Small frame. BBL possible? (Photos)

I am 5'4 //112 - 115 lbs depending on exercise & diet. I want to know if I am a good candidate for bbl. I'm scared of surgery but would love to have a round butt and shapely waist. wondering if it's not better (cheaper?) to coolsculpt my waist while continuing doing exercise to lift? I don't mind exercising and have done it intensely at different times but never get a serious change. I can't decide which direction & would love some guidance. Also, does fat ever come from arms? Thanks!

Doctor Answers 10

Small frame, BBL possible?

Thank you for your question. When planning a Brazilian butt lift, patients can look forward to a double benefit: reducing areas of unwanted fat while gaining a perkier, rounded posterior.  Each procedure must be planned according to the individual needs of patients, harvesting fat from target areas of the torso or thighs and transferring it to create smooth, attractive contours optimized for each person. The amount of fat transferred from targeted areas depends on the quantity available and the extent of buttock augmentation each patient desires.  Sufficient body fat for a buttock augmentation is very patient-specific, depending on an individual’s body shape and proportions as well as their expectations.  You can definitely give your body a 360 degree improvement with this procedure, keeping everything under realistic expectations of course. That said, you definitely have to choose your surgeon correctly and make sure that he/she has the training and experience to meet your goals with absolute safety.  Best is a Board Certified Plastic Surgeon with specialized expertise in this procedure.

Colombia Plastic Surgeon
4.8 out of 5 stars 65 reviews


You would have to be examined in person to determine if you have enough fat for harvesting to achieve your goals. Best of luck.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

BBL Candidate

Hi and thanks for the question and photos. It appears that you would need to gain more fat to move your buttocks for an adequate BBL. Exercise is always encouraged and fat removal from your core would give you a smaller waist. Best of Luck - Dr Hardy...

James E. Hardy, MD
Jacksonville Plastic Surgeon
4.6 out of 5 stars 57 reviews

Small frames & BBL

Hello and Great Question.  I appreciate the time you are spending researching this procedure.  My name is Dr. Matthew J. Nykiel.  I am a Board Certified Plastic Surgeon, a Fellowship Trained Cosmetic Surgeon, and a Butt Augmentation Specialist. Cool sculpting is a form of non-invasive liposuction.  What does that mean?  Currently, it means significantly smaller results.  The difference in results makes sense, less invasive=less results.  Typically, this means you will need multiple rounds of non-invasive liposuction; and typically (with current technology) this means in the end you spend equal to or more money.  Also, non-invasive liposuction does not allow for the fat to be transferred to your butt.In my practice, I perform a significant amount of BBL with smaller frames.  The main question is:  Do we have enough fat to achieve your goals?  Based on your photos, if you are wanting a significantly larger and rounder butt, then we will also need to utilize an implant.Best of Luck!  Please reach out if you have any further questions or concerns. Matthew J. Nykiel, MD
Butt Augmentation Specialist
Board Certified Plastic Surgeon

Matthew J. Nykiel, MD
Ontario Plastic Surgeon
4.8 out of 5 stars 21 reviews

The BBL procedure

Hello,  thank you for your question and photos.   You can have a better figure by having lipo on your waist area,  lower back and anterior abdomen but been realistic it wouldn't come out the amount of fat you'll need to get a round and more projected butt. Maybe lipo and Butt Implants are a better option for you.  Best of luck.                            Dr. Derby. 

Derby Sang Caputo, MD
Dominican Republic Plastic Surgeon
5.0 out of 5 stars 85 reviews

Slim figure, wants BBL.....

You definitely don't have a lot of fat to work with, but you have a beautiful figure to start with, so a little fat removal from your abdomen, as well as around your waist and flank areas will dramatically enhance your figure.   This fat as well as fat from your arms and possibly thighs can all be put in your butt.  You definitely don't have a lot of fat to work with, but on a small figure, a little fat removal and a little fat injection, can make a huge difference.  

Daniel P. Markmann, MD
Baltimore Plastic Surgeon
4.9 out of 5 stars 114 reviews

Small frame. BBL possible? (Photos)

Exercise will not improve your waist nor enhance your buttocks. Based on the photos I would suggest that you have liposuction of the hips and abdomen, and possibly other areas, and transfer the fat to the buttocks to get the most natural result. You should consult with a Board Certified PS. Good luck!

George Lefkovits, MD - Account Suspended
New York Plastic Surgeon
3.8 out of 5 stars 47 reviews

Lipo + BBL candidate, some advices:

Thanks for the question.I recommend you waist and back Liposculpture, getting better curves especially in the waist, improving your body contour. Finally, I suggested take the fat we get and transfer to the buttocks and hips, to mold them and get better volume, contour and butt projection, is that we know as "Brazilian Butt Lift" (BBL).Kind regards,Dr. Emmanuel Mallol.-

Emmanuel Mallol Cotes, MD
Dominican Republic Plastic Surgeon
4.7 out of 5 stars 271 reviews

You would have a nice result with BBL

Hello and thank you for your question! Looking at your pictures you already have a great shape and I think that you have the right framework to achieve an even better look. Your silhouette would be greatly improved by aggressive liposuction of your flanks, abdomen, and lower back. By slimming the contour of your waist, flanks, and back with liposuction, your buttocks will already appear perkier when put next to a much slimmer waistline; liposuction will allow your surgeon to harvest fat to also transfer to your buttocks to further enhance this look. The shape which you desire can be created to your wishes by placing the fat in the right places to give you the "buttock shape" you desire. It is hard to determine how much fat you can get injected into each buttocks without an in-person examination, but I think you could get close to the buttocks and hip shape that you desire.Many premiere plastic surgery practices have credit and financing options to help make surgery more affordable for you too.

I hope this helps and make sure to seek consultation with a board certified plastic surgeon with expertise in advanced body contouring techniques.


Dr. Sean Kelishadi

Sean Kelishadi, MD
Newport Beach Plastic Surgeon
4.8 out of 5 stars 27 reviews

Brazilian Butt Lift/ Fat grafting/Liposuction/ High Definition Procedures/Butt Implants

Thank you for your question. From your photos, you appear to be an excellent candidate for Vaser Hi definition liposculpture with fat grafting to the buttocks.  You should get a great result from liposculpture, giving you a more contoured and hourglass shape with better projection to your buttocks. I have done many body contouring procedures and specialize in Vaser Hi Definition liposculpture. Vaser Hi Definition body sculpting requires extensive specialized training. I am one of few surgeons in the United States that was personally trained by Dr. Alfredo Hoyos, the surgeon that developed this technique. Vaser Hi Definition liposuction uses the concepts of negative and positive spaces in relation to the underlying bony and muscle anatomy to define areas such as your six pack and create an athletic looking physique. The best way to assess and give true advice would be an in-person exam. Please see a board-certified plastic surgeon that specializes in aesthetic and restorative plastic surgery. Dr. Schwartz Board Certified Plastic Surgeon Director-Beverly Hills Breast and Body Institute #RealSelf100Surgeon

Jaime S. Schwartz, MD, FACS
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 93 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.