In which order should I plan to have a tummy tuck and Brazilian butt lift? (photos)

Thank you for your question. I perform many BBL & tummy tuck combo procedures at my practice. But, if you're considering having the procedures done individually, then it makes sense to do the tummy tuck first. Then 4-5 months later, a BBL can be performed. The reason being that if you have significant excess skin and you get liposuction in that area, the area will look wrinkled, scarred, and irregular. Also doing significant liposuction on the abdomen and then having a tummy tuck later can predispose you to wound healing complications after the tummy tuck. I would recommend getting a proper evaluation by a board certified plastic surgeon. Take care, Moises Salama MD, Board Certified Plastic Surgeon

In my experience, go with the procedure that is most important to you first. It forces you to prioritize! If the largest buttock you can achieve is a priority, then do the BBL first and the TT about 6-12 months later. If getting cute ratios of waist to hip is your priority, then I think the TT first is the better option. Best Wishes!!

Dear MaxineCarolina,
based on your photos, you look like a good candidate for a BBL and TT. Most surgeons would recommend you get BBl first and TT later. Full tummy tuck should tighten your abdominal muscles and remove the excess skin. Liposuction and fat transfer would give you a better shape. 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Este procedimiento del Mommy makeover: Lipoescultura, BBL, tummy tuck mamas, si cumples con el salud necesria, el tiempo para volver a tu actividad laboral es de 20 dias a 25 dias como maximo
Gracias
Dr. Francisco Rodriguez

Hello Maxine,
I would recommend doing the BBL first as the surgeon can harvest the maximal amount of fat from your full abdomen, waist, and other areas of your concerns during lipo. Afterwards, the tummy tuck can be performed to excise the remaining fat and excess skin of the abdomen.

Different plastic surgeons will have different opinions about which procedure should be done first.
My personal preference is to do the tummy tuck first and the BBL to follow.
The only exception is on low BMI patients who may not have enough fat after the tummy tuck.
That is not the case for you.
My main rationale for recommending doing the tummy tuck first is that it tends to be the procedure that has the greatest impact. The second reason is that doing abdominal liposuction tends to create scar tissue that reduces the pliability of the skin and fat layer of the abdominal wall which limits how much skin can be removed to some degree.
Each plastic surgeon will have their own view and some providers find, doing the BBL first to have advantages.
Before contemplating any procedure, we generally begin by making an assessment i.e. making a diagnosis.
If you want an assessment for a BBL, you should include proper pictures of your behind which should include a picture showing your behind.
to me the indication for a BBL isn’t that great in your case but the need for tummy tuck is far greater.
In fact really well done Liposuction can probably almost eliminate the need for a BBL.
In regards to the tummy tuck the procedure primarily treats, the front of the abdomen.
to treat the posterior part of your torso is going to be more related to well done Liposuction.
In regards to the front of the abdomen, there are four variables to determine what the abdomen looks like.
At tummy tuck primarily treats, abdominal skin, laxity, and muscle separation from previous pregnancy.
In other words, a tummy tuck basically treats pregnancy related changes.
The four variables that determine what the abdomen looks like are the following.
1) abdominal skin due to previous pregnancies or weight loss.
2) excess subcutaneous fat.
3) muscle separation from previous pregnancy.
4) excess visceral or intra-abdominal fat.
Based on your pictures, it looks like you have all four of these.
Differentiating muscle separation from excess visceral fat is not always easy or self evident.
There is no surgical treatment for excess visceral fat. This condition can only be treated with weight loss.
My best guess is you have substantial amounts of excess visceral, fat and if that’s the case, you need to lose weight before, you’re a good candidate for a tummy tuck.
Having a tummy tuck procedure while having excess visceral fat will significantly compromise your outcome, and still leave you with a bulging abdomen.
There are a few ways to differentiate muscle separation from excess visceral fat.
One is to see if your abdomen goes completely flat if you lay on your back.
If it does, then the problem is more likely muscle separation and less likely excess visceral fat.
if the abdomen still bulges while laying on your back, then visceral fat is most likely a significant issue.
The other way is to determine how much pressure it takes to press your abdomen flat.
For reference a flat abdominal wall should be a line between your sternum and your pubic bone.
Try pressing your abdomen completely flat using your non-dominant hand only.
If you can do this fairly easily then the problem is more likely muscle, separation and less likely excess visceral fat.
If it takes a fair amount of pressure to press your abdomen flat and you have the sensation that your abdomen feels excessively full and it’s hard to take a deep breath while pressing your abdomen completely flat then visceral fat is a significant issue and should be dealt with before considering a tummy tuck.
I do believe that obesity and excess visceral fat is a very real issue for you and these are going to limit your potential outcome unless they are addressed first.
For these reasons my recommendation would be significant weight loss, followed by in person, evaluation by multiple plastic surgeons with most likely moving forward with a tummy tuck before having a BBL.
Liposuction of the posterior torso can be done in conjunction with a tummy tuck.
How much and the quality of Liposuction when done in conjunction with a tummy tuck varies dramatically among plastic surgeons.
Doing liposuction of the back love, handles, and waste correctly requires repositioning the patient either on their side or laying face down.
There are a lot of variables to review and discuss and the best way to do this is to have multiple in person consultations.
Regardless of what procedure you choose, the most important variable in the end is provider selection.
In the hands of the correct provider you’ll get an accurate assessment And you’ll be steered in the right direction with the best chance of quality outcomes with the least chance of negative consequences.
To find the right provider I suggest patient schedule multiple in person consultations.
During each consultation, ask each provider to open up their portfolio and show you their entire collection of before and after pictures of previous patients who had similar body characteristics to your own.
And experience provider should have no difficulty showing you the before and after pictures of at least 50 previous patients.
Being shown a handful of pre-selected images, representing only the best results of a providers career may be insufficient to get a clear understanding of what average results look like in the hands of each provider, what your results are likely to look like, or how many of these procedures that provider has actually done.
There’s no correct number of consultations needed to find the best provider.
The more consultations you scheduled the more likely you are to find the best provider for your needs.
The biggest mistake patients make a scheduling only one consultation and then scheduling surgery.
Judge tummy tuck results based on who gets the most natural looking belly buttons with a low set that follows, natural anatomic, contours evenly on both sides, leaving a torso, looking balanced, attractive, and proportionate from all angles.
To get an idea of what I quality incision design should look like take a look at the website of Eleonore Zetrenne, M.D.
For those contemplating having more than one procedure such as a tummy tuck with Liposuction it is important that you vet the providers for both procedures.
If a provider recommends having a tummy tuck with Liposuction, then insist that they show you before and after pictures of patients who had both procedures.
Don’t just focus on the tummy tuck results But equally make sure they have the skill and experience to do quality Liposuction work.
Delivering consistent quality Liposuction is more difficult than most people realize.
The number of plastic surgeons who have mastered this procedure is quite small.
Regardless of what you choose, I believe weight loss is in order to become a quality candidate.
My best guess is you need to lose about 50 pounds.
Best,
Mats Hagstrom, MD

Hello,
Doing the two treatments separately does not reduce discomfort, and doing them combined does not speed up recovery time. The ideal option is to perform both at the same surgical time.