I have my pre-surgery consult soon & I am so nervous. What should i ask for? I don't want to look like I have a huge ass and chicken legs. I want a small wasteline and natural, but prominent curvature butt and hips. I chose a great doctor (board certified) but I am scared of the outcome. Do doctors have one technique for BBL that all result the same?
April 12, 2017
Answer: BBL...The Breakdown BBL goals are not quite as easy to effectively communicate as compared to breast augmentation. There are no cup sizes or informative cc guides. However, I often find that breaking down the technical aspects of the operation can aid in communication by ensuring that patient and surgeon are on the same page. We as surgeons tend to describe things in regards to framing and esthetic zones (as defined by Dr. Mendieta). Beginning with frame, patients are subdivided into "A" frame, "V" frame based on the relationship of the A point to the B point. The A point is the most prominent bony point on the upper hip-the iliac crest. The B point is the prominent bony point on the lower hip- the greater trochanter. When the A point is wider than the B point you have the "V" frame which is generally considered less aesthetically desirable. When the ratio is flipped with the B point being wider than the A point you have an "A" frame which is more desirable. When the two points are equal you have a "square" frame. The goal of most BBL procedures is to convert "V" or "Square" frames into "A" frames by understanding the 11 aesthetic units from which we either harvest or transfer fat. These units are: 1. Sacrum or "V" zone at the top of the gluteal cleft 2. Flank 3. Upper buttock-lower flank 4. Lower back-just above the "V" zone 5. Outer leg-below the "B" point 6. Gluteus-the "apple of the buttock" 7. Inner gluteal-"Diamond Zone" crucial for emptying the "thong zone" 8. Mid-lateral buttock-"C" point between "A" and "B" 9. Inferior Gluteal/Posterior leg (back of the leg) 10. Upper back While this is all very technical, the goal is to achieve an "A" frame by emptying zones 1-4, 7, 10 and building up area 6 and 8. The result is a cinched waistline and filled out frame. With regards to your specific question, the best way to approach a consultation is to decide on your frame and then discuss what areas need to be emptied and what areas need to be augmented. The number and letter guides are a standardized method of discussing what to expect. As always, discuss your concerns with a surgeon certified by the American Board of Plastic Surgeons.
Helpful
April 12, 2017
Answer: BBL...The Breakdown BBL goals are not quite as easy to effectively communicate as compared to breast augmentation. There are no cup sizes or informative cc guides. However, I often find that breaking down the technical aspects of the operation can aid in communication by ensuring that patient and surgeon are on the same page. We as surgeons tend to describe things in regards to framing and esthetic zones (as defined by Dr. Mendieta). Beginning with frame, patients are subdivided into "A" frame, "V" frame based on the relationship of the A point to the B point. The A point is the most prominent bony point on the upper hip-the iliac crest. The B point is the prominent bony point on the lower hip- the greater trochanter. When the A point is wider than the B point you have the "V" frame which is generally considered less aesthetically desirable. When the ratio is flipped with the B point being wider than the A point you have an "A" frame which is more desirable. When the two points are equal you have a "square" frame. The goal of most BBL procedures is to convert "V" or "Square" frames into "A" frames by understanding the 11 aesthetic units from which we either harvest or transfer fat. These units are: 1. Sacrum or "V" zone at the top of the gluteal cleft 2. Flank 3. Upper buttock-lower flank 4. Lower back-just above the "V" zone 5. Outer leg-below the "B" point 6. Gluteus-the "apple of the buttock" 7. Inner gluteal-"Diamond Zone" crucial for emptying the "thong zone" 8. Mid-lateral buttock-"C" point between "A" and "B" 9. Inferior Gluteal/Posterior leg (back of the leg) 10. Upper back While this is all very technical, the goal is to achieve an "A" frame by emptying zones 1-4, 7, 10 and building up area 6 and 8. The result is a cinched waistline and filled out frame. With regards to your specific question, the best way to approach a consultation is to decide on your frame and then discuss what areas need to be emptied and what areas need to be augmented. The number and letter guides are a standardized method of discussing what to expect. As always, discuss your concerns with a surgeon certified by the American Board of Plastic Surgeons.
Helpful
April 13, 2017
Answer: What to ask for BBL consult Bringing realistic "goal" photos is always a good idea so that you and your surgeon are on the same page. He can tell you wether he is able to accomplish what you are asking. Most surgeons use the technique of taking down the waist as much as possible with liposuction and then injected into the buttocks evenly. The fat is injected usually from the top of the buttocks (lower back) and/or the bottom depending on the patient's wishes and individual needs. Good luck with your procedure!
Helpful
April 13, 2017
Answer: What to ask for BBL consult Bringing realistic "goal" photos is always a good idea so that you and your surgeon are on the same page. He can tell you wether he is able to accomplish what you are asking. Most surgeons use the technique of taking down the waist as much as possible with liposuction and then injected into the buttocks evenly. The fat is injected usually from the top of the buttocks (lower back) and/or the bottom depending on the patient's wishes and individual needs. Good luck with your procedure!
Helpful