BBL, lipo, or Sculptra or Radiessee injections for hip dips and smaller waist? Want lift to my butt, smaller waist (Photo)

Question

Not totally done having kids yet (maybe one more) so no full tummy tuck yet. But I have flank fat that is so ugly and makes my hip dips terrible! I want a lifted round butt with smaller waist without dents. I looked so darn good before kids lol

Dallas Buchanan, MD · Answer

Thank you for your pictures and questions. I am gonna hit you with some honesty. Injections (Sculptra, Radiesse, etc) are a waste of your money for minimal results provided. Liposuction with fat transfer is a better option for you at this stage but will NOT address the skin laxity and excess. My honest advice? Wait and save your money until you are ready for the tummy tuck and you will get the most bang for the buck!
Hope this helps!
Dallas Buchanan, MD
VIVIFY plastic surgery
Tampa, FL

Alan Gonzalez, MD, FACS · Answer

Hello @Original753484, thank you for your question. It is important to develop a surgical plan that fits your possibilities, to fulfill your wishes for improvement and to take into account what can actually be achieved without a tummy tuck. Is best if consult one or several board certified plastic surgeon for more information and recommendations. Best wishes! Alan Gonzalez MD, FACS.

Finny George, MD · Answer

Hi, thank you for sharing your question. You are a great candidate for 360 Lipo and BBL. This procedure will contour your shape, improve the hip dips and give you the buttock projection you want. I hope this helps.

Andre P. Marshall, MD · Answer

Hello Original753484, 
Your own fat is always best for any augmenation of the butt and/or hips. Fillers tend to require higher volumes and are not as long lasting as your own fat. Liposuction 360 along with fat transfer to your butt and hips would most likely provide you with a smaller waist and the improvements you are seeking in your buttocks. When doing having kids, a tummy tuck with muscle repair will also help to tighten your waist. A consultation with a board certified plastic surgeon would be best to address your concerns. Best wishes on your journey!
Dr. Andre P. MarshallDouble Board Certified Plastic SurgeonBeverly Hills, CA 90210

Daniel Barrett, MD · Answer

Dear Original753484,
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

Darryl J. Blinski, MD · Answer

Based on the posted photos you are better candidate for lipo 360/BBL using ultrasound guided injections as required in Florida. Fees from $6,000-$18,000. Best to virtual consult with...

Douglas Taranow, DO, FACOS · Answer

You would look very good with side and lower back Liposuction combined with a BBL (and hip dip fat transfer).  
Radiesse or Sculptra would require huge volumes and expense with only temporary results.

Mats Hagstrom, MD (license on probation) · Answer

From what you described sounds like you need liposuction and fat transfer to buttocks and hip dip area.
If done well the outcomes looks stellar. if done poorly their results vary from cartoonish to disfigurement.
 The key is to find a highly experienced talented provider who understands body contouring and has the experience and skill to deliver consistent quality results that are in par with what you are trying to achieve. Delivering consistent high-quality liposuction and fat transfer results is more difficult than most people believe in this is true for both patients and plastic surgeons. Most plastic surgeons think they are better at liposuction than they actually are. Liposuction and fat transfer has more variance or difference in outcome purely based on who does the procedure than any other surgical procedure I’ve ever seen. Being board-certified in plastic surgery with an overall good reputation is not sufficient to guarantee that somebody has mastered body contouring. Personally I view the torso as a single anatomic unit and either treated the entire torso or don’t do Liposuction. There are of course exceptions but for the most part I believe in treating the entire torso. A full torso includes upper abdomen, lower abdomen, love handles all the way down to the hip dips, waist, the entire back and under arm area all the way to the side of the breast. this leaves people with a natural thin fat distribution without transition zones between treated and entrteded areas. I’ve viewed the BBL as an enhancement to body contouring creating an ideal feminine S-curve that goes from the armpit to the knee. I did not emphasize a large buttocks with liposuction of the outer thigh creating a big round butt on the small leg which I sometimes called the “lollipop look”. Instead I emphasize long smooth harmonious curves creating a slightly hyper feminized balanced figure. To find the most talented and experienced provider in your community I suggest having multiple in person consultations. I do not recommend patients travel for elective surgical procedures and I recommend patients whenever possible avoid virtual consultations. During in person consultations ask each provider to show their entire collection of before and after pictures of BBL results. Always confirm that after pictures were taken at least three months from the time of surgery. anybody who shows early postoperative pictures such as pictures with patients still showing surgical drawings on them, being in the operating room or any evidence of recently having had surgery should be immediately discounted as showing “.fake news”. Early fat transfer results can look very impressive but do not at all represent final results. Ask the provider to show you examples of excellent outcomes, average outcomes and less than outcomes. Specifically ask each provider to show as many pictures as possible‘s of patients who have similar body characteristics to your own. An experienced provider should have no difficulty showing you a minimum of 50+ sets of before and after pictures. Simply seeing a handful of pre-selected sample pictures which in reality most likely represent the best results of that providers career is insufficient to get a clear understanding of what average results look like for that provider. Highly experienced providers will have hundreds or even thousands of before and after pictures and should be willing to give you access during the consultation to see as many pictures as possible. If somebody claims to of done a lot of surgery but doesn’t have a lot of before and after pictures then you should ask yourself why? Do not commit to surgery or pay a down payment during the time of consultation until you’ve finished all your consultations and have given yourself plenty of time to think about your decision. The results from these procedures are permanent and irreversible. When in doubt slow down and schedule more consultations. Finally I recommend patients read all reviews on all various physician review websites avoiding providers for any significant number of justified negative reviews. The absence of justified negative reviews is more important and more telling and having an abundance of positive reviews. Plastic surgeons with the biggest social media profiles are not necessarily any more talented than those who have no websites at all. Famous or likable does not equal talented. Find the right plastic surgeon and everything falls into place. Good luck, Mats Hagstrom MD

Jose A. Munoz, MD - Account Suspended · Answer

Hi and welcome to our forum!From your photos, I note full flanks and a lax post pregnancy abdomen. Your buttocks appear to be relatively small with lack of lateral fullness.A BBL will narrow your waist and fill out the lateral buttock.Visit a board certified plastic surgeon for evaluation and discussion.Best wishes...

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