Is a TT needed when I requested a BBL? Do doctors say otherwise to make more money? (Photo)
Doctor Answers 4
Tummy Tuck is best AFTER Childbearing
TT vs. BBL
Thanks for the question. As you know a plastic surgeon's primary goal when recommending a surgical procedure is the help the patient achieve their desired goal. Based on your pictures, it appears you have adequate projection and volume of your buttocks region but this is obscured by lower back and flank adiposity. A posterior view of your buttocks would help confirm this diagnosis. I often find that aggressive liposuction of the flanks (waist) and lower back is as important as the fat transfer in achieving an nice BBL result. Contouring the abdomen and flanks with a tummy tuck will also improve a BBL result. Given that your abdominal area skin has good elasticity and would respond well to liposuction, I would also consider liposuction of the abdomen, flanks and lower back with the BBL avoiding the scar and recovery of a tummy tuck.
Is a TT needed when I requested a BBL? Do doctors say otherwise to make more money?
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Is this a Bait and Switch; BBL vs. Tummy Tuck
Do some plastic surgeons sway you to have certain procedures? Yes. They do. Most of the time it is to get the results you want but rarely it is for financial reasons.
In your case, you appear to present a conflicting dilemma. You appear to be obese (i.e. A BMI over 30) which makes you an average to poor candidate for both liposuction and a Tummy Tuck. The complication rates will be high and the results would at best be average. Moreover, liposuction is limited to removing at most 10 pounds off in an outpatient setting where you go home the same day. Lastly, there is NO point in putting you through a Tummy Tuck if you are still intent on having children. A pregnancy would largely undo what the Tummy Tuck does and is therefore a waste of money.
If you were my patient, we would have a discussion regarding the possibility of your losing weight. If you can do so, I would forego the planned surgery. And while eating better and exercising I would advise you to have your baby(ies). If you know you cannot lose weight and want a shapelier figure, we would talk about a large volume lipoduction which would sculpt out a shapelier figure. I really don't think you need fat in the buttocks. A Back Scoop Lipo would greatly define the area without the need for more fat and a longer recovery. Then, after you complete your family then you should have a Tummy Tuck which would give you a great result. Lastly, unless you live in the DR you must consider what may happen should you incur complications there. Are you prepared for the cost of staying there a long time? Many local Plastic surgeons may decline taking over your care leaving you few choices. I would pause and think about it. You are better off postponing this surgery and its expense until you understand your options.
Peter A. Aldea MD
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