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

It's a good question. The fat should be distributed throughout the buttocks and focused in areas that require the most additional volume. Where to place the fat is based on each person's specific and anatomy. The goal of the procedure is to create round buttocks and have a gentle S curve that starts at the waist and continues into the hip, buttocks, and thighs.

My goal is to increase the projection and the roundness of the buttock as well as lift the buttock.  To get this change, fat is added to multiple areas.Kenneth Hughes, MDLos Angeles, CA

Thank you for your question and photo. Based on this single view posterior photo your anatomical landmarks are blurred. Your buttocks start at the buttock creases and should end at the level of the pelvic rim or below it. In your case, the upper buttocks bland into the lower back and large hip rolls without an anatomic definition. In someone like you, the surgeon needs to create an upper buttock shelf (this is determined via a comprehensive physical examination), fill in the lateral depressions, remove and round off the large hip rolls to give you a more rounded appearance and not a square look from the back. Placing the fat too low in the buttocks, can give a less than desirable result (like you had an accident in your jeans). To achieve an aesthetically beautiful result, one most be familiar with what is the beautiful normal. See a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person consultation/evaluation. Good luck.

The fat can be placed anywhere it is needed. I agree with you that the placement is often needed at the lower part of the buttocks and also on the lateral hip areas. Sometimes the fat shifts when the patient sits or lies on the area that has been treated, and sometimes there is pre-existing excess fat at the upper part of the buttock. Sometimes the upper buttock area needs to be reduced with liposuction.Most plastic surgeons doing BBL advise their patients to avoid pressure to the treated areas for 3 to 6 weeks after the procedure. This can be facilitated by using a special pillow which is placed under the thighs to prevent pressure on the buttocks.Good luck.

Hello dear, thanks for your question and provided information as well... Actually it has been done like that because to help the patient to not have a visual scar, it looks nicer and it gives the buttocks a better and heart shape appearance.