Doctor says I have to gain 10 lbs for BBL since I do not have enough of right type of fat needed for it. Suggestions? (photo)

The good news is, you appear in your photographs to have enough fat for a BBL. The bad news is, Urban Legends still abound in plastic surgery. By that I mean you had all the fat cells you are ever going to have in your body when you went through puberty. The theory that if you gain weight, you will have more fat cells to put into your butt to create a larger butt which will increase the amount of your Brazilian butt lift is patently ridiculous. People under 300 pounds are incapable of actually growing new fat cells. Actually, when you gain weight, you increase the size of the cell (hypertrophy), not the number of cells (hyperplasia). When a plastic surgeon harvests fat from any area, we are attempting to harvest healthy cells. Obviously cells that are overstuffed with fat are more fragile, more likely to burst in the harvesting process, and therefore not only the fat is lost, but the cell itself often gets destroyed. Ergo, the more you eat, the more likely you are to engorge cells which may not survive the fat grafting process.To create a larger and therefore lifted or more protruding buttocks, one transfers CELLS containing fat, not fat. Free fat or burst cells do not survive the transfer process, and their existence in an area of fat grafting only increases the inflammatory process which may, in fact, decrease the ultimate size of a BBL. Bottom line, eating more to gain weight to have fat cells available for a BBL makes no sense.

Hello. Thank you for the
pictures and detailed information. It
sounds like your surgeon is making the correct recommendations. I agree with my fellow surgeons in stating
that normally around 1/3 of the fat injected into the buttocks via a Brazilian
butt lift will shrink, so it is important that your surgeon have enough to work
with to make sure you get the results that best fit your body. 

You have a fairly good shape already, if you are interested in more volume then a few more pounds would be great. Your shape can also be further accentuated with this procedure. Remember, about a third of the fat injected will shrink, so you always want to go into the surgery with as much fat as possible for your surgeon to work with.Best wishes,Dr.Bruno

First of all, a desirable butt has a lot more to do with Waist to Hip ratio than with how much fat is injected. I have injected fat into several patients that weigh less than you do and got great results.From the looks of your picture, even a liposuction around your love handle area would give you a great result. You already have great projection and a nice curve in your lower back. Stand in from of a mirror with your back to the mirror and turn at an angle. Then put a hand on your love handle and compress it above the butt and you will see what I mean.Take a look at the link below to see what I mean about love handles. You can also see in the procedure gallery of my website pictures of a girl who weighed less than you and had BBL

I would transfer fat from your abdomen, flanks, medial thighs, lower buttocks, and full back. That will get you 300-500 cc per side which would be in the range I would shoot for for your body type. Good Luck!Dr Shifrin