Second guessing my tummy tuck with BBL, am I doing the right thing? (Photos)

Question

I’m 39 years old and, over the last couple of years, lost about 60 pounds. I was scheduled for a second round BBL — partially to remove a fat pocket left behind during my first round — when a couple of weeks out, my surgeon told me that he didn’t think that procedure was going to give me the results I wanted and suggested adding a tummy tuck. I’m now days away from the surgery and am feeling serious anxiety about the surgery, recovery and scarring. Am I doing the right thing?

Stephen T. Greenberg, MD, FACS · Answer

Thank you for your question and congratulations on the weight loss.  Looking at the photos you have provided I would agree that you are a better candidate for a tummy tuck procedure.  This will allow your Surgeon to tighten up the abdominal wall muscle, remove the extra skin and get you as flat as one can.  It is a bigger surgery and requires some additional down time but it is a very safe procedure.  I would suggest speaking with your Surgeon ahead of surgery to answer and of your questions and to help ease your concerns.  Best of luck to you.

Randal Haworth, MD, FACS · Answer

Hello !

Based on your photos, it looks like you could benefit from a tummy tuck, depending on your goals. You should discuss any concern you have about the surgery with your plastic surgeon.

Best of luck !

J. Timothy Katzen, MD, FACS · Answer

It is possible to combine a Brazilian Butt Lift (BBL) with a tummy tuck procedure, and this combination surgery is becoming increasingly popular. A BBL involves using liposuction to remove fat from other areas of the body, such as the hips, back, and thighs, and transferring it to the buttocks to enhance their shape and size.
A tummy tuck procedure involves removing excess skin and fat from the abdomen and tightening the abdominal muscles. The combination of BBL and tummy tuck can help to contour the waistline, enhance the buttocks, and create a more balanced overall appearance.
In your case, I would suggest combining the tummy tuck and the BBL. If you do not want to combine the tummy tuck with the BBL, then stage the procedure by having abdominal liposuction and BBL performed first, then at a later date, undergo a tummy tuck.
However, it is important to note that combining these two procedures can increase the complexity and duration of the surgery, as well as the risk of complications. Recovery from this combined procedure may also be more prolonged and require more careful attention to the postoperative instructions.
It is crucial to discuss the potential risks and benefits of combining a BBL with a tummy tuck with your plastic surgeon, and they will help determine if you are a good candidate for the combination surgery based on your individual health status, anatomy, and aesthetic goals.

Sincerely,

Dr. Katzen

Leila Kasrai, MD, FRCSC · Answer

You appear to have loose skin in your midsection, so a tummy tuck would most likely be a more suitable option for you. During your tummy tuck, fat can be removed and transferred for the BBL.

Daniel Barrett, MD · Answer

Dear MsNewBootyAfterBBL,
based on your photos, you look like a good candidate for a TT. Full tummy tuck should tighten your abdominal muscles and remove the excess skin. Flanks liposuction would give you a better shape. I would suggest you to consult a board-certified plastic surgeon because only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Gary M. Horndeski, MD · Answer

I would recommend doing a tummy tuck at this time.  The contour of your abdomen in terms of how much fat would be needed for the BBL.

Best Wishes,

Gary Horndeski, M.D.

Connie Hiers, MD, FACS · Answer

You will get your best results with a full tummy tuck because of the excess skin. However, I would suggest not doing it the same time as the BBL for you will have more difficulty sleeping and getting out of bed.

Ahmad H. Ahmadi, MD · Answer

Tummy tuck is done to remove the excess skin of the abdomen and tighten the muslces to improve contour.  Your pictures show that you are a candidate for tummy tuck and liposucition (lipotuck).  Liposuciton alone will not give you optimal reuslts.

Camille Cash, MD · Answer

From your photos it appears you are a good candidate for a tummy tuck.  It will remove excess skin and fat as well as correct abdominal wall laxity.  The result will be a flatter, tighter tummy.  There are scars, though they tend to heal well for most patients.  There is recovery involved but most say that it was worth it.  However no one but you can decide if this procedure is right for you.

Syed M. Sayeed, MD · Answer

Based on your pictures it looks like you would benefit from an abdominoplasty. Liposuction will further deflate your skin leaving more hanging. Even adding a skin tightening procedure such as jplasma or bodytite will not likely be enough to shrink the skin envelope.
Good luck on your journey!

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