Will just liposuction get me an hourglass shape or do I need a BBL?

Question

Early 20s mom of one done having children I have a consult for a tummy tuck but thinking lipo and/or BBL will maximize my results, thoughts? What should I ask the plastic surgeon regarding this type of combo surgery? - I strength train 3 times a week and do 40 minutes of cardio daily so I have a very healthy lifestyle but still look "square" and "frumpy" - my ideal body goals would be to have the fat in my flanks gone and a hourglass shape. Is this realistic for my body shape?

Kenneth Hughes, MD · Answer

You appear to be a good candidate for liposuction and a BBL.Many varieties of liposuction are available including ultrasonic, smart lipo, laser liposuction vaser lipo, power assisted liposuction, and conventional tumescent liposuction. The results depend very little on the method used and very much on the board certified plastic surgeon selected.Liposuction removes fat.  Liposuction may not create a greater problem with skin laxity, but liposuction will not improve the skin quality.  Fat can be taken from many different areas of the body including abdomen, sides, bra rolls, thighs, arms, underarms, flanks, lower back, upper back. You have to consider not only which areas will have perhaps the best fat, but also you have to consider which donor sites will have the fewest problems afterward with the liposuction.  In general, the abdomen and thighs are preferred, but, if those sites are not available, other areas can be used.  Creative liposuction with fat transfer to the hips can make hips appear lifted, and rounder.  If the waist was smaller at one time, the waist can likely be reduced to those same measurements or smaller provided the muscular and fascial integrity has remained the same.The TT will be the only surgery to address abdomen skin laxity in the
 appropriate fashion.  With a TT, the stretchmarks to the level of the 
belly button are generally removed, sometimes more. The amount of skin 
removed in a TT depends upon the surgeon's technique and the patient's 
tissue characteristics.  Recommend having the BBL performed before the 
TT so that fat harvested from liposuction of the sides, abdomen, and 
back can be transferred to the buttocks.

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

Mathew A. Plant, MD, FRCSC · Answer

While liposuction will definitely improve the waistline, a fat transfer would be needed to smooth the curve of the hips and fill the hip dips for a more idealized hourglass figure. The only way to know for sure is to book a consultation with a board certified plastic surgeon near you to be examined and see what your options are. Best of luck!

George Marosan, MD · Answer

Thank you for your question and photos. Based on the posted photos, you are a good candidate for VASER Hi Def Lipo 360 degrees. Fat grafting to the buttocks and lateral hip dips will give you a better shape and enhanced hourglass figure. You have a lot of stretch marks on the abdomen, and might end up with some loose skin in the long run. Depending how much looseness you will have, this can be treated either with Renuvion or lower abdominal skin excision via a short pubic bone level incision.See a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person consultation/evaluation.

Pejman Aflaki, MD · Answer

Hello
and thank you for your question and sharing your photos. Based on these photos,
you benefit from a TT and BBL, which can be performed at the same
time. You have significant skin laxity and stretch marks in your abdomen, and liposuction alone with leave you with looses skin. During tummy tuck, extra skin in the lower half of your
abdomen including the stretch marks will be removed. In addition, typically the
fascial laxity/separation of recti muscles will be taken care of by muscle
plication, giving you a flat abdomen.  Brazilian Butt Lift
(BBL) typically includes a 360 liposuction of the abdomen and
flanks, and fat grafting for gluteal augmentation. Liposuction of the
flanks will narrow down the waist for an hourglass appearance and adding
volume to buttocks in combination with liposuction of the lower back is
intended at creating a natural curvy look.  Basically, BBL removes
the fat from unwanted areas and transfers it to areas that are
desirable.Incision can be placed very low to be hidden under bikini. With
proper surgical technique, belly button can be designed to  be a true
'innie'. Recovery from tummy tuck is 1-2 weeks. Strenuous activity and lifting
heavy weights should be avoided 6 weeks to 3 months post op. I would seek
consultation with a board-certified plastic surgeon for a full evaluation and
advice. Best,
Pejman
Aflaki, M.D.
Johns
Hopkins-trained double board-certified plastic surgeon

Luis A. Mejia, MD · Answer

Hello dear!
Thanks for the question and provided information as well.
Based on your pictures, you're a good 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, hips, back and flanks, and of course your buttock, to give you a nice heart shape.
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 :)Dr. Luis Mejia.

Daniel Barrett, MD · Answer

Dear BBxH,
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. There is a chance that you will have loose skin on your abdomen after liposuction, so a tummy tuck might also be an option later. 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

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 BBL and a full tummy tuck with muscle repair, to give you a nice tight tummy and get rid of the extra skin. 
Liposuction allows your plastic surgeon to transform your entire shape. You improve your abdomen, waist, back and of course your buttock to give you a beautiful 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 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 :)

Daniel Zeichner, MD · Answer

Hi and welcome to our forum!From your photos, I note a full abdomen as well as fatty tissues of flanks and saddlebags. The buttocks are relatively small, especially lacking laterally.Abdominal fullness may be due to superficial soft tissue excess, lax stretched out abdominal muscles following pregnancy, or excess visceral (internal) fat.  Superficial fat is addressed with liposuction, abdominal wall repair is accomplished with abdominoplasty, and visceral fat is addressed with a regimen of diet and exercise. A physical examination is required to differentiate among these entities. Assuming that your abdominal muscles have stretched after pregnancy, I would recommend abdominoplasty to flatten the abdomen, liposuction of flanks and saddlebags for the hourglass shape, and fat transfer to fill out the buttocks.Visit a board certified plastic surgeon for in-person evaluation and discussion.Best wishes...

Adolfo Sesto, MD · Answer

Hello BBxH. You are a great and an  ideal candidate for a combine procedure "Tummy Tuck with Liposculpture and BBL". You have separation of your abdominal wall muscles because of the pregnancies and excessive skin and fat that cannot be corrected without the abdominoplasty.In my practice this combined procedure is  common. You may see some of my cases below. 28 year experience
American Society of Plastic Surgeons
International Society of Aesthetic Plastic Surgery
International Society of Plastic Aesthetic and Reconstructive Surgery
Dominican Society of Plastic and Reconstructive Surgery
Board Certified

Will just liposuction get me an hourglass shape or do I need a BBL?

Answers (13)

More Brazilian Butt Lift Questions

Can a type 1 diabetic get a BBL?

1 yr PO and still got my fat necrosis. Will the necrosis still shrink? is there any danger to keep it in?

Can I get a BBL if I have the hemoglobin trait?

Would I get good results if I got a BBL weighing 130 pounds?

Can you advise on help fixing this mess to get my natural look back? (Photos)

What are the best solutions for a "square butt"?

WE SEND PRETTY
EMAILS