Weight Loss Before BBL – Am I Still a Good Candidate? (Photos)

Question

Hi Doctors, Im transgender women. I’m scheduled for a BBL/360 lipo on Sept 3 and have been medically cleared. Since May, my weight dropped from 164 lbs to 152 lbs due to starting a more active job. My surgeon says I’ll still get good results, and my thyroid labs are normal.

Mats Hagstrom, MD (license on probation) · Answer

I prefer to see the BBL as to procedures done in conjunction.
The patient needs to be assessed regarding their candidacy for both liposuction and fat transfer.
Ideally, the patient is an excellent candidate for both Liposuction and fat transfer.
The impact Liposuction can have is directly proportionate to how thick the subcutaneous fat layer is.
The thicker, the fat layer, the more potential change there is.
A thin, subcutaneous fat layer can give slightly better definition, but isn’t going to do much for overall body shape.
The same as true for a fat transfer as well.
In order for fat transfer to be successful we need a substantial layer of tissue to graft into.
Because plastic surgeon is no longer grafted into the gluteus muscle, we are dependent on the subcutaneous fat layer as host tissue for the grafted fat.
If the flat layer is thin along the hips and the lateral thigh in the ability to deliver a curvy body is going to be limited.
The amount of fat available for harvest is really not as important as how much tissue we have to graft that fat into a.k.a. host tissue.
It’s a general statement men tend to have thinner layers of subcutaneous fat with a higher percentage of visceral or intra-abdominal fat. 
What is a good result is highly subjective and up for interpretation.
The best way to understand what your results are likely to look like are to see comparable before and after pictures of long-term outcomes spread
You should also recognize that fat transfer results take at least three months before they are representative.
Early fun transfer results can look very impressive, but do not in any way represent final long-term outcomes.
 As efficiently experienced surgeon should have plenty of before and after pictures of previous patients went similar fat distribution, regardless of gender and or gender identity.
My best guess is your liposuction results will give a moderate improvement, but creating fullness in your hips and thighs is going to be challenging.
If you have concerns about an upcoming procedure and talk to your surgeon.
It’s better to meet with a surgeon more than once if you have concerns or are uncertain.
I also generally recommend people interview several plastic surgeons before selecting a provider.
There are stark differences in the skill and experience of this procedure among different plastic surgeons.
 Only exceptional providers, deliver consistent, exceptional outcomes, scared
Exceptional outcomes usually also requires having someone who is an exceptional candidate.
Average plastic surgeons, deliver average outcomes, and patients who are average candidates have only average outcome potential regardless of who does the procedure.
Best,
Mats Hagstrom MD

Weight Loss Before BBL – Am I Still a Good Candidate? (Photos)

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Weight Loss Before BBL – Am I Still a Good Candidate? (Photos)

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