Your concerns are more than valid. They are some of the most important variables to be taken into consideration when considering this procedure. When making an assessment regarding the candidate, see you for a BBL. We need to look at the patient from both and Liposuction and fat transfer perspective. The patient’s candidacy needs to be assessed for both procedures. First of all delivering, consistent quality, liposuction and fat transfer results is far more difficult than most people realize. The number of plastic surgeons have truly mastered. These procedures are in a small minority. This is true not only for the technical aspects of the procedure, but also for having a clear understanding of what the female figure should look like . Based on what I see some providers seem to have a very obscure vision of what women’s bodies should look like. Techniques like removing fat from the upper thigh, in order to create a bulbous, large buttocks, creating a lollipop appearance, is undesirable and unnatural. The goal should always be to create a smooth, harmonious, S-curve, a.k.a. cock bottle, a.k.a. hourglass figure starting from the armpit, finishing at the knee. The number of plastic surgeons who are truly excellent at this procedure are far and few between. Most plastic surgeons think they’re far better at Liposuction than they actually are.Poorly done Liposuction and to some degree fat transfer can leave people permanently disfigured.To get a quality assessment and begin vetting plastic surgeons, I suggest having multiple in person consultations with providers in your community that seem to excel at the BBL procedure. During each consultation, ask each provider to open up your portfolio and show you their entire collection of before, and after pictures of previous patient who had similar body characteristics to your own. An experienced provider should have no difficulty showing you the before and after pictures of at least 50 previous patients. highly experienced surgeons should in fact have access to hundreds or preferably thousands of before and after pictures to show you. Being shown a handful of pre-selected images, representing only the best results of a providers career, or if patients who don’t look like you is insufficient to get a clear understanding of what average results look like in the hands of each provider, what your results are likely to look like or how many of these procedures they’ve actually performed. Look very carefully at the contour from top to bottom to make sure the results consistently look natural and consistent with what you’re hoping to achieve. It’s a good idea to bring pictures of your own body with you to use as a reference when reviewing before and after pictures. Try taking pictures the same way plastic surgeons take before and after pictures. There’s no correct number of consultations needed to find the best provider. The more consultations you have the more likely you are to find the best provider for your needs. Considering how much variation there is in Liposuction and fat transfer skills among plastic surgeons, I suggest starting the process by at least having five consultations and consider scheduling more unless you feel very comfortable. You found a provider that has the required skill and experience. Calculating how much fat can be harvested on low BMI patience can be challenging. Sometimes dancer is not yes or no but rather how many areas are you willing to have treated with Liposuction to get the fat transfer results you’re hoping for. While we typically start by doing liposuction on the torso, sometimes significant amount of fat can be also harvested from extremities. Arm and thigh liposuction can be technically more challenging to do so always confirm and providers have the skills and experience to deliver consistent quality outcomes. When, in doubt, slow down and schedule more consultations. Never scheduled surgery during a consultation and never scheduled surgery after having only one consultation. The biggest mistake patients make is not spending enough time having multiple consultations before selecting providers. Whenever possible avoid virtual consultations. To properly vet providers is much better to meet them in person. Good luck, Mats Hagstrom MD