation followed by skin laxity and finally access subcutaneous fat.
The impact of excess visceral, fat and muscle separation can have a fairly similar appearance on the body.
Both conditions cost the abdominal wall to bulge forward.
Differentiating between muscle separation, and visceral fat is fairly straightforward.
There are a couple of ways of determining how much visceral fat is contributing in comparison to muscle separation.
 One is to see what your abdomen looks like when you lay on your back.
Individuals only have muscle separation will have a completely flat abdomen that sinks in when they lay on their back while in individuals who have access visual fat will have an abdomen distill bulges slightly when they lay on their back.
 Another way of differentiating between access visceral, fat and muscle separation is to see how much pressure it takes to press your abdomen flat.
In reference a flat abdominal wall should make a straight line between your sternum and your pubic bone.
If you can press your abdomen flat creating a straight line between your sternum and your pubic bone with your non-dominant hand and hold it in place for a few minutes then access visceral fat may not be playing so much of an issue.
If it takes a significant amount of pressure to push your abdominal wall flat and doing so makes it feel like you can’t take a deep breath then visceral fat is the main issue.
Regardless your weight loss should be number one on your list.
With that losing weight first you’re not going to have good results from any cosmetic surgical procedure.
I don’t know how much you need to lose, but it needs to be enough that you can easily press your abdomen flat with your non-dominant hand.
I’m guessing that you probably need a 40 pounds of weight loss.
After successful weight loss, the best procedure in regards to your abdomen is going to be a Full tummy tuck.
BBL can be done to augment the buttocks and hips and improve the contour of the hips, waist back and under arm area.In my opinion, it should be in that order.
Weight loss needs to come first and the second most imported procedure is going to be a tummy tuck followed by a BBL if indicated.
Best,
Mats Hagstrom MD

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