Will I have hanging loose skin after Brazilian Butt Lift & Liposuction? Or will it just hang when I'm sitting? (photos)

Question

I have lots of stretch marks above my belly button,my question is will i have HANGING LOOSE SKIN IF I GET JUST A BBL AND LIPO? or will it just hang when i am sitting?will a bbl give me a big round booty?how many ccs will i be able to get?

Shayne Webb, MD · Answer

In my opinion, you are not a candidate for BBL with liposuction alone.  You will have hanging loose skin after that combination.  You need a tummy tuck.  A better combination both for safety and a good result in my opinion would be aggressive liposuction of the abdomen, back, and flanks and BBL during one procedure.  Then have a tummy tuck later.  This will keep the operating room time to a reasonable level during both procedures, make the post op recovery tolerable, and allow you to heal without killing the fat that was injected by being able to lay on your stomach after the first procedure.  Thanks for the pics and question.  Good luck and take care.

Joel Patrick Maier, MD · Answer

If your done having kids, then a tummy tuck and BBL is the way to go; 
this will lead to a tight, flat tummy and full round buttocks. If you want to
 have more kids, then I would recommend holding off on the tummy tuck 
until you are finished with having kids. Good luck and thanks for 
sharing.

Jose Perez-Gurri, MD, FACS · Answer

Hi and thanks for your question. I feel you have realized that with lipo and a BBl alone, you will have hanging skin, sitting or not. You are Avery good candidate for lipo and a BBL. IMHO you could use 1200-1400 CCs . This can only be made possible if the fat donor sites are your abdomen, hips, flanks possible arms and inner thighs. You also need to realize that you will need a tummy tuck to have a flat abdomen.  I would caution you against having both procedures done at the same time for fear of affecting fat survival and eventual results. I am not in the camp that advocate doing both (tummy tuck and BBL) at the same time. Think about it, When fat is transferred to the buttocks, the fat cells need all of the oxygen possible in order to survive. Fat transfers (BBL) require a rich oxygen environment in order to attempt the highest rate of survival of the fat cells. Fat is not just transferred to the buttock region. In order to obtain that shapely pear shape behind you must transfer fat to the area of the hip laterally to make for more attractive curves. If you lie on your side it will place undue pressure on the transferred fat cells and perhaps flatten out the area. We recommend that our patients do not place any significant pressure on their butts for 4-6 weeks following the BBL.If you have a Tummy tuck and BBL done at the same time, how are you going to avoid lying on your back, face up when the tummy tuck prevents you from lying face down? I recommend that the BBL be done first to utilize the abdominal fat which would otherwise be discarded with the tummy tuck. After a minimum of three months , the patient is brought back and the TT is performed.In our office we use TouchMD which is a web based program in which patients have the ability to load their picture unto the program. We can accommodate patients from as far away as California. I then evaluate them and can actually draw on the picture to show a potential patient where the incisions would be located and how the procedure is to be realized. It's all done to comply with HIPPA which is the federal law that protects the patient's medical information. Look them up.Give yourself the highest percentage of a sucssesful operation. Good luck, research then research some more, Dr. PG

Kenneth Hughes, MD · Answer

Some of the answer will depend upon how precisely the surgeon removes the fat.  A tummy tuck would probably help in the future.  I would search for the surgeon who you feel is most likely to give you 
the best results.  Look at reviews and before and after pictures on that
 surgeon's website.  Kenneth Hughes, MDLos Angeles, CA

Kelvin Eusebio, MD · Answer

Dear LaMuneca, thank you for posting pictures with the question of your case. There is some additional information needed for a better orientation, age, weight, height, pregnancies?... From the pictures you posted it seems you may also need a Tummy tuck to be able to obtain a flat abdomen and tight your muscle. If you only have perform the BBL and lipo you wont get the ideal result.  The lipoadbomino and BBL combination would suit you best offering you a flat abdomen, curvier figure and a enhanced buttock area. Good luck.

Salvador Pantoja, MD · Answer

Thank you for your question, In your pictures I can see that you are a candidate for a tummy tuck as well as the Brazilian butt lift, if you where to do only the Brazilian butt lift there would be a lot of loose and rippled skin in the abdomen area (visible even if your standing up) and you wont be able to achieve a smooth or flat tummy.Good luck.Salvador Pantoja M.D.

Tania Medina de Garcia, MD · Answer

Hello dear!
Thanks for the pictures and provided information as well.
Based on your photos, you are a great candidate for liposuction with a BBL and a tummy tuck, to give you a nice tight tummy and to get rid of the extra skin, and I think you'll get very good results. 
Liposuction allows your plastic surgeon to transform your entire shape. You can improve your waist, back and flanks, and of course your buttock, to give you a beautiful heart shape, along with the tummy tuck.
In general, you need to be physically healthy and at a stable weight, have realistic expectations, be a non-smoker and your BMI needs to be 30 or less.
l recommend you to make an appointment with a board certified plastic surgeon to talk about your goals and anything you need to know.
Good luck :)

Katherine Feliz Camilo, MD · Answer

Thanks for posting your pictures. You already have very loose skin on your abdomen , plus your abdominal muscles are too weak.Getting just lipo on your abdomen will not produce very pleasant results. I recommend you consider having a tummy tuck along with your BBL , in order to really obtain a nice waist line and a beautiful abdomen. You have enough fat to get as big butt as you like. Best wishes

James R. Benjamin, MD (retired) · Answer

From Review of pics,the following can be concluded. You are a good candidate  for the BBL. Sufficient fat can be harvested to give a curvy, attractive butt. The abdomen will be an issue.  Not just skin, but muscle wall will need to be addressed as well. A 2nd  procedure to be a TT should be discussed. There are expert plastic surgeons who perform BBL and TT on the same procedure day. This is a much larger, physically demanding endeavor which should be undertaken only with the experienced (and in my opinion, Board Certified) Plastic Surgeon. But make no mistake , the abdominal wall should be discussed as well as the BBL and addressed either in 2 separate sittings or at one time to get the best overall aesthetic outcome.Good candidates are determined on basis of medical, surgical, pregnancy history and actual physical. Candidacy referenced in the opening sentence assumes the preceding addressed and found to be acceptable.

Will I have hanging loose skin after Brazilian Butt Lift & Liposuction? Or will it just hang when I'm sitting? (photos)

Answers (9)

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