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

Question

I'm an asian with weight of 51kg and height 156cm. I would like to have a more dramatic, curvy body but I'm afraid that I will not have enough fat to achieve that with just a BBL. From my photos will I be able to achieve my ideal look? If not, is it a good idea to combine BBL and butt implants in a single surgery? Or is it a better idea to separate the surgeries.

Finny George, MD · Answer

Hi, thank you for sharing your question. While you seem to have enough fat to achieve a great result, perhaps not enough fat to get to your goal photos. I would advise against implants (due to complication profile) and consider Sculptra once the surgical results have settles from the BBL.

Moises Salama, MD · Answer

Thanks for your question. From your pictures, you seem to be a good candidate for the BBL. A BBL requires 360 lipo, which is lipo of the upper and lower abdomen, the upper and lower back and the flanks. If you do not have enough fat in these areas, liposuction can be performed in many other areas of the body for fat transfer to the buttocks, such as the upper arms and chin. Based on your desired results, you may be asked to gain some weight. I recommend you schedule a consult for a proper evaluation. Make sure your surgeon you choose has extensive experience with Skinny BBLs and clean credentials. Always consult with a board certified plastic surgeon. Take care, Moises Salama MD, Board Certified Plastic Surgeon

Daniel Barrett, MD · Answer

Dear Bright813121,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Darryl J. Blinski, MD · Answer

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...

Mats Hagstrom, MD (license on probation) · Answer

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

Joshua Jacobson, MD - Account Suspended · Answer

Hi. I would recommend doing lipo 360 and BBL and wait a few months for final results and then decide if you want an implant. Buttock implants have more complications than breast implants and I would avoid them unless you have to get them.

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