How much do I have to gain for my BBL? I'm 5'5 137 lbs, 22.99 BMI, trying to get 40 " hips. (photos)

Question

like Dolly Castro's body.My surgery is in 65 days with and im worried i dont have enough fat

Emmanuel Mallol Cotes, MD · Answer

Thank you for your question. Based on your photos you appear to be a good candidate for full body intense liposuction to improve your body contour and get better curves, especially in your waist area and Dominican Butt lift taking the fat we get and transfer to the buttocks and hips, to mold them and get better volume, contour and butt projection.
Kind regards,Dr. Emmanuel Mallol Cotes.-

Emmanuel De La Cruz, MD · Answer

Hello My25thbooty,
I appreciate your questions! Your current Body Mass Index (BMI) estimate is between the ideal range for a safe and successful Brazilian Butt Lift (BBL) procedure. I would recommend asking your plastic surgeon if he/she requires you to gain weight or not depending on whether he/she is planning to do a full body Liposuction or just a limited Liposuction to harvest the fat. For optimum results, I do suggest to continue having a healthy lifestyle with an exercise regimen and diet plan before and after your surgery. Also, drink plenty of water to help the newly transferred fat cells survive the implantation process. Hope this is helpful! Dr. De La Cruz.

Christopher Craft, MD · Answer

Thanks for posting such a great question.
I have never understood the concept of asking a patient to gain weight for a BBL procedure. I do not recommend that on my patients, and I perform the surgery on a large number of thinner clients. 
When someone gains the weight in a rapid fashion (such as for a surgical procedure) they run the risk of damage to the skin and "stretch marks" which would be detrimental for the best results. 
Secondly, fat cells can expand and grow as ones gains weight. When one sculpts the ideal buttock shape and size, the amount of fat placed is countered to achieve very precise and artistic aesthetic lines. If the client loses the weight following the surgery back to their previous weight, the fat cells transferred will shrink. This means that the shape we created using our expanded fat cells will not be correct for the contours we sculpted, after they shrink back down with the weight loss. In other words, we will have missed the ideal shape because the perfect amount of fat volume we placed will have shrunk.
In my opinion, we want to perform the surgery when the patient is at or near they weight they intend to stay. Then the curves we sculpt will be true and lasting. If one truly does not have enough fat for the procedure, then likely they are not the best candidate and may need to look more towards gluteal implants, or simple muscle building with squats and lunges.
Seek out an experienced and board certified plastic surgeon to guide you to meet your cosmetic surgical goals.

Donovan Rosas, MD · Answer

I generally do not believe weight gain pre-operatively is a good idea. This is true especially considering the fact that post-operatively some patients will struggle with losing the weight again. The optimum surgical candidate has reached a healthy and stable weight. 
This issue often comes up when discussing BBL and fat transfer. For these patients, adequate donor sites for harvest are necessary. The question of "adequate" will vary from one patient to the next. Your board certified plastic surgeon is uniquely suited to asses whether you have the reserves to meet your goals.
If you have reached a healthy stable weight (preferably with a BMI less than 30), the focus should be on maintaining. I typically do not recommend gaining/losing weight for the sake of surgery alone (weight loss for the sake of your health is a different story). It is important to remember that weight changes post procedure can potentially compromise the results of your buttock augmentation (as transferred fat can change with weight just as it could prior). If you plan on losing weight, I would do so before surgery and plan on maintaining afterwards. Weight gain should be discouraged unless you plan to maintain post operatively (or else the fat gained and transferred is typically the first to go post op).

Ultimately, decisions are based upon a patient's particular expectations. Some patients only want a subtle change and may be willing to accept a less significant result. But the rule still applies you have to have the fat to transfer the fat.

As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Carolina Restrepo, MD · Answer

Thank you for your question. You appear to be a good candidate for a Brazilian butt lift. When planning a Brazilian butt lift, patients can look forward to a double benefit: reducing areas of unwanted fat while gaining a perkier, rounded posterior.  Each procedure must be planned according to the individual needs of patients, harvesting fat from target areas of the torso, thighs or knees and transferring it to create smooth, attractive contours optimized for each person. If you put on weight before surgery, there is more to transfer.  But I do not generally recommend this because we augment the buttock during surgery for optimal shape, and if you then lose the weight post operatively you will loose it disproportionately from your augmented buttock and the results could suffer.  We recommend patients to keep their normal weight and body form prior to surgery, and then we are working from a stable situation to create the changes we are working for.Buttock augmentation with fat grafting is one of our most popular procedures in Colombia, and from experience we can tell you that some patients do very well with 300 cc of fat per side while others can need 800 cc or more.  That said, you definitely have to choose your surgeon correctly and make sure that he/she has the training and experience to meet your goals with absolute safety.  Best is a Board Certified Plastic Surgeon with specialized expertise in this procedure.

Israel Manon, MD · Answer

Hello
Based on your pictures you are a great candidate for a Brazilian Butt
 Lift, this procedure includes liposuction on certain areas of your body
 mainly to address to obtain the best results possible. You definitely 
must be evaluated first to coordinate with procedures will fit your 
needs. Visit a certified plastic surgeon to accomplish what you wished. 
Best wishes.
Regards
Dr. Israel Mañon
Certified Plastic Surgeon

Tania Medina de Garcia, MD · Answer

Hello 
Based on your photos you are a good candidate as you are for a liposuction with 
BBL and I think you'll get very good results. You can get breast 
augmentation with implants as well.
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.
I recommend you to make an appointment with a board plastic surgeon for a good evaluation and to talk about your goals.
Good luck :)

Manuel Belen, MD - Account Suspended · Answer

Hello,Thank you for sharing the information, it is a pleasure for me to answer your question.
Yes, you can combine the procedures perfectly, to make mommy makeover, if your state of health allows it, Definitely the most appropriate is to start ( liposuction and BBL), you are a candidate perfect, for the procedure, with this you can eliminate all localized fat and flaccidity, you will get the best results and have a defined appearance according to your body.
It is advisable to consult with a certified plastic surgeon, for a goodevaluation, to provide you with all the information you need to know about the appropriate recommendations, so that you can achieve the desired goals in your body.
I hope this answer will help youMy best wishes for you...

How much do I have to gain for my BBL? I'm 5'5 137 lbs, 22.99 BMI, trying to get 40 " hips. (photos)

Answers (8)

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