Will I have enough fat to achieve a nicely shaped big butt and hips? I currently weigh 166lbs and I'm 5'5. (photos)

Should I gain more weight for my BBL? Am I a candidate for BBL and Hips? Please Help!

Doctor Answers 5


Thank you for your question and photographs.

 If you have adequate fat pockets for harvesting you would be a candidate for a BBL. The fat can be harvested from multiple areas on your body and injected into the buttocks to build it up and give you that curvier silhouette. Sometimes, this procedure needs to be staged to achieve your cosmetic goals because injecting too much fat at once can increase the chance of more fat cells not surviving. I would recommend scheduling a consultation with a board certified plastic surgeon to have a physical evaluation done to see if you are a good candidate or not. When I perform a BBL, I will evaluate the patient’s body to make sure that they are a good candidate for the Brazilian butt lift. It will also be assessed as to which areas will be liposuctioned. Depending on the amount of fat necessary to fill the buttocks/hip area, multiple donor sites on the body may be considered. After liposuction has been performed, a closed sterile system is used which ensures the fat tissue is never exposed to the air. This keeps it safe and purified for reinjection into the buttocks. Our plastic surgery office uses P188, a triple-wash antibiotic that sterilizes the tissue and separates the healthy fat from any tissue that may not survive the transfer process. I will then reinject the fat to make sure that the layering is done properly, effectively and that the results are smooth and shapely. I would recommend that you schedule a consultation with a board certified plastic surgeon to have a physical examination done to see if you are a good candidate for a BBL. I do not recommend patients gaining weight for this procedure. You should maintain a stable weight for at least 3-6 months prior to having the procedure done to obtain optimal results. If your weight fluctuates too much pre or post operatively, this can affect your results. If you do not have enough fat to achieve your cosmetic goals, I would consider buttock implants or the combination of fat grafting and buttock implants to achieve your goals. Best of luck!
James Fernau, MD, FACS
Board Certified ENT
Board Certified Plastic Surgery
Member of ASPS, ASAPS, ISAPS, The Rhinoplasty Society, AAFPRS, OTO/HNS, ASLMS, International Federation for Adipose Therapeutics & Science

Pittsburgh Plastic Surgeon
4.9 out of 5 stars 64 reviews

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

Thank you for your question.

I have done many body contouring procedures and specialize in Vaser Hi Definition liposculpture.

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.

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



Do you have enough fat?

Ideal candidates are at a stable weight,  in good health , and have excess fat in some parts of the body and too little in other regions.  Gaining weight before the procedure is to no advantage and when you lose weight again the fat cells will shrink just like the donor site fat cells.  Typically, the transferred fat results in a significant increase in volume of the body site being treated.

Will I have enough fat to achieve a nicely shaped big butt and hips? I currently weigh 166lbs and I'm 5'5. (photos)

You look like a great candidate for a Brazilian Butt Lift. When you're looking for a cosmetic procedure you find a surgeon that has been certified by the American Board of Plastic Surgery.  Choose a board certified plastic surgeon who is highly experience in Brazilian Butt Lifts.  choose one wisely.  Many surgeons, including myself, offer online virtual consultations where you send us your photos and we can estimate the cost. and free Face to face consultation.  A "BBL" Brazilian butt lift harvest fat from areas ( Liposuction ) with the fat removed from the areas using your own fat it transfer to the buttocks and into the hips.The common donor sites for this procedure is your posterior waist/flanks, lateral thighs, back, waist, and anterior tummy.

Thank you for your question.

Rami Ghurani, MD
Miami Plastic Surgeon
4.7 out of 5 stars 228 reviews

Brazilian Butt Lift Candidacy

Thank you for your question. You appear to be a good candidate for a Brazilian Butt Lift but the only way to determine your true candidacy is with an in person exam. It is important to seek an expert. Best wishes. 

Leonard Lu, MD
Chicago Plastic Surgeon
4.6 out of 5 stars 23 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.