What is safer and the best option for me a BBL or Sculptra butt lift? (Photos)

Thanks for the question. 
In this regard, I recommend you waist and back Liposculpture, getting better curves especially in the waist, improving your body contour.
Finally, I suggested take the fat we get and transfer to the buttocks and hips, to mold them and get better volume, contour and butt projection, is that we know as "Brazilian Butt Lift" (BBL).
Kind regards

Thank you for your question and photos.  Based on your photos and BMI of 19, you do have limited amount of fat. As a Total Definer body sculpting surgeon, I would recommend VASER Hi Def Lipo 360 degrees with fat grafts to the buttocks. This is a technical and artistic operation. It is not enough to transfer fat to the buttocks without adequate sculpting of your torso. You have one good chance for this due to the limited fat supply.Sculptra injections are a waste of money (delicate results no visible improvement) and they do not sculpt the body.Regarding the statistic that you cited, that study is based on a survey (!), arbitrarily assigned a percentage of cases as being done by non-plastic surgeons (25%, but in reality it is close to 50%), they did not remove the outliers. One statistic included a surgeon who reported 9 deaths out of 10 BBLs he has ever done! Now who would go to someone like this person? or is this a misprint? They included deaths outside the study dates which further skewed the results. A new publication is in the works which refutes these numbers and is based on actual number of cases. It seems, that the death rate in BBL cases is 1:13,000! Death rate from abdominoplasties or tummy tucks is 1:10,000! No one raised any alarm about that.The safest choice you can make is choose a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person consultation/evaluation. Good luck.See the attached web reference of a patient similar to your body habitus.

Dear Beautyresearch,
based on your photos, you look like a good candidate for a BBL. Liposuction of your abdomen, back and flanks should give you more curves and hourglass shape and fat transfer to buttocks should give you more projection. I would suggest you to consult a board-certified plastic surgeon because 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

Sculptra can be effective for filling small surface irregularities or volume deficits, but it should not be expected to produce significant buttock augmentations.  Butt implants and BBL continue to be the most effective routes for gluteal augmentation.    It should also be pointed out that Sculptra injection has no inherent safety benefit over the injection of fat, and both should be injected superficially and with larger, blunt cannulae to avoid intravascular injection.

Hello dear!
Thanks for the question and provided information as well.
Based on your pictures, you are a great candidate for liposuction with BBL, and I think you'll get very good results.
Liposuction allows your plastic surgeon to transform your entire shape. You can improve your abdomen, back and flanks, and of course your buttock, to give you a nice 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 33 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 :)

Based on your pictures, you are an excellent candidate for a Brazilian Butt Lift (BBL). The optimal BBL outcomes are achieved with: 1) use of VASER liposuction to harvest the fat, 2) a closed looped system such as Puregraft to process the fat, and 3) strategic micro-packet transplant technique. These three processes have demonstrated over 95% fat graft take. This means that your results will be stable as long as you maintain your weight. As an official VASER trainer, I am routinely referred unhappy BBL patients. One of the most common reasons for disgruntled BBL patients is that patients are not able to accurately communicate their desired buttocks goals to their surgeons.  A buttocks assessment tool can be an invaluable tool to communicate to your surgeon the exact buttocks size and shape you are desiring. A Skype or FaceTime consultation with a BBL specialist can help you get an accurate recommendation and pricing. 
Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Even though you’re slim I think you have enough fat and overall are a good candidate for a BBL.
Typically on someone like you I would treat the full torso for the best body contour and is the maximum source of fat for the fat transfers. A “full torso“ is technically upper abdomen, lower abdomen, love handles, waist, back and armpits and under arm areas.
Most likely I would also include a Arms and possibly inner thighs and Knees. 
Your results will still be subtle I believe you would find it to be a Nice improvement if you have your expectations set to a modest outcome.
When things Don’t feel well with this procedure it’s more common a problem with the Liposuction.
To aggressively harvest as much fat as possible and not to leave the patient with any contour deficits you need to be the hands of someone who has extensive experience and skill.
I suggest having multiple in person consultations with experienced board-certified plastic surgeons in your area who have extensive experience with this procedure. during the consultation asked to see lots and lots of before and after pictures. ask the provider to show you as many as they can.
An experienced provider should have no problem showing 20-50 sets of before and after pictures. When reviewing the before and after pictures look carefully for any evidence of Liposuction deformities on the areas treated. confirm that all after pictures were taken at least three months from the time of the procedure. early fat transfer results are not even close to representative of final results.
Find The right provider and you should have a nice result.
I do not recommend people gain weight for the purpose of a fat transfer procedures.Unless money is of absolutely no concern sculptra  is not a realistic option for this procedure. The statistics you read are indeed alarming and they were based on the time we must or at least many plastic surgeons purposely grafted fat deep in the gluteus muscle believing it was an ideal way of doing the procedure.Grafting fat to the gluteus muscle especially when grafting deep in the muscle increases the chance of a fat embolism. doing so has been proven to give better results with successful graft survival but is now considered a risk that most plastic surgeons do not take.We don’t have current complication rates using more updated technique but I would assume they are much better than one in  3000. 
Best, 
Mats Hagstrom MD

Hello,

Thank you for sharing the information, it is a pleasure for me to answer your question.
Definitely the most appropriate is to start ( 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...