What procedure can fix my loose skin before my BBL? (photos)

Question

I’ve posted on here before but the responses said my pictures were quite blurry and the doctors couldn’t tell from the picture what my options would be. I have very loose skin on my thighs and outer buttocks. My elasticity seems to be gone and I have sever cellulite. I would like to get a bbl but I always want to tighten and smooth the skin. What are my options? When I pull the skin the dimples seem to fade so I was wondering if some type of lift would be suggested? Please help!

J. Timothy Katzen, MD, FACS · Answer

Thank you for reaching out and sharing your pictures and medical history. Your primary concern revolves around addressing loose skin prior to a Brazilian Butt Lift (BBL). Here's a concise breakdown of the options:
Desire for a Smaller Buttock:
Opt for a Posterior Buttock Lift with Buttock Reduction. This procedure involves an “M-shaped” scar placed over the buttock's top. The lift reduces the size of the buttock and addresses the outer thigh region, particularly beneficial for those with excessive loose skin and cellulite.
Desire for a Larger Buttock:

Go for a BBL. This procedure can augment the buttock size, correct cellulite, and fill in hip dips. Specialized instruments during BBL can also sever scar bands contributing to cellulite.
It's crucial to decide on the desired buttock size before selecting a procedure. Undertaking a BBL followed by a buttock lift might waste the transferred fat, making it less cost-effective and efficient.
Ultimately, consider what you want your end result to look like - a more prominent or a more toned buttock. This clarity will guide your surgical choices.
I hope this provides clarity on your procedure options for the buttock and thigh regions. Wishing you all the best in your decision-making process.
Sincerely,
Dr. Katzen

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Diego Ampudia, MD - Account Suspended · Answer

Hello,I would recommend liposuction around the gluteal area using Morpheous8 technology to improve your skin quality and achieve a tighter sensation with fat transfer into specific zones for shaping.Also you would've amazing results by adding a Butt lift.

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