Can lower back lipo give the illusion of a BBL? (Photo)

Question

I requested a consultation for a fat transfer with air sculpt. The surgeon told me that I don’t have enough fat to transfer to my butt and recommended that I have lower back lipo instead which would give the illusion of a BBL. I don’t see how it would make that much of a difference but I’m not a doctor. Wondering if anyone has any thoughts on this.

Daniel Barrett, MD · Answer

Dear wildlion23,
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

Kenneth Hughes, MD · Answer

I have had great success with BBLs for thinner women, but these surgeries are not easy. Maximal fat must be harvested without creating any contour deformities. If the waist was smaller at one time, the waist can likely be reduced with liposuction to those same measurements or smaller provided the muscular and facial integrity has remained the same. There are a lot of women who can get nice results from the BBL despite thinking that there is not enough fat. Schedule an email, Skype, or in-office consultation with a board certified plastic surgeon who specializes in thin patients.

Mats Hagstrom, MD (license on probation) · Answer

I suggest having multiple in person consultations to help find the most appropriate surgeon for your needs.

Based on your picture you have enough fat for a BBL but it may require a little more extensive Liposuction which in the end will just give you more liposuction results.

The most common approach in my practice is to liposuction the entire torso for a fat transferred to the buttocks.

For patients with low low BMI who have insufficient amounts of fat on their tour so I typically go to the extremities the most common is probably arms followed by inner or outer thigh.

If you don’t have enough fat to do a BBL then you don’t have enough fat to create the illusion of gluteal augmentation from liposuction of your lower back love handles and waist.

The following are some general recommendations for patient seeking cosmetic surgery.
1. I recommend patients avoid traveling long distances for elective surgical procedures. There are of course instances where there is a lack of local talent and traveling to some degree is inevitable. If traveling for the procedure patients should be ready to travel to have the consultation, post operative appointments and follow up should there be issues or complications.
Patients sometimes do not appreciate the importance of in person consultations, that complications do happen or the number of people who have issues with their results or need revisions.

2. Schedule multiple consultations with different providers in your area who seem to have a good reputation for the procedure you’re interested in. Starting with at least five consultations seems like a reasonable number to me.

3. Whenever possible schedule in person consultations.  
4. During in person consultations ask each plastic surgeon to show all of their before and after pictures for the procedure you’re interested in.

The goal is not to see the best results of their career but to get an idea of what average results look like and get some type of confirmation of how many of these procedures that provider has performed.

Ask to see results that were not as good as the doctor would’ve hoped for and talk about the differences in outcomes.

Honest and experienced providers should have no problems presenting this type of information.

A highly experienced plastic surgeon should have hundreds of before and after pictures for the procedure you’re interested in. At a minimum at least 20+.

5. Read all the reviews on various physician review websites paying close attention and avoiding providers with any significant number of justified negative reviews.  Providers with an abundance of reviews often have aggressive marketing campaigns.

The plastic surgeons I respect most all have the single variable of not having justified negative reviews on their online profiles. 
In my opinion justified negative reviews are far more telling than an abundance of positive reviews.

6. Avoid scheduling for surgery or making a deposit on the day of the consultation.  Give yourself some time to think about the decision and make sure you finished all scheduled consultations before committing to having surgery that will permanently and irreversibly change your body.

When in doubt slow down and schedule more consultations.

Choosing the right plastic surgeon is the single most important variable to having a positive experience.

7. Don’t go chasing after technology or names of certain equipment. Instead focus all your efforts on finding the most experienced and talented board-certified plastic surgeon.

Best,

Mats Hagstrom MD

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