Do I need a LBL or BBL or both? (Photo)

Dear ACSHINYCALI in Los Angeles,
Congratulations on your remarkable weight loss of over 100 pounds. Given your specific situation, as depicted in your photos and history, here's a concise overview of your surgical options:
Brazilian Butt Lift (BBL) Viability:
Considering your significant weight loss, there may not be enough residual fat for a successful BBL. This procedure typically requires ample fat for transfer to enhance buttock volume.
Recommendation for a 360° Circumferential Lower Body Lift (LBL):
A 360° LBL is more suited to your needs, addressing excess skin and reshaping the abdomen, hips, and buttocks.
This comprehensive procedure includes a tummy tuck, pubic lift and reduction, hip and buttock lift, and rectus muscle plication, offering a holistic improvement.
In summary, a 360° LBL is likely to be more beneficial for you than a BBL, given the extent of your weight loss and current body condition.
I hope this guidance helps in choosing the best procedure for your body transformation.
Sincerely,
Dr. Katzen

hi, the problem here is that skin can not  be burn up by working out, it has to be removed surgically after a massive weight loss. be advise that the right procedure needs to be use in orden to make it looks more natural.In your case it seems a low body lift surgery could work for you. I would like to see more pictures to give you the  best recommendation. My regards

Congratulations on your weight loss! Patients who are in this situation do
typically benefit from a lower body lift along with liposuction. You could also potentially consider a fat
transfer. Definitely discuss with your
board-certified plastic surgeon. I hope
this is helpful. Best of luck to you!

You appear to be a candidate for both procedures. It is probably adviseable to perform two seperate procedures to maximize your results and come as close to your wish picture as possible. You should be very proud of your weight loss to this point. If you wish to lose 25 more pounds, then it would be better to have liposuction and fat transfer to the buttock (BBL)before doing so. This may maximize volume and subsequent retention of the fat necessary to achieve the shape and size you are looking for. A lower body lift may then be required at a later date, to tighten up and smooth out any access skin. We perform a procedure called the Miami Mermaid Lift which attempts to address your issues in a single procedure. We actually use your excess skin to fill the buttock to create more consistent results

Congratulations on your weight loss!  I would do a circumferential body which would include your stomach.  This would give you the best overall result.  It is important that you get to your weight loss goal before having surgery.  You could also do buttock fat grafting to give you more fullness.  The picture showing your desired buttock is not a realistic result. This person has excellent skin tone and almost certainly has not had significant weight loss.  Meet with a plastic surgeon who has experience doing this operation and they can discuss the procedure along with expectations.  Good Luck!Timothy A. Janiga MD, FACS