What kind of results should I be expecting from a BBL? (Photo)

Question

There's a significant amount of volume missing for my left buttocks, as well as a dent. You can also see that I barely have a gluteal fold. My main concern is proportion and getting close to a "symmetrical" buttock. I'm aware I have to gain weight; 5'5/125 pounds/age - 20/no kids/no past surgeries.

Daniel Barrett, MD · Answer

Dear sophiaddd,
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

Emmanuel Mallol Cotes, MD · Answer

Thanks for the question. In this regard, I recommend you waist and back Liposculpture, getting better curves especially in the waist, improving your body contour. Finally, I suggested take the fat we get and transfer to the buttocks and hips, to mold them and get better volume, contour and butt projection, is that we know as "Brazilian Butt Lift" (BBL). 
Kind regards, Dr. Emmanuel Mallol Cotes.-

Tania Medina de Garcia, MD · Answer

Hello dear!
Thanks for the question and provided information as well.
Based on your pictures, you are a great candidate for liposuction with BBL, and I think you'll get very good results. 
Liposuction allows your plastic surgeon to transform your entire shape. You can improve your abdomen, back and flanks, and of course your buttock, to give you a nice heart shape.
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 33 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 :)

Mats Hagstrom, MD (license on probation) · Answer

Your present and interesting situation and I’m not sure if there is a good medical explanation for the asymmetry.  I take it you were born this way. I thought perhaps this may be something called a congenital band that happened during embryology.  I included an article that describe something similar though this is pretty rare and it’s just a thought.

I think the smaller side could be brought up to match the larger side through fat transfer nicely though it may take more than one procedure.  I personally do not think you need to gain weight to do this. In fact I do not recommend anybody gain weight for the purpose of having fat transfer procedures.

It’s possible there may be underlying constrictive tissue that doesn’t allow expansion or projection from fat transfer but it’s also a good chance that fat transfer will allow they are you at the project well and good symmetry should most likely be expected or at least much improved.

Because of the discrepancy and possibility of needing a touchup or second procedure in the future I would make sure that any surgeon cooperates on you does not waste any fat by throwing away fat not grafted. In other words it makes sense to schedule or do the liposuction in a way where you leave fat on the body rather than in the garbage can for future use in case. This can still be done while delivering excellent Liposuction results.

I suggest interviewing multiple board-certified plastic surgeons in your area who have a good reputation for liposuction and fed transfer procedures.

The following are some general recommendations for those seeking cosmetic surgery to get the best outcome and have this be a positive experience.

I recommend patients avoid traveling long distances for elective surgical procedures. There are of course instances where there is a lack of local talent and traveling to some degree is inevitable. If traveling for the procedure patients should be ready to travel to have the consultation, post operative appointments and follow up should there be issues or complications.
Patients sometimes do not appreciate the importance of in person consultations, that complications do happen or the number of people who have issues with their results or need revisions.

Schedule multiple consultations with different providers in your area who seem to have a good reputation for the procedure you’re interested in. Starting with at least five consultations seems like a reasonable number to me.

Whenever possible schedule in person consultations.  
During in person consultations ask each plastic surgeon to show all of their before and after pictures for the procedure you’re interested in.

The goal is not to see the best results of their career but to get an idea of what average results look like and get some type of confirmation of how many of these procedures that provider has performed.

Ask to see results that were not as good as the doctor would’ve hoped for and talk about the differences in outcomes.

Honest and experienced providers should have no problems presenting this type of information.

A highly experienced plastic surgeon should have hundreds of before and after pictures for the procedure you’re interested in. At a minimum at least 20+.

Read all the reviews on various physician review websites paying close attention and avoiding providers with any significant number of justified negative reviews.  Providers with an abundance of reviews often have aggressive marketing campaigns.

The plastic surgeons I respect most all have the single variable of not having justified negative reviews on their online profiles. 
In my opinion justified negative reviews are far more telling than an abundance of positive reviews.

Avoid scheduling for surgery or making a deposit on the day of the consultation.  Give yourself some time to think about the decision and make sure you finished all scheduled consultations before committing to having surgery that will permanently and irreversibly change your body.

When in doubt slow down and schedule more consultations.

Choosing the right plastic surgeon is the single most important variable to having a positive experience.

Don’t go chasing after technology or names of certain equipment. Instead focus all your efforts on finding the most experienced and talented board-certified plastic surgeon.

Best,

Mats Hagstrom MD

What kind of results should I be expecting from a BBL? (Photo)

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