Is it possible to get a BBL after a mommy makeover? (Photos)

Question

Hi, I'm 27 and I am one month post-op from mommy makeover. I feel like my ps didnt lipo enough fat because I still have big love handles and some fat around my stomach. Or am I still considered to be swollen? I'm not sure need a second opinion. Will a bbl help me with all that? Also, my husband wants to have another baby in the future but I'm not sure if I want to but if it happens will a BBL help after pregnancy or should I just go get my BBL done first? Thank you for your help!

Kenneth Hughes, MD · Answer

I usually tell my patients to wait at least 3 months before having additional surgery.  The best answer will come from the PS who performed your MM as he/she will know how you are healing as swelling may last for six months.The fat transferred to the butt will be affected by the total body fat percentage, and the buttock will likely get larger with pregnancy and decrease in size with weight loss.  The shift in fat distribution is permanent and will be apparent even during pregnancy and after.  However, if you go through a pregnancy, the skin will lose some of that elasticity.  This loss of elasticity will occur whether you have the liposuction or not.  Very few women have good skin after pregnancy, but you may be one of the lucky ones.

Emmanuel Mallol Cotes, MD · Answer

Thank you for your question. Based on your photos you appear to be a good full body intense liposuction including abdomen, waist, laterals and upper and lower back to improve your body contour and get better curves, especially in your waist area and Dominican Butt lift taking the fat we get and transfer to the buttocks and hips, to mold them and get better volume, contour and butt projection.
Kind regards,Dr. Emmanuel Mallol Cotes.-

Carolina Restrepo, MD · Answer

Thanks for your question. There is a process of swelling and bruising that peaks at 3 days after surgery and then undergoes the first stage of major resolution in the first 2 weeks after surgery.  The lateer phase of healing takes place over the 2-3 months after surgery where everything really settles and softens.  It is after this time that we are getting close to the final result, though this varies patient to patient. I like to encourage my patients to have a brazilian butt lift when getting liposuction as the fat that is taken out will go to waste if its not used. You may not have enough fat for a brazilian butt lift. Best is to follow up with your surgeon after 6 months from your surgery.

George Marosan, MD · Answer

Thank you for your question and photos. You did not post any photos of your back/buttocks. Based on your preop photo, I would've done a two stage procedure. You do not seem to have a lot of fat and I would've collected the fat from the full abdomen, back, waist and hips and transfer the fat for a BBL. Second stage, an abdominoplasty 4-6 months later with a low and short scar. Maybe this option was not presented to you and now you have excess fat, a rectangular shape and a very long and high scar. Once you heal, yes you can have liposuction (I prefer the VASER) and have fat placed for a BBL. There's a good possibility that you will end up with loose abdominal skin afterwards.Discuss your concerns with your surgeon or seek a second opinion from a board certified plastic surgeon experienced in advanced body sculpting techniques. Good luck with your healing.

Daniel Barrett, MD · Answer

Dear Caring3613,
I understand your concern and it is quite normal to be concerned about the outcome following a mommy makeover surgery. However, you are still in the very early stages of the healing process.Your will need to be patient at this moment and follow what your surgeon has instructed you to do post operatively.At the early stage of the healing process, the tissues are still swollen. Once the swelling subsides  you will be able to see the final result of your surgery.
If you are not satisfied with the results of your surgery and you have enough fat, then you might be a candidate for a BBL surgery. 
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Tania Medina de Garcia, MD · Answer

Hello dear!
Thanks for the question and provided information as well.
Based on your pictures, you are a good candidate for liposuction with BBL, and I think you'll get very good results. I would recommend to wait six months between surgeries, but remember that all depends on your health and lab tests.
Liposuction allows your plastic surgeon to transform your entire shape. You can improve your abdomen, hips, back and flanks, and of course your buttock, to give you a beautiful heart shape.
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 :)

Stephen M. Davis, MD, FACS · Answer

Thanks for writing,You are still early in the post-op healing phase from your mommy make over. I would follow your Board Certified Plastic Surgeons post-op instructions carefully and completely. Once you have maximized your result then you can address a BBL. I am certain your Plastic Surgeon will be happy to help you understand your options and an appropriate time frame. Good Luck Stephen M. Davis, MD, FACS
Green Hills Plastic Surgery
Nashville Tennessee 
Certified: American Board of Plastic Surgery
Member: American Society for Aesthetics Plastic Surgery
Member: American Society of Plastic Surgeons 
Member:RealSelf Hall of Fame

Manuel Belen, MD - Account Suspended · Answer

Hello,
  
Thank you for sharing the information, it is a pleasure for me to answer your question.
  
 Definitely the most appropriate is to start (tummy tuck, liposuction and BBL can also be included), you are a candidate perfect, for the procedure, with this you can eliminate all localized fat and flaccidity, you will get the best results and have a defined appearance according to your body.
It is advisable to consult with a certified plastic surgeon, for a good evaluation, to provide you with all the information you need to know about the appropriate recommendations, so that you can achieve the desired goals in your body.
I hope this answer will help you
  
My best wishes for you...

George Lefkovits, MD - Account Suspended · Answer

You should be able to undergo a BBL if you have enough donor fat following your listed procedures. You photos show that you do have residual fat in the love handles and probably in the abdomen. But I would suggest waiting 3-6 months from the time of surgery to allow much of the swelling to subside. Good luck1

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