Good candidate for a second round BBL? (Photo)

Question

I want to go for another round BBL and I just gained weight. My goal are bigger lats and hips and more fullness in the butt area with more butt projection without a extreme fake look. Is it possible?

Daniel Barrett, MD · Answer

Dear Januaala,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Ryan A. Stanton, MD · Answer

Allow me to answer your question as best i can based upon your photos. However, please keep in mind that an in-person, or at least a virtual, consultation with physical exam is first necessary before any legitimate evaluation or final surgical recommendations can be made.

You are in good company with many others who had high hopes for BBL but instead received disappointing results (lumpiness, unevenness, lack of projection in the central and/or lower buttock, post-deflation sagging, fatty necrotic cyst or scar tissue, etc.) as most of the fat melts away. It is not quite as much the quality of the doctor nor liposuction technique but rather the quality of the procedure that is a large part of the problem.  Thus, going back for additional rounds of BBL most often produces the same disappointing results but at another financial loss.   Beware, if a surgeon asks you to purposely gain weight (i.e. fat) before BBL, know that the fat you lose first as you get back to your baseline weight after surgery is that very same fat that was transferred into your buttock, hence your new buttock shrinks first, the fastest, and the most...so please do not fall victim to this recommendation.

Fillers, such as Sculptra and hyaluronic acids,  for augmentation of the buttock/hips are a rip-off, period!

Buttock implants, however, provide a more reliable, predictable, relatively safe, and permanent result, especially for adding projection to the buttock and often smoothing out lumpiness. Occasionally a lower buttock tuck may be advantageous for lower buttock fold asymmetries and/or sagging.  When considering buttock implants make sure that the surgeon is going to be placing the implants within gluteus muscles , (a.k.a. “intramuscular pocket”), and that they are using anatomically correct, oval-shaped implants, such as Stanton Anatomic ®️ implants. 
Please keep in mind that an extremely few number of board-certified plastic surgeons specialize in these buttock implants so be sure to consult with one that is reputable and experienced. Unfortunately you may have to travel long and far away from home to find this particular surgeon. Glad to help.

Geuris Cruz Quiroz, MD · Answer

Thanks for your question dear @Januaala
You definitely are a good candidate for another round of liposuction specially in the areas of your flanks and abdomen area, my recommendation will not be adding lats to your procedure because this cause your look be fake and this is not what are you looking for. Good luck!

Darryl J. Blinski, MD · Answer

Based upon the nicely posted photos you are a round 2 Lipo 360/BBL candidate. Best to do virtual consult asap. Expect fees from $6,000+.

Mats Hagstrom, MD (license on probation) · Answer

To make an assessment of a plastic surgery procedure we always need to see a proper before and after pictures. If you don’t have before and after pictures, then I suggest you contact your provider and ask them to forward the pictures they took. Gaining weight is not recommended for the purpose of having a fat transfer. Doing so makes people obese Often with increased abdominal girth because of excess visceral fat. 
There’s no clear indication that you need more include your volume. I suggest you discuss your concerns with your provider or have a few second opinion consultations.
Best,
Mats Hagstrom, MD

Good candidate for a second round BBL? (Photo)

Answers (5)

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