BBL or Tummy Tuck for back fat - what should I do? (photos)

Question

Had a bbl 3 years ago.my back fat is my main concern. They didn't shape my butt I tried to get a revision but they wouldn't get back to me should I go to dr for my work ?

Alan Gonzalez, MD, FACS · Answer

Hello @khalitahmg thank you for your question and showing your pictures. From my experience of 21 years, the best way to go is combining treatments. Liposuction alone won't get rid of loose skin and diastasis in the abdominal area. Besides each procedure serves a different purpose, a tummy tuck is a surgical procedure that removes excess skin and fat from the middle and lower abdomen and strengthens the abdominal muscles, in which there is abdominal lipolysis, abdominal diastasis repair, skin removal with umbilical reconstruction depending on each case. On the other hand liposculture we take out fat from all parts of the body to make it more harmonious. So if you just have lipo without the Tummy tuck you are not going to like the results because the skin and the abdomen would look kind of weird. Is important to be clear with your specialist in the results that you seek and consult with several board certified surgeons before making a decision. Best wishes! Alan Gonzalez MD FACS

Emmanuel Mallol Cotes, MD · Answer

Thanks for the question.

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

Daniel Barrett, MD · Answer

Dear khalitahmg,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
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

The risks are very high going to DR, a third world country. Would you go there to have your gall bladder removed? Addirionally you need to lose weigh to help with the round t
2 surgery of lipo 360/lipo reduction & reshaping BBL. Fee $6,500. in my private practice office.

Arian Mowlavi, MD, FACS (license on probation) · Answer

You would benefit from a revision BBL with a lateral thigh tuck and lower body lift. As your back is your main concern, the best approach for you would be to perform high definition VASER liposuction coupled with Renuvion J Plasma skin tightening to smoothen out your skin irregularities and dimpling.

Based on your pictures, you are an excellent candidate for a Brazilian Butt Lift (BBL). The optimal BBL outcomes are achieved with: 1) use of VASER liposuction to harvest the fat, 2) a closed looped system such as Puregraft to process the fat, and 3) strategic micro-packet transplant technique. These three processes have demonstrated over 95% fat graft take. This means that your results will be stable as long as you maintain your weight. As an official VASER trainer, I am routinely referred unhappy BBL patients. One of the most common reasons for disgruntled BBL patients is that patients are not able to accurately communicate their desired buttocks goals to their surgeons.  A buttocks assessment tool can be an invaluable tool to communicate to your surgeon the exact buttocks size and shape you are desiring. A Skype or FaceTime consultation with a BBL specialist can help you get an accurate recommendation and pricing.

Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Mats Hagstrom, MD (license on probation) · Answer

I view the torso as a single anatomic unit and try to treat the entire torso when doing liposuction or not treated at all. This should include the under arm and entire back in order to leave people with an even natural fat distribution. Your surgeon did not to do this.

To get a normal fat distribution do you need to have a Liposuction of your under arm and back.

Fat transfer is limited and its ability to shape the buttocks. Using fat transfer on the buttocks is not like working with clay.

The flat spot in the back lower part of your buttocks is due to connective tissue that will not allow further projection. Adding fat well make the surrounding areas project and the flat spot look worse.

Experienced surgeons should point this out during consultations and both know and explain what is possible and what is not possible with the procedure.

Always rely on thorough in person consultations and have multiple consultations to choose the most experienced and talented provider.

Adding more fat more likely make your situation worse.

I suggest having consultations until you find a plastic surgeon who seems to know what they’re doing.

Best,

Mats Hagstrom MD

James Fernau, MD, FACS - Account Suspended · Answer

Hello and thanks for your question. A tummy tuck or liposuction would help the tummy area, and you would need liposuction (not tummy tuck) for the back fat. If you wanted your buttocks redone, you can get the fat from your back/stomach transferred to your buttock during a revision BBL.  Please see a board-certified physician for your consultation. Best of luck to you!

Sincerely, James Fernau, MD 
FACS Aesthetic Surgery Certified, American Board of Plastic Surgery Certified, American Board of Otolaryngology/Head & Neck Surgery Member: American Society of Plastic Surgery (ASPS) American Society of Aesthetic Plastic Surgery (ASAPS) International Society of Aesthetic Plastic Surgery (ISAPS) American Academy of Facial Plastic Reconstructive Surgery (AAFPRS) American Academy of Otolaryngology/Head & Neck Surgery (AAOHNS) American Society for Laser Medicine and Surgery (ASLMS) The Rhinoplasty Society

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