Please keep in mind that a physical exam is always first necessary before providing any final surgical recommendations. Based upon your photos, a Stanton Anatomic shape buttock implant may serve you best. You clearly do not have near enough fat for BBL. Please read on: One of the most important factors in creating the perfect derriere with implants is indeed selecting the right size AND shape. I have found the best way to assure this is to simply measure the actual dimensions of the patient’s buttock cheeks. With these anatomical measurements, I can select an implant that not only significantly augments the buttock but also supplies the correct 3-dimensional enhancement to look as real as possible...even in the most petite patients. Traditionally, teardrop oval implants have a 30+% risk of rotation and thus unnaturally change the buttock shape/appearance when doing so. However, one and a half years ago I created and patented a new "Stanton Anatomic" shaped implant that avoids this issue AND provides as much projection as similar volume (cc's) round implants - I have not had a single rotation problem in 250+ patients. Additionally Stanton Anatomic buttock implants tend to maintain a more natural buttock shape/curve even when bending over - an otherwise not uncommon problem with round implants. This is a huge benefit by the fact that ~90+% of patients have more of an oval shaped buttock cheek than round, thus creating a much more natural and harmonious buttock contour for the majority of patients. Thus, the only way for you to know what implant works best is to consult with a board certified plastic surgeon specializing in this procedure and have him/her take your measurements before selecting an implant and proceeding with surgery. Also not a bad idea to select the surgeon who has the most experience, the best reviews, and the most pleasing before and after photos.