Am I too thin for BBL? (Photo)

I'm a very petit girl, I am 5'5, and weight about 105lb. I'm willing to gain some weight but I'm not sure how much would be sufficient for me to get a meaningful result, I'm not looking for a huge butt, but would like to enhance the upper part and side of my butt to make it a round and perky bubble butt. Please let me know your thoughts!

Doctor Answers 5

Brazilian Butt Lift candidate?

Thank you for your question. Patients with a Brazilian butt lift can look forward to a double benefit: reducing areas of unwanted fat while gaining a perkier, rounded posterior. Plastic surgeons plan each procedure according to the individual needs of their patients, harvesting fat from target areas of the torso, thighs or knees and transferring it to create smooth, attractive contours optimized for each person. Many patients welcome the idea that their own tissue can be used to enhance their shape. The amount of fat transferred from targeted areas depends on the quantity available and the extent of buttock augmentation you desire. No matter what procedure you decide upon make sure you go with a board certified plastic surgeon with experience in this area.


Thank you for your question and photographs.

If you have adequate fat pockets for harvesting you would be a candidate for a BBL. The fat can be harvested from multiple areas on your body and injected into the buttocks to build it up and give you that curvier silhouette. Sometimes, this procedure needs to be staged to achieve your cosmetic goals because injecting too much fat at once can increase the chance of more fat cells not surviving. I would recommend scheduling a consultation with a board certified plastic surgeon to have a physical evaluation done to see if you are a good candidate or not. When I perform a BBL, I will evaluate the patient’s body to make sure that they are a good candidate for the Brazilian butt lift. It will also be assessed as to which areas will be liposuctioned. Depending on the amount of fat necessary to fill the buttocks/hip area, multiple donor sites on the body may be considered. After liposuction has been performed, a closed sterile system is used which ensures the fat tissue is never exposed to the air. This keeps it safe and purified for reinjection into the buttocks. Our plastic surgery office uses P188, a triple-wash antibiotic that sterilizes the tissue and separates the healthy fat from any tissue that may not survive the transfer process. I will then reinject the fat to make sure that the layering is done properly, effectively and that the results are smooth and shapely. I would recommend that you schedule a consultation with a board certified plastic surgeon to have a physical examination done to see if you are a good candidate for a BBL. I do not recommend patients gaining weight for this procedure. You should maintain a stable weight for at least 3-6 months prior to having the procedure done to obtain optimal results. If your weight fluctuates too much pre or post operatively, this can affect your results. If you do not have enough fat to achieve your cosmetic goals, I would consider buttock implants or the combination of fat grafting and buttock implants to achieve your goals. Best of luck!
James Fernau, MD, FACS
Board Certified ENT
Board Certified Plastic Surgery
Member of ASPS, ASAPS, ISAPS, The Rhinoplasty Society, AAFPRS, OTO/HNS, ASLMS, International Federation for Adipose Therapeutics & Science

James Fernau, MD, FACS
Pittsburgh Plastic Surgeon
4.9 out of 5 stars 64 reviews

Brazilian Butt Lift/ Fat grafting/Liposuction/ High Definition Procedures/Butt Implants

Thank you for your question.

I have done many body contouring procedures and specialize in Vaser Hi Definition liposculpture.

From your photos, you appear to be an excellent candidate for Vaser Hi definition liposculpture with fat grafting to the buttocks.  You should get a great result from liposculpture, giving you a more contoured and hourglass shape with better projection to your buttocks.

Vaser Hi Definition liposuction uses the concepts of negative and positive spaces in relation to the underlying bony and muscle anatomy to define areas such as your six pack and create an athletic looking physique.

The best way to assess and give true advice would be an in-person exam.

Please see a board-certified plastic surgeon that specializes in aesthetic and restorative plastic surgery.

Dr. Schwartz

Board Certified Plastic Surgeon



Are you too thin for a BBL?

Ideal candidates are at a stable weight,  in good health , and have excess fat in some parts of the body and too little in other regions.  Gaining weight before the procedure is to no advantage and when you lose weight again the fat cells will shrink just like the donor site fat cells.  Typically, the transferred fat results in a significant increase in volume of the body site being treated.

Body mass index (BMI)

Patients with a lower BMI actually get better overall result with almost all plastic surgery including the Brazilian fat transfer or lift.   The main object is to contour a more pleasing feminine contour and not a "giant buttock."  I believe you would get a great result.    

Kenneth Sumida, MD
Folsom Plastic Surgeon
5.0 out of 5 stars 13 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.