BBL: How much fat is needed to see a difference and how much survives?

Thanks for your
question.  I think your first step would
be to schedule a consultation with a Plastic Surgeon who has experience with
BBL surgery.  Based on what you have,
they will use most, if not, all of it for the BBL.  Keep in mind that some of the fat will resorb
after surgery (about 20-30%).  So, if you
do not have much fat, then your results will not be as significant. 

Hello and Great Question.  I appreciate the time you are spending researching this procedure.  My name is Dr. Matthew J. Nykiel.  I am a Board Certified Plastic Surgeon, a Fellowship Trained Cosmetic Surgeon, and a Butt Augmentation Specialist.

I would need to see photos to answer your question.  In general, I would expect a minimum of 20% of fat volume loss.Best of Luck!  Please reach out if you have any further questions or concerns.

Matthew J. Nykiel, MD#TopREALSELFDoctor#CoreREALSELFDoctorButt Augmentation SpecialistLiposuction SpecialistBoard Certified Plastic Surgeon

My philosophy on that is to place as much fat as possible without causing fat necrosis or undue pressure.  I always anticipate that only 50% will survive, but frequently more does survive. Even on a thin patient, I can usually get an average of 800 cc of fat per buttock.

Typically about 60-70% of the transferred fat to the buttock/hips will survive after a fat transfer procedure.  The fat that survives is permanent. I recommend consulting with a few plastic surgeons in person for more information since it's difficult to comment further without seeing photos.Best wishes,Dr.Bruno

Hello, thanks so much for your inquiry. Although every BBL patient is different, a rate of 40% of the fat injected is absorbed, if you keep your weight stable afterwards the fat that was grafted is permanent.Please make sure that you and your surgeon are on the same page. Don't forget to discuss all your concerns, options and expectations thoroughly. Have a safe and pleasant PS Journey!Respectfully,Dr. Jaime Campos-LeonBoard Certified Plastic Surgeon

Your race two excellent questions.

The best way I can answer your questions is that they are very individually dependent.

Without pictures or an examination there's no way to say if you have a sufficient amount of fat or not.

As a general statement fin people have less fat to harvest and sometimes not enough fat for an ideal Brazilian.

That said thin women also usually need much less fat for an ideal result.

The amount of fat they can be harvested is highly dependent on the technical skill of the plastic surgeon.

It also depends on how many areas are treated with liposuction.

Sometimes in order to get enough fat many areas need to be liposuctioned.

In regards to long-term fat survival most people estimate approximately 50% of the fat survives.

For those who have less fat available then what is ideal a decision needs to be made if some improvement justify is having the procedure.

I have never had a patient we did not see some improvement long-term.

Often well done liposuction of the flank area, abdomen and or back will give enough of a Contor enhancement that the buttocks look better even without fat transfer.

Adding even some fat grafting to the buttocks is just icing on the cake and will help hyper feminize the figure.

My practice is devoted exclusively to body contouring using various forms of liposuction and fat transfer.

I'm the only board-certified plastic surgeon in the western United States,who's practice is focused on these two procedures exclusively. 

I suggest you consult in person with multiple board-certified plastic surgeon's who have extensive experience with both liposuction and fat transferred.

For those who may have insufficient amounts of fat technical expertise becomes critically important.

Best,

Mats Hagstrom M.D.

Thank you for your question.Fat survival after fat grafting depends on a few things such as technique used, anatomy, genetics, post operative care etc. Best case scenario, usually about 70% of the transferred fat will survive. Within the first 6 months, about 30% of the fat cells will not survive and will be reabsorbed and passed through your body. Whatever fat is remaining after 6 months, is what will remain as long as your weight remains stable. To determine if you have an adequate amount of fat to make you a good candidate, I recommend scheduling a consultation with a board certified plastic surgeon for an in-person evaluation. Best of luck in your endeavors.Sincerely,

James Fernau, MD, FACSBoard Certified ENTBoard Certified Plastic SurgeryMember of ASPS, ASAPS, ISAPS, The Rhinoplasty Society, AAFPRS, OTO/HNS, ASLMS, International Federation for Adipose Therapeutics & Science