How heavy is too heavy for a BBL? Would it be possible for a doctor to work with my figure to add the hips? (Photo)

Question

I am 5’3 and I weigh about 220. I have always been very solid and heavy. My body has never had the shape ive wanted, I have a broad chest and a small lower body! Im simply looking for more HIPS!

Jaime S. Schwartz, MD, FACS · Answer

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.

Emmanuel Mallol Cotes, MD · Answer

Thank you for your question. Based on your photos, my first recommendation is tummy tuck with muscle repair to correct the sagging skin excess and fat tissue, getting a flat and stronger abdomen plus abdomen, waist, laterals and upper and lower back Intense Liposuction, to improve your body contour and get better curves, especially in your waist.Finally, 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).I would recommend you for safety reasons, to be a good candidate for the procedures you want loose some weight before the procedure, you must be a healthy person, within an appropriate BMI.Kind regards

William Bruno, MD · Answer

At your current BMI (body mass index) of 39 you would need to lose weight prior to having any type of elective surgery. Your weight should be closer to 160 in order to minimize complications from anesthesia and surgery.Consult with a few plastic surgeons in person for more detailed information.Best wishes,Dr.Bruno

Emmanuel De La Cruz, MD · Answer

Hello Lovinglilio,

It’s a pleasure to answer your questions! Based on your pictures and description, I would recommend VASER Liposuction with fat transfer to the buttocks (Brazilian Butt Lift (BBL) to get rid of excess fat from particular areas such as arms, back, abs and flanks and transfer it to the hips and buttocks for an hourglass figure. There are limits to the amount of fat that can be safely removed. You should ask your plastic surgeon if he/she requires you to lose weight or not depending on whether he/she is planning to do a full body Liposuction or just a limited Liposuction to harvest the fat. Your surgeon might recommend you following a weight loss program before undergoing BBL surgery because the higher your weight or your Body Mass Index (BMI) are, the greater the risk for surgical and anesthetic complications. With appreciation! Dr. De La Cruz.

Daniel Barrett, MD · Answer

Dear Lovinglilio,generally speaking, you want to reach your goal weight before you consider a BBL surgery, otherwise your results will be suboptimal if you continue to lose weight after the surgery. Your BMI should be under 30 in order to be a candidate for a surgery. If you are considering a surgery, 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
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Martin Jugenburg, MD · Answer

Your BMI is too high it is approx 39. For a BBL I recommend patients have a BMI of 27 or under this decreases risks of surgery as well as improves cosmetic outcome. Please consult with a board certified plastic surgeon. Regards,

Tania Medina de Garcia, MD · Answer

Hello dear!!
Thanks for the question and provided information as well. 
Based on your pictures, you are good candidate for a full tummy tuck, lipo and BBL, but consider that weighting above the established weigh increases the risk of complications during and after your surgery; your BMI should be 30 or less and it is important have a stable weight in order to have any surgical process. 
I recommend you to make an appointment with a board plastic surgeon for a good evaluation and to talk about your goals.
Good luck :)

Jean Paul Giudicelli Saba, MD · Answer

Hi, thanks for sharing your concern and photos with us!
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.
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

Jorge Jiménez Toribio, MD · Answer

Hello, dear, thank you for your question.
For your current BMI you are not a candidate for BBL, the results will not be good, besides having more risks of complications during or after your surgery.My recommendation is that you first lose weight and then visit the office of a certified plastic surgeon to help you achieve your goals.
Good luck.
Dr. Jiménez ToribioPlastic and Reconstructive Surgeon

Saul Lahijani, MD · Answer

Hello and thank you for your question!Yes, it is possible to contour your body. When done correctly, it's possible to get a smaller waist which will make your hips appear wider. In addition, you can always add some fat into your hip area. I would recommend scheduling an in person consultation with a plastic surgeon to discuss your desired results.Good luck!

How heavy is too heavy for a BBL? Would it be possible for a doctor to work with my figure to add the hips? (Photo)

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