BBL vs butt Implants, Vaser vs. BodyTite? (Photos)

Question

I am a mom of 3. I don't have the time to invest on myself like I used to. I have lost tone and my tush has turned into pancakes. I am want my butt to be round and have projection, but I don't want to look related to the Kardashian family. I am also looking for lipo to remove love handles, thin waistline, tighten abs, etc. Based on my photos alone, what do you recommend? Thanks in advance. (The last photos are wish pics).

Scott W. Vann, MD, FACS · Answer

You are fortunate to have a very nice slim figure but that means you have minimal fat to harvest and transfer to your buttock. To make a noticeable change in your buttock size would probably require buttock implants. I do a lot of BBL work and do not recommend butt implants. I think there is a fairly small number of surgeons who do these, so if you should decide to go that route, get recommendations from local plastic surgeons or carefully search the internet. Good luck.

Ryan A. Stanton, MD · Answer

For someone of your relatively lean physique, typically a combination of sculpting the waistline with liposuction and augmenting the buttock with implants +/- the hips with implants provides the best chance for a long lasting and desirable "hour-glass" figure.

Indeed, there are currently only two acceptable surgical options for augmenting and enhancing the buttock/hip area: 1) Brazilian Butt Lift (aka BBL) - utilizing the patients own fat from liposuction then transferring it into the buttock and/or hips and 2) Buttock and cosmetic Hip Implants (soft silicone rubber implants that cannot rupture &/or leak). Both are options but what it comes down to, like any surgery, is proper patient selection and long-term results. Implants provide the only guarantee of sustained permanent results and tend to be ideal for plumping/perking up deflated buttocks and providing projection, which every patient yearns for. Fat typically melts away leaving disappointing results after 12 months, often sooner. Fillers such as Sculptra are cost prohibitive, provided enough volume is injected (i.e. at least 400 cc of active ingredient costing over $300,000) and last only 12 months or so.
Unfortunately, because ~70+ % of the fat transferred will melt away within a year, most patients are not good candidates for BBL because they lack an adequate amount of fat to harvest. Beware, if a surgeon asks you to purposely gain weight (i.e. fat) before BBL, know that the fat you lose first as you get back to your baseline weight after surgery is that very same fat that was transferred into your buttock, hence your new buttock shrinks first, fast, and the most...so don't fall victim to this recommendation. Even those patients that had adequate amounts of fat pre-operatively, still end up seeking buttock implants after a year or so because most of the fat transferred melted away leaving them with minimal result.  If you're looking for a reliable, predictable, long-term permanent option, buttock and hip implants are your only solution. Please note that an extremely few number of board certified plastic surgeons specialize in buttock or hip implants, so you may need to travel far and away from home to find this particular surgeon.  Glad to help.

Douglas M. Senderoff, MD, FACS · Answer

For sure, buttock implants over BBL and VASER liposuction over body tight. These procedures are gold standard and provide predictable, long lasting results. Please be sure to choose a board certified plastic surgeon who specializes in buttock implants and has a proven history of success with such a surgery.

BBL vs butt Implants, Vaser vs. BodyTite? (Photos)

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BBL vs butt Implants, Vaser vs. BodyTite? (Photos)

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