BBL in 2017, have gained so much weight that my butt is starting to get saggy more. Can my butt be fixed? (photos)

Question

I had a BBL back in 2017, and I love my results unfortunately I gained so much weight that my butt started getting so big I’ve noticed that my butt is starting to get saggy more. I am 30 years, 160 lbs ,5’0. What treatment can I do that can help me?

Daniel Barrett, MD · Answer

Dear bojbrenda,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. 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

Darryl J. Blinski, MD · Answer

Thanks for posting photos. YES! You can have a BBL Reduction/Reshaping with ultrasound guided removals & re injections, along with lipo 360. Fee $8,000. Best to virtual consult with...

Mats Hagstrom, MD (license on probation) · Answer

Do you have a nice looking body and the problem is pretty simple.
You’ve become obese and that is not best treated surgically.
One there are surgical options for morbid obesity(individuals who are over 100 pounds above their ideal weight) in your case modification of your eating habits and lifestyle can reduce your weight and bring back the body you could have, did have and deserve to have.
Early in my career I was quite obese and struggled with losing weight.
One day I overheard another doctor speaking to a patient who was struggling with weight loss and he told her to simply cut all of her meals in half. Somehow that statement stuck in my brain and a few days later I said I’m going to try that. I simply took all the normal foods I was used to eating and before starting would physically divide the portions into exactly half. I found foods like sandwiches or bowls of cereal were the easiest to divide in a half and relied on foods like that. if I went to Chinese restaurant for lunch I would just ask for to go container right off the bat and take half the food with me. I recognized there is no need to eat beyond the point where I was no longer hungry. eating to the point where we feel full is not necessary and leads to obesity. there’s no suffering in stopping consumption when we’ve had enough to not be hungry any longer. there were many things I learned over the next couple of years. I eventually started cutting my meals in even smaller portions and typically eight breakfast three times about an hour and a half apart three lunches and typically had two small snacks after work
For me the key was to never let myself get so hungry that I could not be satiated with a small meal. The hardest part was to eat before I was really hungry. I was used to going eight hours without eating then always had very large meals. this turns out to cause enormous insulin spikes in our body and insulin has no choice but to convert all the food we consumed into long-term energy storage which is fat. with small meals the body does not get the same blood sugar spike and releases much less insulin making much less body fat.
My clothing size went from a 48 long to a 46 long and then 44 long eventually I got to a 42 long and at my lowest weight I was wearing size 40 long suit jackets the same size I wore in college.
For the last 10 years my suits have been 42 long.
I made some mistakes along the way. One of them was buying an entire new wardrobe when I got to size 46 long. It only took me a few months to shrink out of those clothes and I should’ve waited but when you lose weight it anymore. 
A few years later I decided to write a brief summary of what I’ve learned from my own experience and also interviewing thousands of patients who also struggle with weight loss coming in to see me for liposuction and other procedures. 
This is a brief summary of what I have learned about weight loss.
Perhaps you’ll find some of it useful.
******************
A few thoughts on the weight loss.
While liposuction is generally not prescribed as a treatment for obesity most patients who get liposuction are somewhat overweight.
From having met thousands of people interested in liposuction I have had ample opportunity to talk to many people about their struggle with weight.
A few repeating patterns seemed to emerge.
Perhaps the most common one is people not eating frequently enough. Losing weight by not eating is a fallacy. In reality we tend to over eat when we eat after having gone hungry for long periods of time. This was my personal issue and when I addressed it by eating frequently I lost weight(60 lbs)
Another common misunderstanding is the relationship between weight and exercise. Most patients are not successful at losing weight by exercising without changes in diet. In my opinion weight is 90% diet and 10% exercise. Exercise has to do with fitness and good health and certainly can help with weight loss. Exercise also helps us feel better about ourselves and that's key in successful weight loss. 
Think of diet and exercise as two separate entities with two separate purposes. 
That said I encourage everyone to exercise on a regular basis. 
The majority of people get hungry from working out and tend to over eat afterwords. Sometimes feeling justified to do so after a strenuous workout. 
The number of calories burned during a typical workout session is far less than people believe.
Any successful weight reduction program has to be based on permanent change. Any temporary diet plan will ultimately fail if not followed by permanent changes in behavior. This one is fundamental. 
Understand the role that insulin plays in obesity and what causes insulin surges. If you read the late Dr. Atkins book(old school now called ketogenic diet) you will learn that his obsession was with controlling insulin much more so than with eliminating carbohydrates.
Learn what glycemic index and glycemic load's are. Avoid eating meals that give a high glycemic load. This is somewhat similar to saying avoid eating large carbohydrate based meals though understanding what foods constitute as bad carbohydrate meals is critical. This will be learned after mastering the concepts of glycemic index and glycemic load.
Here are my rules to keep weight under control. 
1. Never go hungry
2. Never eat a large meal. 
3.  Never, never, never eat a large meal when your hungry.
4. Avoid large carbohydrate based meals with a high glycemic index.
5. Don’t expect exercise to get your weight down. Don't blame the lack of exercise or the inability to exercise for not being able to maintain a healthy weight.
6. Step on the scale every day after you get out of the shower in the morning.
7. Accept weight fluctuations. None of us stay at the same weight or continue to go down in weight.   Don't beat yourself up if you gained a few pounds. It's the long term, rest of your life, progress that matters.
I hope that is of some help.
Good luck,
Mats Hagstrom, MD

BBL in 2017, have gained so much weight that my butt is starting to get saggy more. Can my butt be fixed? (photos)

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