Is it possible to get liposuction of love handles and lower back fat instead of BBL?

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  If you are an appropriate candidate, then yes, waistline contouring
liposuction of your abdomen, flanks, and lower back can be performed without a BBL.  This can greatly
improve your overall shape with a smaller waist.  .   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

These days it seems impossible to imagine liposuction without the requisite fat transfer that has become ubiquitous on the front pages of the tabloids. But liposuction (without fat transfer) has been a mainstay of body contouring for many years.
Liposuction is one of the most common, as well one of the most commonly misunderstood cosmetic procedures performed by plastic surgeons. Liposuction, or suction assisted lipectomy (SAL) as it is also known, allows a surgeon to contour a patient’s shape and address those areas resistant to diet and exercise. It is not a weight loss procedure and is best performed on patients who are at or near their target weight. Common target areas include:
Abdomen/Flanks (“love handles”)Hips/Thighs/LegsUpper armsBackButtocksWith regards to your specific question, liposuction is still commonly performed independent of fat grafting. Additionally, liposuction of the lower back (along the lumbar curvature) has the added benefit of creating the illusion of a buttock augmentation by unmasking a previously concealed curve. There are two ways to address a contour: augment the hill or deepen the valley. Addressing one will consequently change the other (i.e. emptying the lower back and accentuating the superior curvature enhances the buttock).
As always, discuss your concerns with a board certified plastic surgeon (ABPS).