Should I/ Can I combine BBL and Butt implant in one surgery? (photos)

Based on the posted photos you are a Skinny BBL candidate. Best to only do BBL in first surgery to see if there was enough fat transferred. Or might offer Composite Skinny BBL ( combination of fat grafting with injection BBL using Radiesse/Sculptra at same setting). Doing buttock implants have very high complication rates. Best to seek in person or virtual consult with...

I do not recommend contemplating having gluteal implants with a BBL as combined procedures. I think you’ll find plastic surgeons to either be pro implant, or pro BBL.
The majority of plastic surgeons in the United States, do not offer gluteal implants. There is a good reason for this. The procedure has a notorious high complication rate, failure rate, and lower, long-term patient satisfaction rate.
There are plastic surgeons who learned to mastered the procedure, and get better outcomes than those who only do the procedure intermittently.
It appears that the best results come from those who specialize exclusively in gluteal implants, use intramuscular placement and keep implant size to what fits appropriately within the gluteus muscle.
Patients should recognize there are inherit limitations of body modifications, and that fat distribution and the use of implants cannot override, basic, skeletal proportions more than a certain degree.
Your wish pictures do not represent normal anatomic body contours.
Attempting to create body modifications that are drastically different than what you were born with often leads to long-term poor outcomes including multiple revision procedures and long-term low patient satisfaction.
Keeping expectations realistic and understanding what can and cannot be accomplished with each procedure is key to consistent patient satisfaction.
In the end, patient candidacy and provider selection of the two single most important variables.
Understanding your own candidacy, for the procedure is an integral part of having the process be rewarding.
Delivering consistent quality, liposuction and fat transfer results are more difficult than most people believe. There is substantial difference in outcomes, depending on who you choose as your provider. This is also true for gluteal implants where provider selection is critical.
I think most plastic surgeons are probably going to steer your towards Liposuction and fat transfer is the more appropriate choice to start with.
Gluteal implant, augmentation only gives volume to the gluteal muscle, and does not give hip augmentation.I suggest patients have multiple in person, consultations with local plastic surgeons who have expertise in the procedure you’re interested in.
Best,
Mats Hagstrom, MD