BBL or BBL 360? am I a good candidate? (photos)

Question

Hello! I plan to get a BBL in August 2024. I am 41 years old, 5’8, 150lbs. My current BMI (according to my at home BF scale) is 23.2. I am wanting a BBL to thin out my waist and get rid of my love handles as well as to add volume and projection to my butt. I would also like my hip dips corrected or at the very least made less prominent. Based on my pics am I a good candidate for a BBL or would I require a BBL 360? Is my “wish” photo unrealistic?

George Marosan, MD · Answer

Thank you for your question and photos. I assume you meant liposuction 360 degrees and fat transfer to the buttocks (BBLBrazilian Butt Lift). Based on these photos, you are a good candidate for VASER Hi Def Lipo 360 degrees of your torso and fat grafts to your buttocks and hip dips for shaping and enhancement. As a Total Definer surgeon, I do these surgeries in our certified in office surgery suite under deep intravenous sedation. To get the smallest waistline and definition, liposuction is done not only to collect fat for grafting, but also to sculpt your front, back and sides. See a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person consultation/evaluation. Good luck.

Alan Gonzalez, MD, FACS · Answer

Hi @520cc, thank you for your question. Tummy tuck combined with liposculture 360 can give you the best results. A lipectomy to remove the excess of skin and tense abdomen muscles and liposculture as a body contouring procedure to define more your abdomen and waistline. Together, these procedures will give you a more defined and slim appearance. I would encourage you to schedule a consultation with a board-certified plastic surgeon. During your consultation, your surgeon will be able to assess your unique needs and develop a treatment plan that is right for you. Best wishes!

Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), Colombian Society of Plastic Surgery member (SCCP).

Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science”  Member (IFATS),  Colombian Society of Plastic Surgery member (SCCP).

John Reilly, MD, FACS · Answer

Hello, Based on the photos it appears you should have enough fat to transfer to improve your chances of achieving your goals. Fat can be taken from the abdominal wall, arms and low back . You upper back is not visible. In experienced hands you can have a very favorable outcome. "Lipo 360" simply refers to harvesting fat around the body (abdominal wall, sides and back)," 360 degrees".  Best of luck.

Emmanuel Mallol Cotes, MD · Answer

Thanks for the question. After analyzed your pictures I recommend you waist and back Liposculpture, getting better curves especially in the waist, improving your body contour also, 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

Kind regards

Moises Salama, MD · Answer

Thanks for your question. Based on your pictures, you seem to be a good candidate for the BBL. A BBL requires 360 lipo, which is lipo of the upper and lower abdomen, the upper and lower back and the flanks. In addition, if you do not have enough fat in these areas, liposuction can be performed in many other areas of the body for fat transfer to the buttocks, such as the upper arms and chin. That said, you may be required to gain some weight. I recommend you schedule a consult for a proper evaluation. Make sure the surgeon you choose has extensive experience with Skinny BBLs and clean credentials. Always consult with a board certified plastic surgeon. Take care, Moises Salama MD, Board Certified Plastic Surgeon

Daniel Barrett, MD · Answer

Dear 520cc,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Edgar Contreras, MD · Answer

Hello! Yes you're a great candidate for either BBL or BBL 360 and with that you'll be able to achieve your desired results. A 360 BBL will be likely to get rid more of the love handles issue you mentioned. Hope this helped, Dr. Contreras at your service!

Carlos Marciales, MD · Answer

You need 360 liposuction of the whole body and transfer of fat to buttocks and hips, and you will get the desired result

Nelson Garcia Mendez, MD · Answer

Hello, we appreciate your question, based on your photos, you are a candidate for 360 liposuction, to improve your body contour, both the abdomen and your back and the use of vaser technology (ultrasound) and retraction (radiofrequency), this will help you have a better retraction of your skin and make a fat transfer to the buttocks and hips to give a better shape to your buttocks.

Mats Hagstrom, MD (license on probation) · Answer

I’m not sure what a BBL 360 means. The term 360 often is used when describing abdominal liposuction as also including love, handles waist and back.
Your body looks a bit different than the patient in your wish picture so I think your result will look different. Young people typically are better candidates for both Liposuction and fat transfer and the picture of your wish outcome looks like someone in their 20s.
Delivering consistent quality, liposuction and fat transfer results is more difficult than most people realize. I cannot emphasize enough the importance of provider selection when it comes to these procedures.
I suggest patient start the process by having multiple in person, consultations with plastic surgeons who have proven track record with both liposuction and fat transfer.
 During each consultation, ask each provider to open up your portfolio and show you their entire collection of before, and after pictures of previous patients, who have similar body characteristics to your own.
And experienced plastic surgeon 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 is insufficient to get a clear understanding of what average results look like in the hands of each provider, with your results are likely to look like or how many of these procedures they’ve actually done. It’s also very important to confirm the timeframe of when after pictures were taken. Early fat, trans Results can look very impressive, but do not in anyway represent long-term final outcomes.
After pictures should not be taken less than 3 to 6 months from the date of the procedure.
 The number of plastic surgeons have truly mastered. These procedures are in a small minority. Being board-certified in plastic surgery, with years of experience does not mean somebody is mastered every procedure, especially not liposuction and fat transfer. There’s no correct number of consultations needed to find the best provider. The more consultations you have the more likely you you are to find the best provider for your needs.
Considering how much variation there is in skill among plastic surgeons, I suggest having at least five consultations before choosing a provider. I do not recommend people travel long distances for elective surgical procedures. I also do not recommend patients have virtual consultations, but rather rely on in person consultations. Poorly done Liposuction can leave people permanently disfigured.
The biggest mistake patients make is scheduling only one consultation, then scheduling surgery. 
I think you’re a fine candidate for a BBL procedure, but you should look at results of previous patients whose body similarities match yours a little closer.
It’s not a bad idea to bring pictures of your body to use as a reference during consultations.
Best,
Mats Hagstrom, MD