When you do the BBL, can they add fat to the hips as well?

Nearly a decade ago I had a patient with a large abdominal area, small buttocks and narrow hips ask me about widening her hips during her BBL and so I injected remaining fat carefully into the “trochanteric fat pad,” or “saddlebag” area, which is an area that normally carries fat in women. 
The results were impressive, because just as narrowing the waist enhances the buttock, widening a narrow hip also enhances the buttock. When the two (narrowing the waist and widening a narrow hip) are done together, the whole body, not just the butt, is transformed. The result was dramatic, even from the front view.

Dear Jasmine,

The beauty of BBL is that allows you to fill the buttock area exactly where you wish to.

Just as an example, the butt implants can only be placed within the muscle layer and can not reach as lateral as the hips.

The fat instead can be injected anywhere to contour your buttocks exactly as you wish to. The main limit is the volume of fat you have available and - depending on the result you aim for - you might have to consider two stages surgery.

I usually show my patients pleanty of before&after pictures and this helps very much in understanding what kind of results we need to go for.

I would recommend to find a UK or European board certified plastic surgeon with clear interest and experience in buttock of surgery.

I hope you found this answer useful and I wish you the best of luck with your BBL.

Thank you for your question.If you have adequate amounts of fat pockets to distribute to the buttocks and hip areas then yes, this can be performed. I would recommend that you schedule a consultation with a board certified plastic surgeon so they can perform a physical examination and review of your medical history to determine whether you are a good candidate to undergo this elective cosmetic procedure. When I perform a BBL, I will evaluate the patient’s body to make sure that they are a good candidate for the Brazilian butt lift. It will also be assessed as to which areas will be liposuctioned. Depending on the amount of fat necessary to fill the buttocks/hip area, multiple donor sites on the body may be considered. After liposuction has been performed, a closed sterile system is used which ensures the fat tissue is never exposed to the air. This keeps it safe and purified for reinjection into the buttocks/hips. Our plastic surgery office uses P188, a triple-wash antibiotic that sterilizes the tissue and separates the healthy fat from any tissue that may not survive the transfer process. I will then reinject the fat to make sure that the layering is done properly, effectively and that the results are smooth and shapely. I hope this helps.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