Am I a good candidate for a BBL? Will bigger implants fix my breast imperfections? (Photos)

Question

I had a fleur de lis tummy tuck breast augmentation brachioplasty and thigh lift done. Am I a good candidate for a BBL

Semih Yildiz, MD, FEPOBRAS · Answer

Your photos show prior body-contouring changes, modest buttock projection, some lower-back/flank fullness, and breast shape asymmetry; photos cannot measure donor fat thickness, skin laxity, scar quality, or implant pocket support. A BBL may be possible if you still have enough safe, pinchable fat in areas such as the flanks, lower back, abdomen, or thighs, but prior tummy tuck and lift surgery can limit both donor sites and how much contour change is realistic.
The key question is whether your goal is more buttock volume, better hip contour, or tightening of loose tissue, because fat transfer adds volume but does not lift loose skin. If there is significant buttock or thigh laxity, a lift-type procedure may be more appropriate than simply adding fat. For the breasts, larger implants usually do not fix shape problems by themselves and can sometimes make bottoming out, sagging, asymmetry, or wide spacing more noticeable. Breast improvement would need an exam to assess implant position, fold support, skin envelope, nipple position, and whether revision lift or pocket repair is needed rather than just a larger implant.

Sameer Karkhanis, MS, DNB · Answer

Hello! Going with the bigger size implant will not solve the problem, rather it will not look natural. I would recommend breast lift over the previous implant. Putting a larger implant is not option if the breasts are sagging. Also, you can consider fat grafting for better upper pole fullness.

You have good amount of skin sagging in buttocks. i would recommend auto-augmentation of buttocks with fat grafting for the hip dips rather than pure BBL. You will have good results with this.
Thank you,

Regards,
Dr. Sameer Karkhanis
Centre for Cosmetic Surgery, Mumbai, India

Kadir Berat Oyur, MD · Answer

Thank you for your question.
Based on your description and photos, you appear to be a suitable candidate for a BBL if there is enough donor fat for transfer to enhance gluteal volume and overall body contour.
For your breasts, you could benefit from a breasts implants revision to improve symmetry and shape.
A consultation would allow for a detailed plan tailored to your goals.
I hope this helps.

Gregory Lakin, MD · Answer

Thank you for your question. Yes, you can be a BBL candidate if you have enough safe donor fat. Harvesting is typically from the upper and lower back, flanks, and hips; expect a shape-focused, conservative BBL rather than big volume. Have an in-person examination with a board-certified surgeon to confirm donor-fat availability, map safe lipo zones given your scars, and determine whether breast revision (not larger implants) is the right path. You may also benefit from a posterior lower body lift which is a surgical butt lift procedure. This is done by removing the excess lax skin around your lower back. The result is a more lifted and tight buttocks and outer thighs. This can be done sometimes in patients who have had massive weight loss and want improvement in their contour. I would consider doing that first and then reassess if you have enough fat to transfer in a second stage. If you were to transfer now you may have too much skin laxity in the buttocks to see optimal results.

Daniel Barrett, MD · Answer

Dear jtpita74,

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

S. Alexander Earle, MD, FACS · Answer

Bigger doesn’t automatically mean “better” or “more balanced.” Size alone doesn’t correct shape issues, precision, symmetry, and proportion do. For BBL candidacy, I evaluate fat availability, skin quality, desired shape, and realistic expectations. Petite patients with the right goals can still be great candidates with a natural, refined result. You can reach out to our office for an evaluation.

Am I a good candidate for a BBL? Will bigger implants fix my breast imperfections? (Photos)

Answers (6)

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