5'6, 190lbs, will I benefit from lipo 360 without a BBL for a natural shape? (Photos)

Hello !

In good hands, yes !

360° liposculpture offers highly personalized results that are tailored to the specific needs of each patient. In addition to the numerous benefits of the procedure, such as the creation of a more youthful abdominal groove, improved waistline, and reduction of unsightly bulges in the "bra strap" area, this technique can also enhance the appearance of ankles and calves, sculpt elegant knee contours, and refine feminine shoulder and arm definition all the way down to the elbow. The list of benefits goes on and on.


Of course, an “in person” exam is necessary.

I hope this helps,
best of luck !

Hello @Resourceful541880, thank you for your question. Yes, liposculture 360 may benefit you without fat transfer to glutes (BBL). This procedure involves liposuction in arms, flanks, midsection, tights to remove excess fat and create an improved shape. Keep in mind that a proper assessment is necessary to have an expert opinion depending on your goals to create a surgical plan that is best for you. Best wishes! Alan Gonzalez MD, FACS. International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP).

Liposuction will contour your back and sides nicely but worsen the abdomen. You do not need BBL. You have significant stretch marks which will not respond to liposuction but will do so to a tummy tuck.

The posted photos do not show your buttocks because you have panties on! I think it is a personal decision of your alone. You might need hip dip fat placed or a Lateral Hip Dip BBL. I adjust my fees to lipo 360 only $5,000 vs Lipo 360/BBL $6,000. Best to virtual consult with....

From your photos it appears you will have some improvement from liposuction. There are techniques used for liposuction to give the buttocks an illusion of enhancement without actually changing it. It does appear you will have a better outcome though if you consider a tummy tuck along with the liposuction. See a board certified plastic surgeon near you to learn more.

Candidacy for Liposuction is not a yes, or no or black or white answer. It is always a relative shade of gray.
Simplify things, let’s use that one to five scale, one being not a candidate and five being an ideal candidate. An ideal Liposuction candidate has a body issue that is less than perfect that is purely related to subcutaneous fat distribution and nothing else. Individuals who are not candidates for Liposuction and body contour issues that are unrelated to subcutaneous fat distribution, and will not get benefit from Liposuction.
Let’s start by talking about your abdomen since I’m guessing that is the area that’s bothering you at the most. There are four variables that determine what someone’s abdomen looks like. In other words, if someone doesn’t like their belly, it is because of one or more of the four different tissue variables or reasons are abdominal skin, laxity typically due to previous pregnancies or weight loss, excessive amounts of subcutaneous fat, muscle separation from previous pregnancies, or excess visceral or intra-abdominal fat.
Based on your picture, it looks like you have all four. I would say the number one variable is probably muscle separation, second is Texas visceral fat, the third is skin laxity and the fourth is subcutaneous fat.
For the front of your abdomen, I would give you a score of 2 as a Liposuction candidate. The reason for this is the bulging of your abdomen is not related to subcutaneous fat, but rather muscle, separation and visceral fat. These can only be treated by having a full tummy tuck after sufficient weight loss. I could be wrong about visceral fat, because visceral, fat and muscle separation have a similar appearance. You can yourself differentiate, if visceral fat is causing part of the problem by simply laying on your back and seeing if your abdomen goes completely flat. If it does, then the problem is more related to muscle separation and visceral fat may not be contributing as much. For the rest of your torso, meaning your love, handles waist, full back, and under arms, you are an excellent candidate for Liposuction. For these areas I would give you a candidacy rating of 4. You do have a two skin folds on your back that are related to skin laxity, and a skinfolds will still be there even after well done Liposuction. They will, however, be much improved and far reduced in size, especially if you have the entire back and under arm area treated correctly. Abdomen 360 does not imply that the back or under arm is included and often they are not. I generally view the Torso as a single anatomic unit, and generally prefer to treat the entire Torso, when doing Liposuction. A full torso includes upper abdomen, lower, abdomen, love handles, waist, full back, and under arm area (all the way to the side of the breast)
The front of your abdomen is mostly related to pregnancy related changes, and in my opinion, visceral fat is probably playing a large part. These are not conditions that are well treated by Liposuction.
The backside of your torso has excess subcutaneous fat keeping you from looking your best, so I’m those areas Liposuction is perfect. The best treatment for your torso would be weight loss, followed by a full tummy, tuck and liposuction of your waist, love handles, full back and under arms.
I suggest having multiple in person, consultations with local board-certified plastic surgeons. A lot of plastic surgeons recommend doing liposuction in conjunction with a full tummy tuck. If that is something you are contemplating, then I would recommend insisting on seeing sufficient numbers for and after pictures of both Liposuction and Tommy talk to results to be convinced that the provider has, efficient, skill and experience to deliver quality outcomes on a regular basis for both procedures. Most surgeons keep patient laying on their back during a tummy tuck. This is not a good position to do Liposuction on the backside. Patient’s need to be placed facedown or on their side to properly contour, the backside using Liposuction.
I suggest patient start by having at least five in person, consultations, and which time you should ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of the previous patient who had similar body characteristics to your own. You may also want to have them specifically address if visceral fat is an issue. If it is then you should lose weight before contemplating having any procedure for your abdomen. Tummy tuck results on patients who have excess visceral fat will bulge and be unsatisfactory.
Best,
Mats Hagstrom, MD