Can I get a Brazilian butt lift to make my waist/flanks smaller?

There is no doubt that you are one challenging case for good BBL result! How much of waist can be created with liposuction depends of your muscles and hip (pelvis bones) relationship. Liposuction can remove extra deposits of fat from flanks and lower back and it will create some waist line; addition of fat grafts to hips and buttocks will further improve contour, but, again, with a limit. Skin of the butt and hips can be expanded only so much as its elasticity allows, which will also limit enlargement of the hips and butt. On top of everything said, you seem to have limited amount of fat available for transfer and contouring! In person consultation with a board certified plastic surgeon with significant reputation in BBL surgery is recommended. Good luck.

Thank you for your question and pictures. I would recommend you liposuction with BBL for betters results. If you're willing to travel, Surgeons in the Dominican Republic have experience and very high standard of excellence when it comes to plastic surgery. I'm positive you can get what you're looking for

Dear Lindsey2891,
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