If I just get lipo and no BBL when I start to gain a little weight again will it go to my glutes and legs? (Photos)

Question

Considering a lipo without fat transfer. Will glutes get bigger? I’m scheduled for a bbl in a few weeks but I’m a bit apprehensive. I’m a bottom heavy women and tend to gain weight first in my abdomen and than in my glutes/legs. I also do heavy weight lifting. I’m considering getting lipo to get rid of the abdominal fat but I’m wondering if I just get lipo and no bbl when I start to gain a little weight again will it go to my glutes and legs now? (This is ideal for me).

Kenneth Hughes, MD · Answer

It is important to note that while the fat cells that are removed via any type of liposuction are permanently removed, new fat cells can still form. If your weight is stable, you can expect long term improvement from liposuction. Fat cells can always increase in size with weight gain, though the number of fat cells is decreased with liposuction. Liposuction in one area depletes fat cells in that area. As a result, if a patient gains weight, the fat will be stored in other areas of the body preferentially. This is why you should continue to live a healthy lifestyle once you’ve recovered from your procedure.

Jason Emer, MD · Answer

I would suggest contouring to your hips/hip dips with fat. if you gain weight it can go anywhere.
use peptides and hormonal optimization after to keep the body contoured.

my whole practice is doing lipoabdominoplasty, or at least liposuction with internal heating (which is not the gold standard for skin tightening with body contouring).

the smaller you are before liposuction the more contouring you can get from the procedure. most of my liposuction patients get pre and post surgical optimization with hormonal therapy (see link to help boost their weight loss before surgery and help them heal after).

You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with cellfina, sculptra, subcision and/or fillers such as bellafill, renuva synthetic fat, or sculptra.  If skin is very loose before surgery then it will need to be removed such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  Overall you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting.  Dr. Emer.

Daniel Barrett, MD · Answer

Dear dridribaby,
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. 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

Connie Hiers, MD, FACS · Answer

The fat cells removed with liposuction are permanently removed.  However, should you gain weight, other fat cells can enlarge. Fat cells do not travel around the body. The areas where we gain weight first are regulated by genetics and hormones, plus are internal around your abdominal organs.

Darryl J. Blinski, MD · Answer

In my opinion, you need lateral BBL with fat and lipo 360. You have flat laterals or hip dips. Best to discsus with your chosen surgeon. But if I was the surgeon I would recommend lipo 360.lateral BBL

Arian Mowlavi, MD, FACS (license on probation) · Answer

The fat will go where it usually goes. Surgery will not change how your body works and stores fat. For the best liposuction results, you should consider high definition VASER liposuction. The Gold Standard for superior liposuction results requires use of the advanced technology of ultrasound assisted VASER liposuction. As an official trainer of VASER liposuction, I perform full body liposuction cases every week. VASER liposuction has been the only modality that has consistently resulted in outstanding liposuction outcomes. VASER liposuction ensures a smooth contour regardless of degree of excess fat by virtue of being able to remove any and all remaining fat comprehensively and uniformly. If skin redundancy is observed, Renuvion technology can be simultaneously applied to tighten your skin to optimize your overall contour outcome. A Skype or FaceTime consultation with a VASER specialist will help you get an accurate recommendation and pricing.

Respectfully,
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Mats Hagstrom, MD (license on probation) · Answer

Personally I think you should go for a liposuction only. I think your bottom looks great and has sufficient volume. If eyes are also on the large size. Fat transfer is that moderately complex procedure. Well the Liposuction should do the job for you. The liposuction needs to go just to the top of the hip dip to get a perfect S-curve.

Best,

Mats Hagstrom MD

Best,

Mats Hagstrom MD

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