Laser liposuction. How long after can I get a BBL?

Question

Hi ! So I am getting laser lipo on my upper belly, lower belly and flanks.. How long after can I wait to get actual liposuction to do a BBL? They aren't touching my back so I figure they can take from there as well, but can they also take from the laser lipo side too? (Belly and flanks) after this procedure and how long after ??

Jason Emer, MD · Answer

You need a formal evaluation by an expert in body shaping and contouring to determine what is best. Ideally all of these areas would be treated a single procedure.The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heats the skin with radiofrequency devices such as Renuvion (J-Plasma), InMode BodyTite, and ThermiRF to heat the undersurface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HI-DEF VASER Liposuction and can only be done by a well-trained body contouring specialist. At the same time, fat should be harvested and purified, with PRP and stem cells added, and then injected into muscles, indentations and cellulite to get body shaping and contouring. For a Brazilian butt lift (BBL), we inject the fat into the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face. Cellulite should also be treated with a combination of Cellfina, subcision, and/or fillers such as Bellafill, Renuva synthetic fat, or Sculptra. If skin is very loose before surgery, then it will need to be removed: tummy tuck/abdominoplasty for lower abdominal skin; breast lift for excess breast skin; and/or a brachioplasty for loose arm skin. 
Overall, you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting. See an expert. Best, Dr. Emer.

Scott W. Vann, MD, FACS · Answer

If you want a BBL I would start the transfer process with the first liposuction. You may not have enough fat at your second procedure and the first procedures fat would no longer be available. If you have the BBL with the first procedure then more fat could be added at the second to go larger or just a touch up. Discuss all you goals with your surgeon so no procedures or fat is wasted if needed. Good luck.

Harry T. Haramis, MD, FACS · Answer

If you want a BBL, you shouldn't have liposuction to some areas and not use that fat and then come back for second liposuction of smaller areas to transfer.You should have fat transfer when you do abdomen and flanks and back as 360 as this usually gives more fat than only the back. Remember, not all of the transferred fat takes so a small area is not going to give a significant BBL.Also, lasered fat cannot be grafted. Personally, I use Vaser ultrasound for my liposuction which has the same benefits but allows nice fat transfer. An exam and consultation with a plastic surgeon who performs these procedures is recommended to confirm you are a candidate as well as discuss your options and expectations.

T. Joshua Baker, MD · Answer

Hi!

My suggestion would be to save your money from the laser lipo and just prepare for an actual liposuction procedure.
You want healthy, high quality fat for a BBL and some topical procedures can change the quality or add in scar tissue that is not desirable for a fat graft to the buttocks.

Also, the most abundant source of fat to add volume to the buttocks is typically the abdomen.

Good luck with your journey!

Robert L. True, MD, FACOG, FACS (in memoriam) · Answer

I would recommend you do your flanks (muffin tops and waist) and back first, and put the fat in your buttocks. BBL is not just putting fat in the booty, it is also sculpting your back to get a good slope.

Kristine Brecht, MD (license suspended) · Answer

Dear CMartinez,Water assisted/ power assisted and ultrasound assisted Liposuction can all preserve fat for fat transfer, all in one surgery with great body contouring removal of fat and some skin tightening. Get your BBL now in one procedure with the body contouring.Laser Lipo is going to kill the fat cell. Get what you want in one surgery, rather than two.Best. Dr Brecht Seattle, Wa

Randy Dean, MD - Account Suspended · Answer

Hi and welcome to our forum!
To ensure that you have enough fat to harvest, I would recommend BBL with the first procedure. Consider secondary lipo 3 months later.
On the other hand, depending upon the amount of fat requiring removal, one could consider vaser lipo with fat transfer as a single procedure. 
Spek with a board certified plastic surgeon.
Best wishes...

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