My butt cheek area is very small. Would I still be a candidate for a Brazilian Butt Lift? (photo)

Question

I'm 27 years old and a mother of two. I'm interested in a Brazilian Butt Lift but I have very little butt cheeks and short butt crack (pardon my french). I do have wide hips so I'm not sure if that is making the general area seem smaller. Would a BBL fix the appearance of my buttocks and would I even be a candidate? I believe I've plenty of fat to get the job done, I'm just hoping it's possible! Thank you all in advance!!!

Jose Perez-Gurri, MD, FACS · Answer

Thanks for your question. The best results are obtained when you bare at your ideal weight or as close as possible.  That being said, I feel you are a good candidate for a BBL and a Tummy Tuck subsequently. Personally I would strongly recommend that you have the lipo and BBL prior to considering a tummy tuck.I am not in the camp that advocate doing both (tummy tuck and BBL) at the same time. Think about it, When fat is transferred to the buttocks, the fat cells need all of the oxygen possible in order to survive. Fat transfers (BBL) require a rich oxygen environment in order to attempt the highest rate of surviavl of the fat cells. We recommend that our patients do not place any significant pressure on their butts for 4-6 weeks following the BBL.If you have a Tummy tuck and BBL done at the same time, how are you going to avoid lying on your back, face up when the tummy tuck prevents you from lying face down? I recommend that the BBL be done first to utilize the abdominal fat which would otherwise be discarded with the tummy tuck. After a minimum of three months , the patient is brought back and the TT is performed.Always seek out the opinion of a surgeon certified by the American Board of Plastic Surgery with years of experience in liposuction and fat transfers. Furthermore request to see before and after photos of previous patients by that doctor....not a clinic or surgery center. Do your homework......research and verify the doctor's credentials. Have they had problems with the Board of Medicine, disciplinary or otherwise. Any law suits? How about the center, clinic or facility? Are they accredited by a national organization or do they just have State approval. Understand that at the current time, there are three nationally recognized organizations responsible for the highest levels of patient safety, AAAASF, AAACH and JCHO. You owe it to yourself to position yourself for the best possible results but under the most stringent safety regulations, If you have kids, even more so.How about anesthesia? Will you have a medical doctor certified by the American Board of Anesthesiology or a certified nurse anesthetist (CRNA)? Understand that there is no substitute for research. Cosmetic surgery, no matter how simple it may be to the patients, are invasive procedures and as such carry certain risks and complications.In our office we use TouchMD which is a web based program in which patients have the ability to load their picture unto the program. We can accommodate patients from as far away as California. I then evaluate them and can actually draw on the picture to show a potential patient where the incisions would be located and how the procedure is to be realized. It's all done to comply with HIPPA which is the federal law that protects the patient's medical information. Look them up. Good luck

Bryson G. Richards, MD · Answer

Thank you for your question and picture.I agree with the other posts that an added tummy tuck would enhance the overall goal.Another option would be an  approach with two stages. The first operation would be a circumferential body lift. This is a tummy tuck combined with a buttocks lift with back/flank liposuction. This operation lifts the buttocks but can also flatten it even further as the tissue is lifted. A second stage would then transfer fat to give you buttocks projection (the brazilian butt lift). Just another approach to consider.I hope this helps.- Dr. Bryson G. Richards, MD

Kenneth Hughes, MD · Answer

I can artfully elongate and widen a buttock for patients with a smaller surface area buttock.  I agree that you are a good candidate.   Find
 a BBL expert who
 performs hundreds of BBLs each year and has great reviews and great 
before and after pictures.Kenneth Hughes, MDLos Angeles, CA

Tania Medina de Garcia, MD · Answer

Hello dear!
Thanks for the pictures and provided information as well.
Based on your photos, you are a great candidate for liposuction with a BBL and a tummy tuck, to give you a nice tight tummy and to get rid of the extra skin, and I think you'll get very good results. 
Liposuction allows your plastic surgeon to transform your entire shape. You can improve your waist, back and flanks, and of course your buttock, to give you a beautiful heart shape, along with the tummy tuck.
In general, you need to be physically healthy and at a stable weight, have realistic expectations, be a non-smoker and your BMI needs to be 30 or less.
l recommend you to make an appointment with a board certified plastic surgeon to talk about your goals and anything you need to know.
Good luck :)

Steven Wallach, MD · Answer

You look like a candidate for a BBL but you probably need a to lose a little weight. Best to be seen in person to be properly evaluated.

Jaime Campos Leon, MD · Answer

Thanks for sending your photos, I am sure your body shape will benefit a lot with the BBL but you might also consider having a tummy tuck. You have lose skin in your abdomen and flanks, besides liposuction you will need an abdominoplasty to achieve a better result. Performing lipousction to your lower back and love handles will help a lot to shape your buttock area. The tummy tuck will repair your abdominal wall which would look flat taking away the lose skin. It would be a good choice to consider these options that will surely give an outstanding result alltogether. Good luck in your plastic Surgery Journey!

Jose Leon, MD · Answer

Hello, thank you for your question and the pics. I think, judging from your pictures, that you are a wonderful candidate for both tummy tuck and liposuction, with the added benefit of BBL. The tummy tuck will get rid of the hanging skin in your abdomen, and getting you a flat tummy, while liposuction will build a nice curvy waistline, get rid of the fat roll in your lower back and your flanks, and make your butt longer. BBL will serve to give a rounder, nicer form to the buttocks, and as I see from the pictures, your hips are not that wide, it is that fat roll in the sides that gives it this appearance, so I would do some fat transfer to the hollow area in your hips so as to build a rounder curvy buttock to go along with the new waistline and build that hourglass shape. Hope to have helped you with your question.

Manuel Marte, MD · Answer

Hi, I think you need Tummy Tuck, Liposuction of flanks and back, plus BBL. With these surgeries your body stay with very good shape. Good luck.Dr. Marte.

My butt cheek area is very small. Would I still be a candidate for a Brazilian Butt Lift? (photo)

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