Can I get a BBL even with this much loose skin? (Photo)

Question

I am 5'10. 186 lbs. I had weight loss surgery and lost a lot of weight, and now my butt is non existent. I have gotten approval from a dr that said he can do it, but I wont have the same results as everyone on his IG. Is this fixable?

Randal Haworth, MD, FACS · Answer

It is possible to undergo a Brazilian Butt Lift (BBL) procedure even if you have a minimal amount of natural buttock volume. The skin laxity can be treated with Collagen Induction Therapy (also called Needling).

Best of luck !

Best of luck !

Zoran Potparic, MD · Answer

It appesrs, based  on these photos, that combination of true thigh and buttock lift, combined with liposuction/fat grafting, would be more appropriate procedure for you. This will involve placement of the incision (scar) along your lower back/buttock crease, lifting the skin from lower buttocks and thighs up and preserving some of the tissue from upper buttocks as a filler for buttocks volume augmentation. Liposuction of back and flanks will provide enough fat grafts to further fill and shaping of buttocks and hips. In person or teleconference consultation with a board certified plastic surgeon with expertise in this procedures, is recommended. Hope this gives you a new option to think about. Good luck.

Daniel Barrett, MD · Answer

Dear Kind444180,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. 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

Jose Leon, MD · Answer

Hello, thank you for your question and your pics. Honestly, going for liposuction will not deem enough fat to work with. my best advise is going for a lower body lift, and using a rotation flap to fill your buttocks with the excessive lower back skin, that will also help fix the excess skin on the lower fold of your buttocks. Focus on removing excess skin first, and finish with the Lipo when no loose skin is left

Jeffrey S. Yager, MD · Answer

It is possible to fill the mount of skin you have, but it would create a very large buttocks and you do not appear to have enough extra fat to do so, however there is no image of your abdomen.

Camille Cash, MD · Answer

Congratulations on your weight loss!  From the posted photos it is unlikely you'll get great results from fat grafting alone due to the skin laxity.  I encourage you to speak to your surgeon about your surgical goals so that you know what you can expect from the procedure.

Frank Lalezar, MD · Answer

It is highly dependent on the amount of fat that you have along your abdomen and back. However, given the amount of loose skin present, it appears that you may need a buttock lift to remove excess skin and then place fat later on in order to increase size. It is important for you to consult a board certified plastic surgeon who can best guide you.

Darryl J. Blinski, MD · Answer

Based on the nicely posted photos you need a buttock lift or horizontal thong lift with lipo and fat grafting to areas of buttock. Fee $12,000. Best to virtual consult with....

Douglas Taranow, DO, FACOS · Answer

Congratulations on your weight loss. 
Unfortunately, with such success, comes the consequence of excess skin and skin laxity.  
Trying to get a round buttocks with projection using your own fat will be very difficult (or maybe impossible depending on your expectations).

Mats Hagstrom, MD (license on probation) · Answer

Most successful weight loss patients needs skin surgery more than anything else. An extended or wraparound, tummy tuck, a.k.a. body lift it’s probably a better procedure to consider first. Skin laxity is now your major problem because of the successful weight loss.
Skin laxity, lowers your candidacy significantly in regards to Liposuction and fat transfer results.
To get an idea of what your results would look like ask providers to show you before, and after pictures of other patients with similar amounts of skin laxity.
In regards to quality outcomes, weight loss, patients generally choose skin tightening surgery as the most appropriate and most beneficial option.
Best,
Mats Hagstrom, MD