Want a BBL and tummy tuck combo: 5’6 and 220 lbs. With my bone structure is it a reasonable expectation? (photo)

Question

5’6 220(losing weight just had a baby 2 months ago) I’m scheduled to get a Brazilian butt lift tummy tuck combo. I’m very active even during pregnancy so my walk around weight is on the higher end. But I’ve never been able to get rid of my tummy. I’ve been trying to look at before and after photos for a reasonable expectation. I attached photos of what I want to look like and with my bone structure is it a reasonable expectation?

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.-

Yily De Los Santos, MD · Answer

Thank you for your question and pictures. I would recommend you a Tummy tuck and liposuction with BBL for betters results. If you're willing to travel, Surgeons in the Dominican Republic have experience and very high standard of excellence when it comes to plastic surgery. I'm positive you can get what you're looking for

Kenneth Hughes, MD · Answer

At your height and weight, your BMI is over 35. Your BMI is only one indication of your health and the results you can achieve with the surgeries. Some board plastic surgeons will not perform plastic surgery on any patient with a BMI over 35. I like to see my TT and BBL patients at a BMI of 30 or lower. This decreases complications during and after surgery and increases the probability of you achieving your aesthetic goals.

Daniel Barrett, MD · Answer

Dear vanessareuter,
I understand your concern. It is best however that you consult with a board certified plastic surgeon to determine whether you can have several aesthetic surgeries in one session, as this would depend on various factors including but not limited to your general health condition, the type of anesthesia that will be used, and the type of surgeries that will be performed among others.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Darryl J. Blinski, MD · Answer

Thanks for your photos, though very hard to see well. In Florida office surgery can NOT combine full lipo/BBL with extended TT (which is what you need) in 1 operation or combination. You need 2 separate surgeries.

Mats Hagstrom, MD (license on probation) · Answer

I suppose the first thing a plastic surgeon would want to know is if you’re planning on having more children.  Patients should be fairly certain that they’re not going to have future pregnancies.

Obesity reduces patient’s candidacy for both procedures.

Obesity increases risk of medical complications and reduces quality of results.

Liposuction is limited in how much fat can safely be removed. Most plastic surgeons will not remove more than 5 L of fat during a single procedure. In the state of Florida this is restricted to no more than 1 L of fat if done in combination with another procedure.  5 L of fat is certainly enough for a BBL but may be insufficient to deliver quality liposuction results and somebody over 200 pounds.

Presley I prefer to do these as separate procedures for a multitude of reasons.

The full tummy tuck is a highly invasive and difficult procedure to recover from.  Having a BBL done at the second time requires that patient laying on their back during recovery putting undesirable pressure on the area treated with fat transfer.  The total number of hours of surgery also increases with combined procedures and especially on patients who are larger.

Considering all these variables in context my recommendation would be for you to first consider success for weight loss followed by the tummy tuck which is most likely going to have the greatest impact and then have the BBL six months after that.

Different providers have different views on the topic and results and the approach vary significantly based on who does the procedure.

I do not recommend patients travel long distances for any elective surgical procedures this is especially true for highly invasive large procedures like a tummy tuck.

While I recommend white loss first you can always begin having consultations and start narrowing down your provider.

I recommend you stay local and have exclusively in person consultations with as many providers as possible.

Delivering consistent high-quality liposuction and fat transfer results it’s more difficult than most people believe.  I suppose the same could be said for tummy text to some degree though I do not see as much variance in outcomes with tummy tux as I do liposuction in fat transfer in where the procedure results seem to be highly divergent based on who does the procedure.

During consultations ask each provider to show you their entire collection of before and after pictures. Experienced surgeons should have no difficulty showing you 50 or more sets of before and after pictures. Ask the provider to show you examples of average results, better than average results and less than average results to get some idea of what you could expect. You should also ask the patient to show examples of patients who had a similar body characteristics to your own.

Always make sure fat transfer results are taken a minimum of three months after the procedure.

Seeing a handful of results representing the best outcomes of the providers career is insufficient to get a clear understanding of how many procedures the surgeon has performed or what average results actually look like.

Lastly I recommend reading all the reviews on all various physician review websites avoiding providers for that a significant number of justified negative reviews.

The absence of justified negative reviews is more important and more telling than an abundance of positive reviews.

To have a safe outcome with the greatest chance of quality results I recommend weight loss followed by this done as split procedures with meticulous provider selection.

Best,

Mats Hagstrom MD

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

From your photos, it looks like you might best benefit from a tummy tuck and lateral thigh and buttock tuck in addition to your BBL to get the results you are wishing for.
Based on your pictures, you are an excellent candidate for a Brazilian Butt Lift (BBL). The optimal BBL outcomes are achieved with: 1) use of VASER liposuction to harvest the fat, 2) a closed looped system such as Puregraft to process the fat, and 3) strategic micro-packet transplant technique. These three processes have demonstrated over 95% fat graft take. This means that your results will be stable as long as you maintain your weight. As an official VASER trainer, I am routinely referred unhappy BBL patients. One of the most common reasons for disgruntled BBL patients is that patients are not able to accurately communicate their desired buttocks goals to their surgeons.  A buttocks assessment tool can be an invaluable tool to communicate to your surgeon the exact buttocks size and shape you are desiring. A Skype or FaceTime consultation with a BBL specialist can help you get an accurate recommendation and pricing.

Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Want a BBL and tummy tuck combo: 5’6 and 220 lbs. With my bone structure is it a reasonable expectation? (photo)

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