Lower body lift with autologous hip and butt flap, is it possible to get a Brazilian butt lift/fat transfer later?

Question

5'3" 135 lbs, after 130 lb weight loss & getting LBLw/auto butt & hip flap, is it possible to later have BBL/fat transfer for curvier butt & hips?

Siamak Agha, MD, PhD, FACS · Answer

To answer your question, yes it is possible to do a Brazilian butt lift at a later stage after a lower body lift if there is still fat left in the lower back, flanks, or another area.  However, in my opinion, it is best to do a lower body lift, with liposuction, Brazilian butt lift and buttocks enhancement with lower back fat pads (autologous flaps) during one setting.  That is because, you had most of your fat liposuctioned during the lower body lift before the skin is removed.  Then the lower body lift with thigh lift, butt lift, and buttock autologous augmentation is performed.  Then all the liposuctioned fat is injected into the buttocks....You can see our gallery of total body lift and lower body lift below.  I have many many examples of this approach with many pictures. Best of luck.

J. Timothy Katzen, MD, FACS · Answer

Hi Shannon40 in Riceville, Thank you for your question regarding whether, after a lower body lift with an autologous hip and butt flap, it is possible to get a Brazilian butt lift or fat transfer later.  The answer is "maybe".  A successful BBL procedure requires three key steps. Each step is critical to the success of the BBL.  1) A BBL requires harvesting fat.  If you do not have fat, a BBL will not be successful. Some patients have to gain weight for a successful BBL. The site where fat is liposuctioned or harvested is called the donor site.  2) The next step to a successful BBL is the harvesting of fat.  If your plastic surgeon harvests your fat poorly, your BBL will be unsuccessful.  Your fat should be harvested gently, strained of any impurities, and washed with antibiotics.  Some plastic surgeons add PRP to maximize the establishment of blood circulation to the grafted fat.  3) A successful BBL also requires that the harvested fat be gently placed in the correct anatomic position.  The new home of the grafted fat will be in the fatty layer of the buttock, not the muscle of the buttock.  Injecting fat into the buttock muscles has been associated with increased chances of fat clots and blood clots that can prove fatal.  The site where the fat is grafted is called the recipient site.  If the recipient site is traumatized by prior surgeries, the grafted fat may not survive.  Also, if the skin covering your buttock is tight or your buttock is small, it may be difficult to inject fat.  The transferred fat may die due to pressure.  However, in general, fat can be successfully transferred to an autologous hip and butt flap four to six months after the precedure.  Your successful BBL will depend on how much fat you have and how much scar tissue you have in your buttocks.  I hope that I have answered your question regarding whether, after a lower body lift with an autologous hip and butt flap, it is possible to get a Brazilian butt lift or fat transfer later.  Sincerely, Dr. J. Timothy Katzen, PLastic Surgeon

Mariam Awada, MD, FACS · Answer

Hi there, thank you for your question. Most patients undergo a lower body lift after reaching their weight and fat loss goals. In order to be a candidate for a Brazilian butt lift (BBL) or fat transfer procedure, you will need to have enough additional fat to undergo liposuction. If you still have pockets of fat remaining after your lower body lift, then you may be able to achieve your desired results using a BBL or fat transfer procedure.To learn whether you are a good candidate for fat transfer procedures, schedule a follow-upappointment after you have finished healing from your lower body lift. You will need to wait sixto 12 months before proceeding with an additional surgery. Hope this helps!

Luis A. Mejia, MD · Answer

hello thank you for your question and provided information as well..Based on the exposed case, my recommendation is to consult in person with a plastic surgeon in person, to evaluate if you apply for these procedures, because to evaluate cases without photos is difficult because I can not see the defect and the solution.

Tania Medina de Garcia, MD · Answer

Hello dear!!
Thanks for the question and provided information as well. 
Unfortunately, without pictures is very difficult to give you a proper answer. I recommend to book a consultation with a board certified plastic surgeon to discuss the best options for your goals.
Good luck :)

Peter Fisher, MD (retired) · Answer

Hello and thank you for your question. Yes that is possible if you have enough fat left. The area that may need it after the procedure that you mention is the lower portion of the buttocks.Peter Fisher M.D

Lower body lift with autologous hip and butt flap, is it possible to get a Brazilian butt lift/fat transfer later?

Answers (6)

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