dear patient: a Plastic Surgeon is Board Certified by the American Society for Plastic Surgeons (ASPS) which is the most prestigious board for a Surgeon to have which performs multiple or more challenging plastic surgery procedures. A Cosmetic surgeon has no federally recognized board. Any doctor without any aesthetic training could claim to be a Cosmetic Surgeon. Hope this is a clear explanation for choosing your surgeon. Regarding Fat Transfer, if you dont have enough fat in one area of your body (usually we harvest from the abdomen or flanks) your Board Certified Plastic Surgeon should be able to graft Fat from other parts like upper arms, Bra-Strap, thighs, back, inner thighs etc. That should be enough to Transfer to your Buttocks area. Usually there is no sensory loss after Fat Transfer to your breasts or Buttocks, you might experience some numbness, soreness and discomfort post op during the first weeks but that should most probably dissapear within the following months. An experienced Board Certified Plastic Surgeon should Graft, process and inject the desired Fat in the Buttocks or Breast areas and should over inject since anywhere from 20 to 50 percent of the Fat will be reabsorbed by your own body. Difference between a Tummy Tuck and a Circumferencial Tummy Tuck is the scar you will end up and the type of procedure and results you will be getting. Usually a Tummy Tuck would include the tightening of your abdominal muscles, excission of your excess abdominal skin, and this resulting in a scar that is normally placed lower and from side to side Of your bikini line area, which should be covered by your underwear. The Circumferential Tummy tuck involves a longer more invasive procedure, where the Tummy Tuck is performed (tightening of your abdominal muscles+ excission of skin ) and the Board Certified Plastic Surgeon will continue the excission of skin on the back, in this way giving you a scar that mimmks a belt, all around your lower front area and then going around your lower back area. Usually the Circumferential Tummy Tuck would be performed on patients that have gone through heavy weight loss and have excess hanging skin that is detrimental to their lifestyle. Hope all of this information helps!!!!