Dear Virginian,Posting your front and side view pictures and providing your weight and height would have been very helpful. Your BMI of 42 is way too excessive and is associated with high rate of severe complications. You should reduce it to, at least, 35. I provide all my over weight patients with the book 'Sugar busters' ($7 on Amazon) . It is not a diet book, but rather a life style change best book for over 30 years. I lost 30 pounds in 6 weeks by following the book recommendations. As far as BBL, It is a total waste of time and money for you , because the fat disappear completely or almost completely after few months or even sooner. I have seen it on many patients who came to my surgery center for butt implants after their big disappointment from the BBL procedure that was done by other surgeons ( I do not do it !). Think about it this way. If fat injection was consistent and reliable, most women would have preferred it for breasts augmentation over breasts implants. The reality is that the most popular cosmetic surgery in the US is breasts augmentation with implants ... Fat injection to the butt (BBL) does not work !!! Always, consult with experienced board certified plastic surgeons who operate in accredited surgery center for your safety. Most importantly, check the before and after pictures in the photo gallery, to make sure that they are numerous, consistent and attractive. Best of luck, Dr Widder