Is it possible to add fat to "saddle bags" during BBL to get an upside down heart shape? (photos)

Hello @len118, thank you for your question. I believe it is important to keep in mind that BBL, which in my opinion is best performed through a liposculture procedure, enhances the contours of the body. It also improves proportionality across the body. However does not alter bone structure. In order to improve proportion, it is possible to remove fat accumulations that do not correspond with the symmetry of the body. Thanks to the latest surgical techniques and technologies, we can achieve an outstanding result. Having an adequate gluteal projection and an appropriate relationship with hip and waist. For more information and recommendations is best to consult with one or several board certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS. International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)

Thank you for your question. I would love to see from picture also to provide a better medical observation, but based on your back picture you appear to be good candidate for this procedure with lateral, waist and back liposuction 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,
Dr. Emmanuel Mallol Cotes.-

Decision about which areas of the hips, thighs and buttock to augment with fat grafts is based on patient/surgeon communication as well as individual beauty standards. You are right that most postoperative patient buttocks may look like mellons, but it may be shape that these patients and their surgeons like? Look more and very carefully select your surgeon, discuss your goals clearly. Good luck.

Dear len118,
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

Great posted photo. Yes the BBL usually includes "hip dips" having fat grafted to that area. In Florida must use ultrasound guided fat injections. Fee $6,000. Best to virtual consult with...

Fat may be placed almost anywhere during a BBL to obtain the desired shape. To obtain your wish pic shape, the majority of the fat transfer must be in the lower buttocks and lateral thighs (hips).

Generally the goal in female body contouring is to establish a smooth continuous S-curve from the armpits to the knees. The S-curve continues from the backside around the hips and changes to a different curve on the front of the abdomen.
Most individuals primary body physique or shape is determined by skeletal structure much more than fat distribution.
It’s generally better to work with what patients have and work towards establishing a smooth continuous and harmonious S-curve then trying to create the image of somebody was born with a completely different skeletal structure.
This isn’t art class and we’re not working with clay.
Deliver in consistent quality liposuction and fat transfer results is more difficult than most people believe. Finding surgeons who are sufficiently skilled and experience to deliver quality result on a regular basis isn’t itself hard enough. Once you find the right provider I suggest you listen to their recommendations.
You can always bring wish pictures and talk about what you’re hoping to achieve and see what each provider has to say.
Regardless, increase the chances of a quality outcome the process should always begin by having multiple in person consultations with local board-certified plastic surgeons.
During each consultation ask each provider to open up their portfolio and show you their entire collection of before and after pictures. Providers may be apprehensive to do this but recognize that being shown a handful of preselected pictures which most likely represent the best results of the providers career is insufficient to get a clear understanding of what average results look like in the hands of each provider or how many of these procedures that surgeon has performed.
An experience provider should have no difficulty showing you at least 50 sets of before and after pictures.
Bring pictures of your own torso with you for a comparison and ask the provider to show as many pictures as possible of patients who have similar body characteristics to your own during the consultation.
He will then see firsthand what the results look like in the hands of that provider. If some of the results look more towards what you’re hoping to achieve then you will see that.
Ask providers to show you examples of excellent outcomes, average outcomes and less than outcomes. Ask surgeons about the revision rates and what their revision policies are.
Don’t try to turn apples into oranges. it’s better to have a really good apple or a really good orange then to try to make something that isn’t there or possible.
Fat can be grafted in more or less any part of the body that has sufficient host tissue to support the graft. whether that looks good or not is a different story and for that you should listen to the input of providers with a proven track record.
In the end finding the right provider is usually the most important variable and is the single most important aspect to consistent quality outcomes.
Best,
Mats Hagstrom MD

Hi and welcome to our forum!Yes, fat transfer to the buttocks and hips can be performed together to create an "inverted heart" appearance. From your photos, you appear to be an excellent candidate. The procedure will also narrow your waist.Visit a board certified plastic surgeon for evaluation and discussion.Best wishes...

Hi Len118. The shape you are desiring can be achieved with your body. You'll likely need liposuction of flanks and fat graft to lower hips. The reason you couldn't find any before/after pictures looking like that is most people don't want that look. Usually as people age, the fat sags down and lower hips widen. So most patients don't want fat to be injected there, giving them an older appearance. However, if you want the fat to go there, it can be done.