Hip augmentation or BBL? (Photo)

Question

I have a swimmer figure and would like to look more feminine. My fat is mainly in my back arms and stomach. I would like to have wider hips align with my shoulders. But I do want to keep my saddle bag(lateral fat on legs). The 3rd picture is my wish pic..What would be the best procedure for me?

Semih Yildiz, MD, FEPOBRAS · Answer

The photos show a more athletic upper body with relatively narrower lateral hips and some waist/abdomen/back areas that may be possible donor sites. For your goal, a BBL-style approach with liposuction of the waist/back/abdomen and selective fat transfer to the lateral hips and upper buttock is usually more logical than hip implants, especially if you want a softer, more feminine contour.

The important limit is that your final hip width depends on how much usable fat you have, how much safely survives, and your natural pelvic/frame width; the wish photo may not be fully reproducible. If you want to keep the saddlebag area, make that very clear so your surgeon does not aggressively reduce the lateral thighs. For safety, ask specifically about subcutaneous-only fat grafting, surgeon experience with BBL, and whether ultrasound guidance is used.

Emmanuel Mallol Cotes, MD · Answer

Thanks for the question.

In this regard, I recommend you 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

Georges J. Samaha, MD · Answer

Hi, you are an excellent candidate for 360 high definition liposuction with US guided fat transfer to buttocks and hips. The key is also in the liposuction of the waist and lower back. Make sure you emphasize this to your surgeon. Hope this helps. Goodluck.

Carlos Mata MD, MBA, FACS · Answer

Thank you for sharing your question and pictures. Based on your them and goals, a Brazilian Butt Lift (BBL) would be a suitable option. A BBL involves liposuction to harvest fat from donor areas, such as the back, arms, and stomach, and then transferring that fat to desired areas, like the hips or buttocks. Given your wish to focus on hip augmentation, the fat can be strategically placed to prioritize widening the hips rather than projecting the buttocks. This tailored approach to fat grafting can help achieve your desired look while preserving the saddlebags, as you mentioned. Consult with a board-certified plastic surgeon to discuss your goals and ensure a personalized approach for the best outcome.

Moises Salama, MD · Answer

Thanks for your question. From your pictures, you seem to be a good candidate for the BBL. A BBL requires 360 lipo, which is lipo of the upper and lower abdomen, the upper and lower back and the flanks. Liposuction can be performed in additional areas of the body such as the upper arms and chin. Then, the fat is transferred to the buttocks and hips, depending on your desired results. I recommend you schedule a consult for a proper evaluation. Make sure your surgeon you choose has extensive experience in with BBL surgery and clean credentials. Always consult with a board certified plastic surgeon. Take care, Moises Salama MD, Board Certified Plastic Surgeon

Luis A. Mejia, MD · Answer

Dear Jali08, thanks for sharing your concern and pictures. I rather suggest Vaser Liposuction on your back, flanks and arms, hips fat transfer and BBL will help with your concern about hips and provide with an awesome frame. Make sure you go on consultation with a board-certified plastic surgeon. Hope this helps and best of lucks!

Daniel Barrett, MD · Answer

Dear Jali08,
based on your photos, you look like a good candidate for a BBL. 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. 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Zoran Potparic, MD · Answer

Based o these photos, it is very likely that in the hands of an experienced, board certified plastic surgeon, with good reputation in body contouring surgery and fat transfer, you may expect result like in your wish pictures. In person or teleconference consultation with such a surgeon is recommended. Good luck.

Alan Gonzalez, MD, FACS · Answer

Hello @Jali08, thank you for your question. A Brazilian Butt lift can greatly improve the shape and proportionality of the body by highlighting the contour at the waist level and improving the characteristics of the gluteal projection without exaggerating, from my perception of beauty. However, the bone structure does not change and remains the same, which influences the outcome of the procedure.   The best course of action is to consult one or several board certified plastic surgeon for more information and options tailored specifically to your needs.  Best wishes! Alan Gonzalez MD, FACS.  American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science Member (IFATS), Colombian Society of Plastic Surgery member (SCCP)

Sergio Sanchez-Bailon, MD · Answer

When doing a body contouring surgery I always take into consideration your body frame as well as your desired results. In my experience by looking at your photos you can have a full body liposuction with fat transfer to the hips and buttocks and get that desired look, you are a great candidate for this procedure while having enough fat graft to do both hips and butt.

Hip augmentation or BBL? (Photo)

Answers (11)

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