Fat transfer breasts + BBL - will there be less fat in both places if I combine them?

Question

I had a question about fat transfer If I have enough fat I would like to get a bbl and ba at the same time Some say its possible others don't recommend it. My question : If I combine a bbl with a ba with fat at the same time, will there be less fat in both places? For example I read that 1 cup size is usually what you can get with 1 surgery But if I want to combine the surgery will it still be 1 cup size or will it be less? And will my buttocks be smaller as well?

Alan Gonzalez, MD, FACS · Answer

Hello @Anonymous86348, thank you for your question. It depends on your expectations, beginning with having a consultation with the specialist and telling him what you want to achieve, so when you make your surgical plan the doctor will tell you what is actually posible. Best Regards! Alan Gonzalez MD, FACS.

Daniel Barrett, MD · Answer

Dear Anonymous86348,
I understand your concern. It is best however that you consult with a board certified plastic surgeon to determine whether you can have several aesthetic surgeries in one session, as this would depend on various factors including but not limited to your general health condition, the type of anesthesia that will be used, and the type of surgeries that will be performed among others.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

I do not do both procedures at the same time because sleeping then becomes an issue where you may only sleep on your sides.  If you have enough donor fat for both areas, then the fullness only depends on the site and how much fat it will hold safely. If you have marginal fat, then both sites will get less since it much be spread around to 4 areas.

Mats Hagstrom, MD (license on probation) · Answer

If you have enough donor fed then there should be no compromise in how much fat is grafted in the other the buttocks or the breast with a combined procedure. One cup size increase as the final outcome for fat transfer is overly optimistic. That is best case scenario and the great majority of patients do not achieve that much volume. A half cup is much more realistic as a long-term final outcome.
Fat transfer also does not change the shape of the breast much at all so it is a procedure for women who have fairly ideal shaped breasts that just need a small increase in breast volume. I would go so far as to say it is not even a procedure that should be called breast augmentation though it technically is.Fat transfer is a very subtle change compared to what implants can do.
 The biggest drawback to doing these as a combined procedure is recovering without putting pressure on the treated areas. Personally I think patients can recover from both having the BBL and breast fat transfer at the same time without significantly compromising the BBL results. patients can use pillows under their lower back and the back of the thigh to take the immediate pressure off the buttocks and a lot of the volume that’s added during a BBL is more on the side of the buttocks then the part that takes pressure when laying on the back.
 Different plastic surgeons have different protocols and different views on doing these procedures together.
Delivering consistent high-quality liposuction and fat transfer results is more difficult than most people believe in this is true for both patients and plastic surgeons. Most plastic surgeons think they are better at liposuction than they actually are. Liposuction and fat transfer has more variance or difference in outcome purely based on who does the procedure than any other surgical procedure I’ve ever seen. Being board-certified in plastic surgery with an overall good reputation is not sufficient to guarantee that somebody has mastered body contouring with liposuction and fat transfer. Personally I view the torso as a single anatomic unit and either treated the entire torso or don’t do Liposuction. There are of course exceptions but for the most part I believe in treating the entire torso. A full torso includes upper abdomen, lower abdomen, love handles all the way down to the hip dips, waist, the entire back and under arm area all the way to the side of the breast. this leaves people with a natural thin fat distribution without transition zones between treated and entrteded areas. I’ve viewed the BBL as an enhancement to body contouring creating an ideal feminine S-curve that goes from the armpit to the knee. I did not emphasize a large buttocks with liposuction of the outer thigh creating a big round butt on the small leg which I sometimes called the “lollipop look”. Instead I emphasize long smooth harmonious curves creating a slightly hyper feminized balanced figure. To find the most talented and experienced provider in your community I suggest having multiple in person consultations. I do not recommend patients travel for elective surgical procedures and I recommend patients whenever possible avoid virtual consultations. During in person consultations ask each provider to show their entire collection of before and after pictures of BBL results. Always confirm that after pictures were taken at least three months from the time of surgery. anybody who shows early postoperative pictures such as pictures with patients still showing surgical drawings on them, being in the operating room or any evidence of recently having had surgery should be immediately discounted as showing “.fake news”. Early fat transfer results can look very impressive but do not at all represent final results. Ask the provider to show you examples of excellent outcomes, average outcomes and less than outcomes. Specifically ask each provider to show as many pictures as possible‘s of patients who have similar body characteristics to your own. An experienced provider should have no difficulty showing you a minimum of 50+ sets of before and after pictures. Simply seeing a handful of pre-selected sample pictures which in reality most likely represent the best results of that providers career is insufficient to get a clear understanding of what average results look like for that provider. Highly experienced providers will have hundreds or even thousands of before and after pictures and should be willing to give you access during the consultation to see as many pictures as possible. If somebody claims to of done a lot of surgery but doesn’t have a lot of before and after pictures then you should ask yourself why? Do not commit to surgery or pay a down payment during the time of consultation until you’ve finished all your consultations and have given yourself plenty of time to think about your decision. The results from these procedures are permanent and irreversible. When in doubt slow down and schedule more consultations. Finally I recommend patients read all reviews on all various physician review websites avoiding providers for any significant number of justified negative reviews. The absence of justified negative reviews is more important and more telling and having an abundance of positive reviews. Plastic surgeons with the biggest social media profiles are not necessarily any more talented than those who have no websites at all. Famous or likable does not equal talented. Find the right plastic surgeon and everything falls into place. Good luck, Mats Hagstrom MD

Fat transfer breasts + BBL - will there be less fat in both places if I combine them?

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