Multiple rounds of bbl for high volume?

Dear Ms.Formentera 1995,
Thank you for your questions.
Nothing substitutes for a personal evaluation, a review of your medical history/medications  and a face to face discussion of your options.
Unfortunately with out a exam of your tissues I can can only comment based solely your photos. However, hopefully you will find them helpful.
Depending on your model photos we usually try to perform the grafting in one setting. Occasionally if there is fat absorption, your skin can't stretch to accomadate the amount fat desired or you decided to go larger a secondary procedure can be done. Remember it's always easier to add than have to go back and take away.Fat grafting is technique sensitive and is dependent on several variables, including but not limited to:a) harvestb) purification c) injection techniques d) areas injectede) genetics
Thus a small amount of fat can go along way or in contrast a large amount may not give you the desird apperrance.Your potential donor areas include abdomen, flanks, inner thighs, back and armsIn addition to injecting fat into your buttock the buttock usually needs to be liposculped in some areas.I suggest the following:1)bring some photos of models buttock you desire.2)make several consultative appointments with Plastic Surgeons who are experienced and Certified by the American Board of Plastic Surgery. In addition ideally they are members of the American Society for Aesthetic Plastic Surgery (denoting by membership as having met additional criteria and a focus on Cosmetic Plastic Surgery).
I wish you my best and success,
R. A. Hardesty, MD, FACSDiplomate and Certified by the Am. Bd. of Plastic Surgerywwwimagineplasticsurgery.com4646 Brockton AveRiverside, Ca 92506(951) 686-7600

In my personal opinion I believe patients are generally much better off having series of fat transfer procedures than one single large procedure.
This of course varies from patient to patient and what it is trying to be achieved.
I try to never attempt to put in more fat than the volume grafting into.
In other words if I'm grafting into a butt cheek that is 1000 mL I would never attempt to put in more than 1000 mL.
Grafting more than that leads to a higher percentage of fat reabsorption and becomes self-defeating.
I recently did a Brazilian on them male to female transgender to patient.
She had very little volume in a buttocks and a large torso.
Doing the Brazilian in two stages six months apart gave what I think was her best potential outcome.
There are many variables that need to be taken into consideration.
One of them is where the fat is harvested from during the first procedure in order for the patient to not look disfigured until the second procedure is performed.
In general I like to complete one area in regards to the liposuction and not really liposuction the same area for the second procedure.
For example a typical double might consist of liposuction of the upper and lower abdomen with the transfer of that fat to the buttocks.
4 to 6 months later The hips waist and back would be treated with liposuction and that fat would be grafted as the second Brazilian.
Find the right board certified plastic surgeon for you and he or she will come up with a strategy that will serve your needs best.
Best,
Mats Hagstrom M.D.