Do I need a BBL, butt implants or surgical butt lift, or will gaining muscle be enough to cure my flat butt syndrome? (photos)

Hi and thanks for your question. Based on your photos, you are good candidate for butt implant combined with vaser liposuction and fat injection to the buttocks. Your skin quality is good, and you don’t have skin excess. For this reason, vaser liposuction can be done for your tummy, sides, upper and lower back. With this combination you can get slimmer and athletic belt appearance. Gluteal/Butt implants will be placed and also aspirated fat will be used to get a rounder butt. Total operation takes 5-6 hours. After the surgery you should use corset (compressive garment) for six weeks. You can see 80% of your final results 2-2,5 months after the surgery. After this kind of surgery you will have slimmer waist and volumed rounder butt. In my practice I prefer the combination of vaser (ultrasonic liposuction) and microaire ( power assisted liposuction) by this combination we get more smooth liposuction appearance. After the surgery you should get lymphatic drainage massage. This massage is very important for proper recovery.

Thank you for your questions regarding whether you need a BBL, buttock implants, surgical butt lift or exercise to cure your flat butt syndrome. Thank you for your questions regarding your butt and what you can do to achieve more buttock projection. In regards to your individual situation, I would suggest buttock implants. You do not have much fat to harvest for a BBL. If you are seeking only subtle projection and elimination of fat elsewhere on your body, then I would suggest a BBL. However, on the pictures you submitted, you do not have much fat to transfer. The more reliable situation in your specific case, would be insertion of buttock implants. Buttock implants are made of a semi solid silicone approved by the FDA for buttock insertion. Buttock implants are inserted in the vertical buttock crease and are inserted into the buttock muscle. These would lead to permanent buttock augmentation. With fat transfer to the buttock or BBL, there is an eventual absorption of fat over time. Exercise would be ideal however, it is very difficult to build up that amount of gluteal muscle mass. In addition, once you build up the buttock muscle, you would have to continue that work out routine to maintain that muscle or the buttock muscle would shrink. With permanent silicone buttock implants, you do not have to exercise. A buttock lift would not help your flat butt syndrome because a buttock lift would only lift the buttock and not add buttock volume. The buttock lift would only remove excess buttock skin, some buttock fat, and eliminate the buttock wrinkles, but NOT add volume. Therefore, in my opinion, your best option would be buttock implants. Please seek an experienced plastic surgeon who has performed many buttock implants.  Thank you your question regarding permanent buttock augmentation with FDA approved silicone implants.  I hope that I have answered your questions regarding whether you need a BBL, buttock implants, surgical butt lift or exercise to cure your flat butt syndrome.  I specialize in buttock implant insertion.  If you have any more questions regarding buttock implants, buttock implant surgery, buttock implant insertion, or buttock implant revision, please contact my office. Since buttock implant surgery is a big procedure, please seek an experienced, board certified plastic surgeon with significant experience buttock implant insertion.   Do your research.   If you cannot find an experienced, buttock implant plastic surgeon in your neighborhood, consider traveling out of state if you must. Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)

First, congratulations on the 90 lb weight loss.   Because of this, i am sure you do not want to gain weight back, nor would I recommend that for health reasons.  Also, your amount of  butt deflation and new metabolism will not do well with BBL.  Cases like yours typically need a more reliable and permanent option such as buttock implants.   Additionally you may also benefit from a buttock tuck and/or buttock lift depending upon the results from the implants alone.  Glad to help  

Dear Brookgreen_15,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Hello. Congratulations on your weight loss, and thanks for sharing your photos. If you don't have fat enough to a BBL transfer, you may consider a butt implant, a great option for beautiful results. Besides, you can have skin tightening for eliminating saggy skin. Consult a board-certified plastic surgeon in your area for an in-person exam. Good Luck!

Thanks for your pictures. Clearly there is some buttock deflation. Buttock augmentation is fraught with complications. I would recommend speaking to an experienced Body Lift Plastic Surgeon and consider if at all a buttock lift with a significant scar at the level of the iliac crest.There is a highly visible scar which needs care to improve it in the long term.

There a certain variables that help make patients good or bad candidates for the  BBL procedure.
The number one reason people fail to be perfect candidates is skin laxity.
Loose skin contributes more to shape and contour and people believe. Lift up on the skin from above your pelvic area and you can see for yourself how much it changes the contour.
It will take a lot of volume to fill up a loose gluteal skin envelope that was formed when you were 100 pounds overweight.
It’s hard to tell from the pictures but skin tightening surgery is probably something that should be considered first. 
You can certainly have a BBL but you need to set expectations appropriate with your candidacy.
Generally speaking weight loss patients need skin surgery not Liposuction or fat transfer. Gluteal implants may be an option. In many ways you are a better candidate for implants than a bbl.  Implants do have a list of undesirable issues.   If you can accept those than implants may be a option if gluteal augmentation is your primary quest.   
That is not to say that the BBL procedures can’t give improvements and it’s wrong to do. These are simply general principles.
I suggest having a few in person consultations with local board-certified plastic surgeons in your area.
Best, 
Mats Hagstrom MD