Do you recommend weight gain for a more hourglass shape to have Hip Augmentation or BBL? (photos)

Question

I have had Lipo 360 BBL a year and six months ago. I feel like I'm still square. Im wanting that snatched waist and wider hips. What do you recommend? Do you think I just need a hip augmentation or full BBL?

Ryan A. Stanton, MD · Answer

Allow me to answer your question as best i can based upon your photos. However, please keep in mind that an in-person, or at least a virtual, consultation with physical exam is first necessary before any legitimate evaluation or final surgical recommendations can be made.

If you had already had “lipo 360 BBL” 18 months ago, do not expect any better results from round two. In fact, beware, if a surgeon asks you to purposely gain weight (i.e. fat) before BBL, know that the fat you lose first as you get back to your baseline weight after surgery is that very same fat that was transferred into your buttock, hence your new buttock shrinks first, the fastest, and the most...so please do not fall victim to this recommendation. Even those patients that had adequate amounts of fat pre-operatively, still end up seeking buttock implants after a year or so because most of the fat transferred melted away leaving them with minimal result.  Fillers such as Sculptra are cost prohibitive, provided enough volume is injected (i.e. at least 400 cc of active ingredient costing over $300,000) and last only 12 - 18 months.  So, if you're looking for a reliable, predictable, and long-term permanent option that also provides projection in the central buttock, buttock and hip implants are your solution. Please note that an extremely few number of board certified plastic surgeons specialize in buttock or hip implants, so you may need to travel far and away from home to find this particular surgeon.  Glad to help.

Daniel Barrett, MD · Answer

Dear BGtea44,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Zoran Potparic, MD · Answer

Based on these photos, you do not seem to have very much fat left in your torso? In person evaluation may show something that I can not see on photos! You may consider arms and inner thighs as an additional source of fat grafts. Hope this helps.

Geuris Cruz Quiroz, MD · Answer

Thanks for your question. 
Definitely, I will not recommend you to gain weight, with a good liposuction in your love handles and waist you can get more curves and adding fat to your hips also will help you to have better results. Please keep in mind when you gain weight also you gain visceral fat and not only in certain areas, if you gain weight you gain fat in all your body, specially in your face. 
Good luck!!

Darryl J. Blinski, MD · Answer

Great question with nicely posted photos. I classify you as a "SKINNY BBL with Injection BBL" combo. That is you have very limited donor fat to use so I combine the fat with injection of my specialized mixture of injectables FDA authorized Scultpra/ Radeisse (10 or 20 vials/syringes), Fess from $10,000-$20,000. Best to virtual consult with....

Mats Hagstrom, MD (license on probation) · Answer

To make an assessment on the outcome of a plastic surgery procedure we always need to see proper before and after pictures. If you don’t have before, and after pictures, don’t ask your surgeon to forward the ones they took. It’s impossible to assess the outcome of your procedure without sufficient information.
Weight gain is not in your favor and rarely does it make people look or feel better. Individuals who have less subcutaneous fat and desired quality fat transfer procedures, should consider having more areas treated with liposuction. If more fat is needed to get the results they want.
Delivering consistent quality, Liposuction and fat transfer results is more difficult than most people recognize. Number of plastic surgeons of truly mastered these procedures are in a small minority. Being bored, certified in plastic surgery with an overall good reputation and years of experience does not mean that somebody has mastered or is even talented at Liposuction or fat transfer.
The skill and overall aesthetic approach to this procedure varies massively among different plastic surgeons.
Both Liposuction and fat transfer should be viewed as permanent and irreversible operations. The best shot and getting a quality outcome happens during the primary procedure. From then on revision surgery can potentially create improvements, depending on the patient’s initial candidacy for the procedure and how the first operation was performed. Patients need to be assessed both in regards to Liposuction and fat transfer. Primary body contour is determined by bone structure, not fat distribution. Fat distribution manipulation, but they use a Liposuction and or fat transfer can create impressive results in individuals who are a good candidate for the procedure. The two variables that determine someone’s results are always based on candidacy and the skill of the provider. Understanding your own candidacy, for the procedure is paramount in understanding what the procedure can, and cannot accomplish. It is also imperative to be in the hands of someone who has sufficient skill and experience.
To find the best provider I suggest patients have multiple in person consultations. There’s no correct number of consultations needed to find the best provider. Personally, I suggest start by having at least five in person consultations before scheduling surgery.
During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients who had similar body characteristics to your own. Look carefully at all areas treated with Liposuction, and to make sure there are no skin, contour, irregularities, and that the results look consistent and desirable in all of the pictures. Make sure providers are showing you appropriate pictures of previous patients who match your characteristics. It’s a good idea to bring pictures of your own body whenever reviewing before and after pictures at home or during consultations.
For fat transfer results always make sure after pictures were taken at least 3 to 6 months from the date of the procedure. Early Fed transfer results can look very impressive but do not represent final results.
An experience provider should have no difficulty showing me the before and after pictures of at least 50 previous patients.
Take careful notes during each consultation, especially regarding the quantity and quality of before and after pictures showing. Providers I most likely to prefer showing you pre-selected images, representing the best results of their career. It’s important to comprehend what average results look like in the hands of each provider. This requires seeing sufficient numbers of before and after pictures to recognize that the results shown represent typical results rather than individual strokes of luck. 
The process of finding providers for revision of work is more or less the same as finding providers for primary procedures. Revision work is more difficult than primary procedures so patients should be more selective when it comes to finding providers for revision procedures.
Best,
Mats Hagstrom, MD

Amit Gupta, MD - Account Suspended · Answer

Hi,
A very good morning and thank you for your question. This is Dr. Amit Gupta from Divine Cosmetic Surgery- India. Please find Ans for your question below.
It is likely that you are having Paresthesia due to the formation of either a neuroma. A treatment option for this would be regular massages in that area and an injection of steroid into that segment will greatly help.

Do you recommend weight gain for a more hourglass shape to have Hip Augmentation or BBL? (photos)

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