Do I make a good candidate for BBL and is my wish pic achievable? (Photos)

Question

Hello, I have longed for curvier shape! I'm very apple-shaped, all the weight I gain goes to my midsection and breasts. I am ready to do a fat transfer into my buttocks and hips. Currently, I'm 200 lbs at 5'3". What weight range would be best to transition into my wish pic? Is my wish pic achievable?

Emmanuel Mallol Cotes, MD · Answer

Thanks for the question. 
In this regard, I recommend you a Tummy Tuck to get a flat abdomen and waist and back Liposculpture, getting better curves especially in the waist, improving your body contour.
Finally, I suggested take the fat we get and transfer to the buttocks and hips, to mold them and get better volume, contour and butt projection, is that we know as "Brazilian Butt Lift" (BBL).
Kind regards,Dr. Emmanuel Mallol Cotes.-

Kenneth Hughes, MD · Answer

Hello, thank you for your question. It is best to be within 10 pounds of your weight goal for three months prior to the BBL. A BMI of 35 (yours is 35.4) is probably the upper limit that a plastic surgeon would consider for this procedure. In my practice I look for a BMI approximating 30 to lessen the risks of complications during and after surgery and to enhance the results of the procedures. It appear that you would benefit from a Lipo/BBL and TT.  I perform the lipo/TT and BBL in combination for many of my patients.  However, if they prefer staging the procedures I always recommend the lipo and BBL first, followed by the TT three to six months later so that the result will be as tight as possible. I recommend you to schedule a consultation with a board certified plastic surgeon.

Luis A. Mejia, MD · Answer

Hello dear!
Thanks for the pictures and provided information as well.
Based on your photos, you are a great candidate for 360 liposuction and a full tummy tuck, to give you a nice tight tummy and get rid of the extra skin.
Along with the tummy tuck, liposuction allows your plastic surgeon to transform your entire shape. You improve your waist, back and flanks.
It is important that you communicate to your board-certified plastic surgeon what are expecting, to make certain that your goals are realistic. It's helpful to show pictures of results you'd like, but please keep in mind that these are other people and your body is different from everybody. Your wish pics are not achievable, you both have totally different type of bodies.
In general, you need to be physically healthy and at a stable weight, have realistic expectations, hemoglobine levels above 13 be a non-smoker and your BMI needs to be 31 or less.
l recommend you to make an appointment with a board certified plastic surgeon to talk about your goals and anything you need to know.
Good luck :)Dr. Luis Mejia.

Daniel Barrett, MD · Answer

Dear tambreck,
Generally speaking, you want to reach your goal weight before you consider a surgery, otherwise your results will be suboptimal if you continue to lose weight after the surgery. Based on your photos, you look like a good candidate for a BBL and TT. Liposuction of your abdomen, back and flanks should give you more curves and hourglass shape and fat transfer to buttocks should give you more projection. Full tummy tuck should tighten your abdominal muscles and remove the excess skin. I would suggest you to consult a board-certified plastic surgeon because only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD

Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Tania Medina de Garcia, MD · Answer

Hello dear!
Thanks for the question and provided information as well.
Right now your BMI is 35 and it needs to be 33 or less, for you to be considered a good candidate for plastic surgery.
l recommend you to make an appointment with a board certified plastic surgeon to talk about your goals and the best options for you.
Good luck :)

Arian Mowlavi, MD, FACS (license on probation) · Answer

Hello and thank you for the question! Based on your photos, you would likely benefit from an ultra high definition tummy tuck using high definition VASER liposuction. The tummy tuck procedure would comprehensively remove excess skin and fat in the abdominal region. The abdominal muscle would also be 'tightened' to create the appearance of a flatter stomach.  A Skype or FaceTime consultation with a tummy tuck specialist will help you get an accurate recommendation and pricing.
Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Mats Hagstrom, MD (license on probation) · Answer

Is your current weight you are not a good candidate for any cosmetic surgical procedure.
You will not have results that even come close to resembling your wish pictures if you move forward with a BBL at this time.
The appropriate course of action for you is dramatic weight loss followed by an assessment for a full or extended take me to tag also known as a body lift.
I suggest looking into support groups in your area such as weight watchers or over eaters anonymous. at your current weight you will not have a good aesthetic outcome and do you have an increased risk of complications as well.
Currently you carry excessive amounts of visceral fat. doing a tummy tuck with this much visceral or intro domino effect will leave it to an outcome with a bulging upper abdomen. 
If you can lose 60 pounds then you may be a great candidate for the tummy tuck.
In regards to setting expectations correctly look at the plastic surgeons before and after pictures and look for people who look similar to yourself in the before pictures.  that can give you a better idea of what kind of results you can get.
You are not a particularly good candidate for a BBL because you already have skin laxity and with further weight loss you will develop further skin laxity.  
Best, 
Mats Hagstrom MD

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