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.

Semih Yildiz, MD, FEPOBRAS · Answer

In the photos, you appear to have a relatively lean frame with some usable waist/flank and lower abdominal donor fat, modest buttock projection, and visible hip-dip hollowing. That can make you a reasonable candidate for a contouring-focused BBL, but probably not an extreme-volume result. A BBL 360 is usually a way of describing circumferential trunk liposuction with fat transfer, and because your goals are a smaller waist, less love handle fullness, and improved hip-to-buttock transition, that broader 360-style liposuction plan would likely be part of the discussion.

The wish photo may be useful for direction, but it may be more rounded and projected than your donor fat and pelvic shape can safely reproduce. Hip dips can often be softened but not erased, and fat survival is variable. An in-person exam is needed to judge skin tone, fat thickness, and whether the amount of fat that can be harvested is enough for your priorities. For any BBL, safety matters more than volume; fat should be placed only in the safe subcutaneous plane, ideally with modern safety protocols such as ultrasound guidance where available.

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

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).

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.

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

Answers (11)

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