I am 23 years old, I weight 270 lbs and I am 5’4. Can I get lipo and BBL only at my current weight?

A good candidate has enough fat available for transfer in the procedure. The amount of fat that can be transferred in a BBL depends on how much fat the patient has to harvest and the amount of space there is to move the fat into. It is recommended for the patient to have a BMI of 30 or less. If you are too thin, a Brazilian Butt Lift may not be possible.

BMI is but one measure.  Distribution of fat and overall health as well as goals all factor into this decision. A BMI of 35 (your BMI is 46.3) is probably the upper limit that a plastic surgeon would consider for this procedure.  Different surgeons will have different opinions and comfort levels with regard to this so it is best to ask the individual surgeon.

Optimal candidates for surgery should have reached a healthy stable weight preferably with a BMI < 30. My recommendation is for pre-op weight loss. This will lower your overall surgical risk profile and likelihood of complications. 
With regards to your specific question, your current BMI of 46 places you in an exceedingly high risk category. Pre-op weight loss would be needed in order to optimize your risk profile (with a tentative goal of  nearly 100 lbs)
As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Thanks for your question. Your safety is of utmost importance to us. We never want to do anything that might jeopardize our patient's health. Unfortunately, based on the measurements your BMI is 46.3, making you ineligible for cosmetic surgery at this time. High BMI poses high surgical risk and reduces the likelihood you will receive optimal cosmetic results. Patients considering cosmetic surgery should have a BMI closer to 30 in order to minimize risks and to maximize results. 
If you have been unable to reach your goal weight with diet and exercise we recommend you schedule a consultation with a Board Certified Bariatric Surgeon. This option might be the best next step for you in terms of getting your body ready for cosmetic surgery in the future.

Hello dear!
Thanks for the question and provided information as well.
Unfortunately, right now your BMI is 46 and it needs to be 33 or less, for you to be considered a good candidate for plastic surgery.
l recommend you to make an appointment with a board certified plastic surgeon to talk about your goals and the best options for you.
Good luck :)

Dear Queen,Thanks for the question.  I'm glad you are comfortable with your height and weight.  The issue you have is the risk factors with doing procedures on patients with BMI above 35.  Your BMI (Body Mass Index) is 46.3 which is way too high to risk doing an elective surgery.Best of luck.Dr T

Thank you for your question. The recommended BMI prior to an elective surgery is less than 30 for health and safety reasons. Your current BMI is 46.3 so I would recommend losing some weight first to reduce rate of complications and optimize your results. Seek a board certified plastic surgeon who performs many of these procedures, has great reviews and photos, and is an expert in this field.

Hello dear, thank you for your question.
I suggest for you to lose weight before submitting to any kind of procedure, your actual BMI is of 46.1, the suggested for a liposuction and BBL is under 33. A High BMI increases risks on the surgery results and your Health. 
Good luck!

Your BMI (a measure of your heigh to weight ratio) can be an indication of how safe or unsafe it is to do a particular surgery. Generally if you have a very high BMI, the risks of the surgery increase. But every patient is different and it would be worth a consultation to a Board Certified Plastic Surgeon to discuss the risks, benefits, alternatives, as well as your goals and expectations.In our practice we have performed BBLs on patients with higher BMIs with good results safely so it is definitely possible. But it is important to undergo a good physical exam and discuss everything upfront with your surgeon to give you the best chance at a great outcome.I hope this helps!

I'm a fairly strong advocate of high-volume liposuction. Starting at around 200 pounds I begin to be more selective . At 250 pounds I generally turn down most patients steering them to weight loss procedures. At 270 pounds your chance of premature death due to hypertension and diabetes are high.  Even without considering life expectancy the stress on the joints lead to the need for early joint replacements. About 10 years ago I lost 50 pounds.  I can say with absolute certainty that my life is better in every way being at a healthy weight. If I had the choice I personally would never choose obesity. My experience has been that high volume liposuction patients have some of the highest patient satisfaction.  Unlike many others I do not believe patients need to be at an ideal BMI to be good candidates for liposuction. There is however a limit at which point liposuction is really futile and causes very little overall improvements in aesthetics or quality of life.  Take for example a typical high-volume liposuction case split into two procedures were 5 L of fat is removed during each procedure. This would represent approximately 20 pounds of fat loss. At your weight that still is less than 10%.  In our practice the cost of this would be the price of a budget new car. Isn't losing  20 pounds by diet and exercise with the cost savings of $15,000 a more appropriate option?  In reality you need to lose 100 pounds more than that to. Weight loss is free in fact it can save people money. I suggest healthy weight loss plan followed by a reassessment when you're just under 200 pounds  Best, Mats Hagstrom M.D.