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Why do most doctors insert the fat in the upper region of the buttocks in a BBL? (photo)

illumination123
I've seen many bbl's and it seems like the butts always look unnatural because of the way the fat is inserted in only the top half of the butt. Is this the only way it can be done? Because when I have my bbl, my main priority is to shape and fill the bottom half so it looks good in jeans.

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