What is the highest BMI for a BBL and TT? (Photos)

A BBL is two procedures done at the same time. When making an assessment for this procedure I separate the assessment first into a Liposuction assessment and then into a fat transfer assessment.

In regards to Liposuction my personal maximum cut off is 220 pounds. Patients even close to that wait always need two rounds of liposuction to get something that resembles ideal results because of the 5 L safety fat removal limit most plastic surgeons follow. 5 L of fat is typically around 8 pounds of fat. Obviously we take the fat from where it counts the most but someone weighing 258 pounds removing 8 pounds of fat will still leave them weighing 250 pounds. it isn’t enough to have a substantial impact. On top of this it’s well-known that patients typically gain weight rather than lose weight after high-volume Liposuction procedures.

In regards to fat transfer the Liposuction safety limits don’t matter so much but most patients who are morbidly obese don’t have a volume deficit anywhere on their body.

If you get the procedure at your current weight then the fat grafted will shrink with successful weight loss. For that reason it makes much more sense to succeed with weight loss first and then get a proper assessment.

To get to a healthy weight you will need 100 pound weight loss from where you started.

Being 100 pounds overweight is considered morbid obesity.

After successful weight loss of morbid obesity most patients develop a significant skin laxity problem and fat no longer is the issue but skin laxity is.

In reality most successful massive weight loss patients end up being poor candidates for Liposuction because they don’t have a fat problem anymore and instead have a skin laxity problem. For that reason most patients with successful massive weight loss end up being better candidates for extended Tummy tuck or body lift surgery.

Different plastic surgeons will have different levels of comfort and personal philosophies on this.

At your current weight it doesn’t make sense to do Liposuction because in order to have an impact you’ll need multiple rounds of liposuction and that can be accomplished by just losing weight which is far more healthy, safer and far less expensive.

Once someone has successfully lost weight they can definitely look into having a BBL for gluteal augmentation and this may be very appropriate at that time.

Some plastic surgeons use a set BMI number. I typically go by weight because the limitation is fat removal and that’s a set number. In the state of Florida fat removal is limited to 4 L.

Keep up with that good work with weight loss. When you’ve succeeded at getting to a healthy weight I suggest scheduling multiple in person consultations with local board-certified plastic surgeons.

Best,

Mats Hagstrom MD