With a lower body lift, should I get a BBL or gluteal auto augmentation? (Photo)

Question

I plan on getting a lower body lift. I have lost about 80 lbs. I have a fairly flat butt (genetic) with a fatty lower back. One doctor suggests a BBL with the fat taken from my love handles and lower back. The other suggests removing the skin from the fat and skin resection from my lower back and doing a gluteal auto augmentation. Is there a reason to choose one over the other? And my third consult suggests an extended tummy tuck only without the LBL but doing the BBL fat transfer. Thoughts?

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question regarding a lower body lift should you get a Brazilian butt lift (BBL) or gluteal auto-augmentation. Congratulations on your weight loss. I would definitely suggest you go under gluteal auto-augmentation during your 360 circumferential lower body lift. The gluteal auto-augmentation flap is a much more reliable flap compared to BBL. With a BBL, there is some absorption of fat—that means you will lose some fat.  Also, BBL is a potentially dangerous procedure if the fat is injected in the buttock muscle. Also, if you undergo a BBL, you will still probably have excess, loose, hanging buttock skin and wrinkles throughout the buttocks. During a lower body lift, your abdomen will be made flat and your hips will be raised. Also, the wrinkles on the buttocks will be eliminated.  During gluteal auto-augmentation, upper buttock tissue and fat it will be transferred to the lower buttock to restore volume. 1) I do not believe your BBL will achieve as much volume as with a gluteal auto-augmentation. 2) Also, with gluteal auto-augmentation, the buttock skin wrinkles will be eliminated – in a BBL, not so much. 3) I believe your buttock shape will be much better with gluteal auto-augmentation as opposed to a BBL.  Thank you for your question regarding if you should undergo a BBL or gluteal auto augmentation during your lower body lift.  I specialize in reconstructive plastic surgery after weight loss.  If you have any more questions regarding the lower body lift, 360 circumferential lower body lift, belt lipectomy, belt abdominoplasty, or belt dermolipectomy please contact my office. Since the body lift is a big procedure, please seek an experienced, board certified plastic surgeon with significant experience performing the lower body lift. Do your research.  Make sure they have performed at least 100 circumferential lower body lift surgeries and have the before and after pictures to prove it.  Carefully examine their before and after pictures and check their reviews on RealSelf.   If you cannot find an experienced, lower body lift surgeon in your neighborhood, consider traveling out of state if you must. Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)

Kenneth Hughes, MD · Answer

Hello, thank you for your question. It is hard to tell from this photo. An in-person consultation is needed, I recommend you to schedule an appointment with a board certified plastic surgeon.

Sam Speron, MD, FACS · Answer

Yes it seems like you might be a very good candidate but results were always optimal if people are within their ideal body weight. Additionally medical clearance is critical before any surgery like this. I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of body lifts. Good luck with your future surgery!I hope my answer helped you and if it does, please take a moment to up vote this answer on the “respond” button on the top right.  Have a great day.

Tim Neavin, MD · Answer

Thank you for your question and for your photos. Based on your photos provided, you are an ideal candidate for body lift surgery. I would advise you to schedule a consultation with a board certified plastic surgeon for a detailed examination to discuss all possible treatment options and what your expectations are.

Daniel Barrett, MD · Answer

Dear LivingAgain,
it is hard to tell for sure without an examination. There is only one photo of your back. 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

With a lower body lift, should I get a BBL or gluteal auto augmentation? (Photo)

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Answer: Body Lift Candidate

Answer: Body Lift Candidate

Answer: Body lift

Answer: Body lift

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With a lower body lift, should I get a BBL or gluteal auto augmentation? (Photo)

Answers (5)

Answer: Body Lift Candidate

Answer: Body Lift Candidate

Answer: Body lift

Answer: Body lift

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Everything you need to know about Body Lift

Our mission is to create a world where every investment in modern beauty is Worth It.