27, 118lbs, 5’5, BMI 19.5, thin & have scoliosis, when should I book my BBL consult? (Photos)

Hello @EricaBb321, thank you for your question. When considering when to book a consultation for a BBL, it is when you are ready. Doctors' criteria vary from specialist to specialist. Taking on additional weight before a liposuction procedure would alter the results, so I don't recommend it for my patients. When you gain weight before a procedure what happens in the fat cell is that it enlarges, not that more fat cells are created inside the body. Here's a video regarding lipo after a baby, I hope it sheds some light on the matter. The best course of action is to consult one or several board certified plastic surgeon for more information and options tailored specifically to your needs. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science Member (IFATS), Colombian Society of Plastic Surgery member (SCCP)

Thanks for the question.

In this regard, I recommend you waist and back Liposculpture, getting better curves especially in the waist, improving your body contour.

Finally, 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

Dear EricaBb321,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Hi! Excellent questions. You would need to gain a little bit more weight if you want a full 2 L of fat for transfer. On your body type this will be dramatic. So, if your going for a very big butt or even a vixen look gaining weight is a good idea. I do believe though, that you don’t need 2 L of fat to achieve a big butt with very good results. I’m sure a BBL would turn about great on you as is.

Do not stress about gaining as much weight as possible before a BBL. Because gaining some weight after the BBL will also improve results. Your transferred fat will behave the same as before. Meaning, your stubborn belly fat and love handles will now be in your butt. You will eventually gain wight in the transferred areas more so then in the lipoed areas. This will happen throughout your entire lifetime.

Waiting before or after your pregnancy is a personal decision. That said, if you want your BBL now and you don’t have a set date for your fist baby then you can go ahead and have it done now. Sometimes body types change after pregnancy, so a BBL is not always enough.

Best of luck,
Dr. Miguel Mota

Based on these photos, you do not need significant amount of fat grafts to improve your buttocks and hips; it is very likely that 1L of fat may be sufficient. However, only on the basis of in person consultation one experienced board certified plastic surgeon can give you more accurate suggestion. You need an expert! Hope this helps.

Dear EricaBb,
The photos that you have posted make a difficult photo only assessment even more difficult for us. From the statistics that you provided, you would probably have to gain 10-15 lbs to have enough fat to give a result, depending on where you gain it. If it goes to your buttocks, you might not need a BBL after all! Good luck!

Your photos are subtherapeutic...you must take full front, straight backside and lateral photos without panties (or at least in a bra and G-string) to properly evaluate whether or not you are a candidate for the BBL procedure.
Best wishes,
Dr. Taranow

I do not recommend people gain weight for the purpose of having fat transfer procedures. Unless you plan on maintaining the excess weight doing so it’s pointless. Most people are not happy being and I have your weight and typically look better and feel better being lean. Low BMI patients need to be carefully assessed with in person consultation to determine how much that can be harvested. Rather than gaining weight, plastic surgeons, May to do more thorough Liposuction including extremities, as well as the entire torso in order to harvest sufficient amounts of fat.
Delivering consistent quality, liposuction and fat transfer results is more difficult than most people realize. The number of plastic surgeons have mastered. These procedures are in a small minority. There is significant variation in outcomes among plastic surgeons for both Liposuction and fat transfer. To find the right provider, I suggest patients of multiple in person consultations. During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients with similar body characteristics to your own. And experience plastic surgeon should have no difficulty showing you with the before and after pictures of at least 50 previous patients. We’re reviewing that transfer after pictures always confirm when the after pictures were taken that compared to the procedure. Early fat transfer results can look very impressive but do not in anyway represent final results. Fat transfer after pictures should never be taken less than 3 to 6 months from the date of surgery.
There’s no correct number of consultations needed to find the right provider. Considering how much variation there is in school and experience with this procedure I suggest patient start the process by having at least five in person consultation with local board-certified plastic surgeons in your community who seem to have a lot of experience with both Liposuction and fat transfer.
It’s hard to predict pregnancy related changes before you’ve had a child. Typically pregnancy related changes are going to be abdominal skin, laxity and muscle separation. Pregnancies do not change fat distribution.
The best candidate for Liposuction are generally young women who have not had previous pregnancies, because pregnancy related changes are not well treated with Liposuction.
In my opinion, patients should be far more selective and careful, when choosing providers for procedures that can potentially leave people permanently disfigured.
Most plastic surgeons think they’re better at Liposuction than they actually are.
Best,
Mats Hagstrom, MD