How many ccs of fat will I be able to take out & inject into my buttocks? (Photos)

Question

I'm of Asian descent that is 51kg and 156cm in height. I had an online consultation with a surgeon and he said that he predicts 800-1000 cc of fat can be harvested, where there will be 250 cc's of injectable fat remaining (100-125cc per buttock). Is this true? Realistically, my main goal is to just fill up my hip dips but will it even be enough? If I got for a more aggressive lipo with another surgeon will I be able to take more fat out?

Finny George, MD · Answer

Hi, thank you for sharing your question. You are a good candidate for this procedure and should be able to achieve higher fat graft volume. The exact cc’s is not predictable based on photos but you will be able to achieve your goal.

John Reilly, MD, FACS · Answer

Hi, I believe you can harvest more than that. You have a good shape that will allow a very nice improvement after the fat transfer and liposuction of the low back. Good luck.

Daniel Barrett, MD · Answer

Dear Bright813121,
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. It is hard to guess the amount of removed fat just by looking at a photo. 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Zoran Potparic, MD · Answer

It would be very difficult to predict how much volume of fat may be harvested with liposuction of torso in your case, without in person evaluation. However, have no doubt that an experienced board certified plastic surgeon with good reputation in fat grafting can achieve nice improvement in your case; it is combination of shaping of waist with liposuction and volume addition to central buttocks and flanks. Good luck.

Geuris Cruz Quiroz, MD · Answer

Dear Bright813121, I personally do not like to give patient number about how many cc's can be remove or how many cc's of fat can be transfer to their buttocks, there is a lot of factor we need to considerer during the surgery in order to do a safe a good liposuction, but based on your pictures I personally can let you know search for a board certified plastic surgeon who delivered results are you are looking for, your are a good candidate for a liposculpture procedure, just keep in mind if the liposuction is aggressive or not will also depends in your pre op evaluations as well. Good luck in your surgery!

Cagil Meric Erenoglu, MD · Answer

Hi dear Bright813121!
I also think that it is possible to get fat at the rates specified by the other doctor and unfortunately it will not be enough for you to get the result you want. This will be an amount that is really insufficient and you will not see the effect. If any doctor says that can perform more aggressive lipo and able to take more fat out, I think that will not reflect reality. I recommend that you gain weight with regular nutrition and exercise, and then remove your fat from the areas you do not want and inject it into the areas you want. Regards.

Darryl J. Blinski, MD · Answer

Based on the posted photos you are a Skinny BBL ($6,000). You are limited with donor fat. I think you should expect 350-450 cc per side to be used. I offer Composite Skinny BBL as an option doing fat grafting with BBL injection of 10 or 20 vials of Rasiesse/Sculptra. ( fee either $10,000 or $14,000). Best to virtual consult with...

Douglas Taranow, DO, FACOS · Answer

I think you have more than 250cc’s of quality fat to transfer. Ou could have Lipo 360 with or without your upper back or triceps harvested. I feel you require more than 125cc’s per side to fill in your hip dips and some of the lateral buttocks.

Andrew Gear, MD · Answer

Even though a lot of the BBL culture and aesthetic emphasis is what one of my Brazilian patients called “vulgar”  (which is very appropriate term), it can be in the right hands a very artistic and elegant procedure to embellish the female form. In my practice, you would be an easy dunk. The key is to harvest fat without deforming your physique. I do a lot of revisions, and I see a lot of destroyed bodies that come in to me who had too much fat taken out in the name of some ridiculous looking diaper booty that doesn’t appropriately match the persons frame.  That being said, I would say between 350 to 500 cc a side to volumize the lateral buttock and hip area would be reasonable and obtainable. Much like belly buttons differentiate the men from the boys in the world of tummy tucks, the skinny BBL differentiates a lot of the meatball hackery that I see from what should be precision operation. The key for you is actually the liposuction and not the fat injection.   Best of luck.

Mats Hagstrom, MD (license on probation) · Answer

Estimating how much fat can be removed can be challenging. Based on your pictures, I don’t think you are at high risk for insufficient fat harvest in the hands of someone who has sufficient skill and experience. The numbers quoted don’t quite make sense. Typically flat harvested should be at least 2/3 fat and 1/3 watery solution. That means if 900 cc is harvested. You should end up with at least 600 cc of fat.
100 mL of fat is an extremely conservative amount to graft for body contouring. The smallest BBL I’ve ever done on body types like yours is 400 cc per side.
When discussing Liposuction, you need to make sure you describe exactly what areas are going to be treated. This changes the outcome and potential fat harvest numbers. Personally, I usually treat the entire torso as a single anatomic Unit by doing that patients are left with an even thin, fat distribution with our transition zones between treated, and I’m treated areas. A full torso includes upper abdomen, lower, abdomen, love handles, waste, full back and under armor areas all the way to the side of the breast. 
My best guess is total liposuction aspirate would be about 1500 cc in your case which should give it at least 450 to 500 cc to graft on each side. On individuals who may not have enough subcutaneous fat for equality, fat transfer procedures additional areas can be added to increase fat harvest. Arms or inner thighs are usually the next area to be added in addition to the full torso.
Delivering consistent quality, liposuction and fat transfer results is more difficult than most people realize. There are major differences in outcome based on what you choose as a provider. Liposuction results, and to some degree in fat transfer results should be considered permanent and irreversible. If done poorly patients can be left with undesirable outcomes, including being left disfigured.
I cannot emphasize enough the importance of properly vetting plastic surgeons when choosing providers. In my opinion, the best way to do this is to have multiple in person consultations. I do not recommend patients have virtual consultations if at all possible. During each consultation ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients who had similar body characteristics to around the period and experience provider should have no difficulty showing you a lots of pictures of people who look just like you. For reference, an experience plastic surgeon should have no difficulty showing you the before and after pictures of at least 50 previous patients. Being shown a handful of pre-selected images, representing the best results of a providers career is insufficient to get a clear understanding of what average results look like in the hands of each provider or how many of these procedures anyone surgeon has actually done. mastering liposuction with fat, transfer takes years of experience and doing thousands of cases. 
There’s more variation in outcome results based on provider selection for Liposuction than any other plastic surgery procedure. Being bored, certified in plastic surgery with years of experience, and overall good reputation that does not mean somebody has mastered either Liposuction or fat transfer.
Defined the best provider I suggest patients have multiple in person consultations. There’s no correct number of consultations needed. The more consultations you have the more likely you are to find the best provider, get a good understanding of your candidacy for the procedure and realize what these procedures can, and cannot accomplish.
Finding the right plastic surgeon is a significant commitment in regards to time and effort. You’ll be reminded of the outcome every day for the rest of your life. I suggest patients take the process of provider selection far more seriously than most people do.
When, in doubt, slow down and schedule more consultations.
Best,
Mats Hagstrom, MD

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