Could I qualify for a (plus size) BBL at 5’9” and 230lbs? (Photos)

Question

My goal is to be proportioned and reshaped. Just discouraged reading so many “BMI 30 or below.” I really don’t want to or have a desire to be skinny. I would like to see my apple shape body get some curves.

Luis A. Mejia, MD · Answer

hello thank you for your question and provided information as well;..based in your question its difficulted evaulate your case with this angle of  a picture, its recommended to get a consultation in personal with a plastic surgeon.

Carolina Restrepo, MD · Answer

Thanks for your question. It is hard to advice you from the photos provided which procedures would be best for you. Best is to have a consultation with a Board Certified Plastic Surgeon for an in person examination.

Emmanuel De La Cruz, MD · Answer

Hello BBL4bf,
It’s a pleasure to answer your questions! Many of my full-figured patients who desire flat abs and a fuller, beautifully rounded backside opt for BBL surgery, and get amazing results. Request an in-person consultation with an experienced, board-certified plastic surgeon to assess your candidacy for BBL based on your age, skin laxity, body shape, and health status, among other factors. During the initial consultation, he/she can help you decide if adding volume to your rear will be proportionately appropriate for your appearance and how much fat volume should be grafted. Have in mind that in states such as Florida and New York, the maximum liposuction aspirate that can be taken out are 4 and 5 Liters, respectively. When the lipoaspirate surpasses the 5 Liters, my patients get admitted overnight in the hospital. The maximum liposuction that one can be safely removed depends on the amount of lidocaine in the tumescent fluid (not more than 35mg/kg which is the gold standard of care) that can be infused to perform the procedure. Moreover, I also recommend my patients obtaining a medical clearance from their primary care physician (or cardiologist for age >45) prior to BBL procedure. Safety is of utmost importance when undergoing large volume liposuction. BMI over 30 is associated with higher risk of complications such as infection and wound dehiscence. This applies specifically to patients who are undergoing procedures that include large incisions such as an abdominoplasty and breast reduction. Best wishes! Dr. De La Cruz.

Kenneth Hughes, MD · Answer

Losing 25 pounds would place you in the preferred BMI category for having a BBL.  Patients whose BMI falls into the obese range have increased risks for complications during and after surgery and decreased probability that results will be optimal.  Consult with a board certified PS who performs hundreds of BBLs with great results and favorable patient feedback for an assessment.Kenneth Hughes, MD, ABPS Board Certified Plastic SurgeonLos Angeles, CA

Emmanuel Mallol Cotes, MD · Answer

Thank you for your question. It is hard to provided with a valid medical opinion with those photos.  I would suggest to be treated by board certificated plastic surgeon with experience in this procedure, to get the best desired results.
Kind Regards,Dr. Emmanuel Mallol Cotes.-

Daniel Barrett, MD · Answer

Dear Bbl4bf,
generally speaking, you want to reach your goal weight before you consider a BBL, otherwise your results will be suboptimal if you continue to lose weight after the surgery. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. 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

Ron Hazani, MD, FACS · Answer

Thank you for your photos and question. The recommended BMI prior to an elective surgery is less than 30 to reduce your rate of complications during surgery and optimize your results. A tummy tuck can be done later to treat the loose skin and tighten the abdominal muscles.Fat can be harvested from different areas of your body for the transfer. It is best to be evaluated in person for proper evaluation and treatment options.

Seek a board certified plastic surgeon who performs many of these procedures, has great reviews and photos, and is an expert in this field.

Seek a board certified plastic surgeon who performs many of these procedures, has great reviews and photos, and is an expert in this field.

Daniel Zeichner, MD · Answer

Hi and welcome to our forum!Unfortunately, your clothing obscures the areas of your interest. The tightness (or looseness) of the overlying skin, the presence of stretch marks, the presence of hanging skin, etc.) will determine if a tummy tuck is required.  Do you have children and are any more children contemplated?From your numbers given, your BMI is 33.96, compatible
with obesity. A BMI of above 30 is associated with a less than perfect outcome. A BMI above 35 is associated with a higher risk of
complications.Do you wish to lose weight? If you are not within 20 pounds of your desired body weight, significant weight loss after abdominoplasty will "undo" the surgical result. An individual who wishes weight loss and is unable to accomplish this goal through diet and exercise may be a candidate for bariatric surgery such as a gastric sleeve to achieve remarkable results. If you are content with your present weight and can be cleared medically for a BBL, it can be performed to achieve improvement in contour.Best wishes...

Michael J. Frederick, MD · Answer

Hi, Don't worry that much about the BMI... the most important thing about doing a BBL is safety. I only liposuction out 5 Liters of "lipoaspirate" because that is what is recommended as safe by the the American Society of Plastic Surgery. You can definitely get a great result with taking out and transferring this amount regardless of your BMI. In fact, patients with a higher starting BMI end up more curvy when its all done, which seems to be your goal. Often times the biggest problem with patients who have a BMI in their 30's is that they also have excess skin and thus to get the ideal shape a tummy tuck can be combined with liposuction and a BBL.

Manelic Mejia Lopez, MD · Answer

Hello there, based on the photos, liposuction could be performed, however, pre op clearances required by your plastic surgeon may vary based on factors such as your medical history, height, and weight. I recommend a Body Mass Index (BMI) of 32.5 or less. This will help the patient to achieve better results and avoid complications. Please meet with a qualified plastic surgeon near you to discuss your surgical goals.  Looking forward to help you, best of luck. Dr. Manelic Mejia.

Could I qualify for a (plus size) BBL at 5’9” and 230lbs? (Photos)

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