The photos show fullness and skin folds through the waist, flanks, and lower back, with less definition at the waist-to-hip transition; photo review is limited, and an exam would be needed to judge skin quality and fat distribution. A rounder look is usually created by combining liposuction of the waist, flanks, and lower back with careful fat transfer to the buttocks and sometimes the outer hip area. The key is not simply adding volume, but shaping the areas around the buttocks so the waist looks narrower and the hip/buttock outline looks smoother. If there is significant loose skin, stretch, or limited usable fat, BBL alone may not fully correct the folds or create a very round shape. A surgeon would need to assess how much fat can be safely removed, where it can be transferred, and whether skin tightening or staged treatment would be more realistic.