I’m 5’4" and 230 lbs, looking for that hourglass plus size thickness in the right places with BBL? (Photo)

Some weight loss would be indicated to reduce the risk for complications associated with the surgery.

Dear justinetyler,yes, you can get a fuller buttock while keeping the thickness. However, in order to stay safe during surgery and recovery your BMI should be under 30. Generally speaking, you want to reach your goal weight before you consider a BBL, otherwise your results will be suboptimal. I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

Hello
It is necessary to maintain a stable weight to obtain the best results possible. So I recommend you to consult a plastic surgeon and coordinate which procedures will fit your needs.
Regards
Dr. Israel Mañon                                                     
Certified Plastic Surgeon

The ideal BMI for aesthetics procedures is below 34%, but the more weight you lose the better results you will get. Reaching your weight goal prior to surgery would decrease the risks of complications during and after surgery and enhance results.
After getting to your goal weight, and looking at your photos I might say that you´ll be a great candidate to get an entire back, waist and flanks liposuction, with BBL, and tummy tuck, this is because all the extra skin located in this areas plus your abdominal muscle needs to be repaired.
Before all this, of course, you need to get a complete medical evaluation and laboratory exams to check everything is fine. Also please try to find a board certified plastic surgeon, remember that your safety, always, is going to be first. 
Have a great day!

Dr. JPG

   The recommended BMI is less than 30. This is the recommendation of the American society of plastic surgery. The reason simply, is increased chance of complications. These include but limited to, pulmonary embolus, deep venous thrombosis, delayed wound healing and increase infection rate.

Choose a board certified plastic surgeon who has done a ton of Brazilian Butt Lifts and has privileges to do this surgery at a local university hospital. This says his credentials have been checked out by fellow Drs. All surgeries carry risk, talk to your plastic surgeon.

Hello dear!! Thanks for the question and provided information as well.  Weighting 230 lbs increase the risk of complications during and after your surgery, the BMI range is 35 and it is important have a stable weight in order to have any surgical process.  Also you can make an appointment with a board plastic surgeon for a good evaluation and to talk about your goals. Good luck.-

I do not believe you can have an outcome even close to the picture you have shown.
Underneath your layers of skin and fat your waist does not have the size or shape of the picture you have shown.
Perhaps an abdominoplasty would help to pull your waist in
Best,
Mats Hagstrom M.D.

Hello.Thank you for your question,. I recommend you to reach your goal weight before you consider a BBL, a high BMI increases the risks and complications during and after surgery. The BMI range should be less than 35 and at this moment based on your height and weight it is higher than that. Regards.Dr. Kemil Issa,  Certified Plastic Surgeon