Should I get a BBL or Tummy Tuck first? This would be my 2nd round BBL

Question

I know I want both procedures but not sure which one I should do first. This would be my 2nd round on BBL and got pregnant a year after. I’m 5’3 and 197lbs looking to drop more before surgery.

Sacha Obaid, MD · Answer

It may be beneficial to combine these surgeries.  I would search for a board certified plastic surgeon that would offer to do both surgeries in one sitting.  This would save you downtime and possibly cost.  Best of luck to you.

Ryan A. Stanton, MD · Answer

The first question is, how satisfied were you with your first BBL, such that you are considering round 2?
You may be in good company with many others who had high hopes for BBL but instead received disappointing results (lumpiness, unevenness, lack of projection in the central and/or lower buttock, post-deflation sagging, etc.) as most of the fat melts away. It is not quite as much the quality of the doctor nor liposuction technique but rather the quality of the procedure that is a large part of the problem.  Thus, going back for round 2 BBL most often produces the same disappointing results but at another financial loss.   Buttock implants indeed provide a more reliable, predictable, relatively safe, and permanent result, especially for adding projection to the buttock and often smoothing out lumpiness.  Occasionally a lower buttock tuck may be advantageous for lower buttock fold asymmetries and/or sagging. Please keep in mind that an extremely few number of board-certified plastic surgeons specialize in buttock implants so be sure to consult with one that is reputable and experienced. Unfortunately you may have to travel long and far away from home to find this particular surgeon. Glad to help.

Zoran Potparic, MD · Answer

Unfortunately, this question can be answered only on the basis of photos or better, in person consultation. I would suggest you to see a board certified plastic surgeon with experience in body contouring surgery for evaluation and plan of treatment. Good luck.

Scott W. Vann, MD, FACS · Answer

I do these procedures at the same time fairly regularly. I remove all the excess fat from their waist to maximize the TT result, and transfer that fat to the buttock. However, if there is some reason to do them separately you probably should do the BBL first. The simple reason is once you do the tummy tuck the fat from your lower abdomen would be gone and unavailable as a donor source. Get in person consults with plastic surgeons who you like their before and after photos of these procedures. Good luck.

Daniel Barrett, MD · Answer

Dear Gigimg87,
if you want to get BBl and TT, it is probably better to get BBl first and TT later. If you are considering surgery, I would suggest you 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

Darryl J. Blinski, MD · Answer

Without posting any photos very hard to advise exactly what you may need. There are 4 options: 1. TT ; 2. Lipo 360/redo BBL; 3. Combination of TT with 1 liter lipo and 500 cc redo BBL per buttock cheek; Lose weight without surgery.  Best to seek in person or virtual consults with ONLY private practice boarded PS.

Arian Mowlavi, MD, FACS (license on probation) · Answer

What you need is a TT to be performed at the same time as your BBL since the fat that needs to be transferred to your buttock will be harvested from the tissues removed during your tummy tuck. Please consider a high definition BBL consultation with an expert prior to proceeding.

Mats Hagstrom, MD (license on probation) · Answer

Without seeing pictures we can’t make an assessment.

Personally I prefer to do a tummy tuck before someone has had liposuction because liposuction creates a diffuse Netwerk of scar tissue that makes the skin and fat layer on the abdomen less pliable.

I suggest consulting with plastic surgeons to discuss your concerns and get an assessment for both procedures.

Best,

Mats Hagstrom MD

Should I get a BBL or Tummy Tuck first? This would be my 2nd round BBL

Answers (8)

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