CoolSculpting + Cooltone? Or BBL? Or something else? (Photos)

Thank you for your question and photos. From your photos, you are a good candidate for BBL. Liposuction will remove excess fat from unwanted areas creating a shape that accentuates your hips & buttocks. Fat transfer to your hips & buttocks will bring out your curves, increase volume in your buttocks and improve shape. Your expectations and health will dictate the best procedure(s) for you. I suggest a consultation with a board certified plastic surgeon to go over the options that best address your goals. Best of luck!

Dhaval Patel MD
Double Board Certified Plastic Surgeon

Chicago
South Barrington
Oakbrook
Orland Park

Hi, thank you for sharing your question. You are a great candidate for BBL which is the gold standard for providing ideal and long lasting shape to the lower torso and buttock/hip. Consult with a board certified plastic surgeon to review all your options and pick the right one for you. I hope this helps.

Thanks for the question.

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

Finally, 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

Hi! I believe CoolSculpting and Cooltone have their place. But they can only do so much. Maybe make you a bit slimmer.
The reality is nothing sculpts, reshapes and enhances a body like liposuction and a BBL.
I understand that you already have a nice size, but a BBL doesn’t always have to be about size. Shaping and filling out the butt and hips is just as important for a nice silhouette! You are actually a great patient for 360 lipo plus Fat Grafting!

Best of luck,
Dr. Miguel Mota

Dear Eclectic19030,
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

Non surgical options give only minor improvements and long term time to see any results. Plus the $$s are rather high. You would still have square hips! You need lipo 360/BBL (lateral BBL or Hip Dip BBL). Seek in person or virtual consults. Fees in the $6,500+.

You have a great figure. I would consider one of a few options:
Liposuction of the sides and lower back with or without a BBL
Another option is to do Lipo 360 and then decide once again if fat transfer (BBL) is desired to reshape your buttock too.
I would not consider any non-invasive options...you may be greatly disappointed with their results.
Best wishes.
Dr. Taranow

To get you an hourglass shape, you can have your overall buttock size reduced, but you will still require a slight amount of fat added to the bottom center and the lateral hip dips to round you out perfectly. This is in addition to contouring your middle and lower back and flanks to give you exaggerated curves. All of these maneuvers requrie that you perform a BBL optimally.
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

Noninvasive body contouring techniques are pretty minimal and typically give results so subtle patients can’t notice them on before and after pictures.

The great majority of patients I’ve met who had coolsculpting were highly disappointed. i’ve also met several who had paradoxical fat growth and a few where the procedure was overly affected and left what looked like cell phone imprints from the suction device used during the procedure.

I do not recommend this form of body contouring for anyone.

Liposuction and fat transfer are the gold standard, most effective, predictable and most appropriate for most people.

Each individual person‘s candidacy depends on a multitude of variables that should be discussed during in person consultations.

Delivering consistent high-quality results for both Liposuction and fat transfer is however more difficult than most people believe.

Considering the results are permanent and irreversible to some degree I suggest patients make a strong effort in finding the most experienced and talented provider if they’re considering these procedures.

Do that by scheduling multiple in person consultations at which time you can vet and compare providers.

During the consultation ask each provider to show their entire collection of before and after pictures. An experienced provider should have no difficulty showing you 50 or more sets of before and after pictures of the procedure and area you’re interested in having treated. ideally they should be able to find several examples of patients with very similar characteristics to your own.

Sing two or three examples representing the best result of their career is insufficient to have an understanding of what average results look like.

Make sure after pictures are always taken at least three months from the date of the procedure.

For fat transfer early postoperative results can look very impressive but are not at all representative of final results.

Finally I recommend reading all reviews on 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 than an abundance of positive reviews.

Good luck,

Mats Hagstrom MD

Hello and thanks for your question. Most physicians will probably recommend a BBL for you. You have enough fat in your abdomen that would be able to be transferred into your buttock in order to give you that hourglass shape. Coolsculpting and Cooltone are not as effective as a 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