Can I Get Rid of my Back Fat Left Over After Lipo and Brazilian Butt Lift? (photo)

The decision to determine the areas harvesting  the fat via liposuction for buttock augmention / lift has to be determined before going into surgery by you and your plastic surgeon. If the fat around the bra line and back region were not worked on for the buttock lift surgery, and you feel you can work it off with exercises, then that is exactly what you should do. I think your surgeon is only making a recommendation from a surgical standpoint. Of course, there is money involved in performing the surgery. So, if you feel you can remove the fat from exercises, then this is exactly what I would encourage you to do, more power to you. Congratulations for sticking to your decision. If then later on, you feel you still have problems in those areas, then maybe you may consider surgery to help remove those stubborn areas.

Your questions is actually several questions in one. You are asking if the back folds should be eliminated by the liposuction/harvest of a Brazillian Butt Lift, if gaining fat before a Brazillian Butt Lift is effective and if your doctor is ethical or trying to extract (no pun intended) more money from you.

Here is my opinion. Fat cells are mini-storage rooms which represent your overall caloric balance. If we eat / take in more calories than we burn by exercising, these calories will be turned into fat and stored in our fat cells throughout our body. The moment we stop eating and continue burning calories, the fat leaves the fat cells and people lose weight. (Look at pictures of slave laborers during the Holocaust - NONE of them was overweight or "big boned").  How does this apply to you?  What is the logic in asking you to ARTIFICIALLY gain weight to puff up your fat cells to have fat-filled fat cells to transfer to your buttocks if you plan on returning to an active life style associated with exercise? You will lose the weight and fat along with the volumizing of the buttocks.  I do not ask my Brazillian Butt Lift patients to gain weight. If it's not there and they are at their desired weight, it's not there.

As regards the back folds. I cannot comment on what you and your doctor decided. A Brazillian Butt Lift is NOT extreme, discounted liposuction AND volumizing the buttocks. It rather is harvesting as much fat as is needed to create a change and then transfer it to the buttocks. Unless your surgeon promised you that he would focus on the back folds, I really would not demand that he deliver 2 operations for the price of one.

Personally, although it reduces my potential work load, I always think my patients should adopt a healthy life style and exercise BEFORE they have liposuction. Liposuction should not be a weight loss method. It should be the final touch in sculpting and removing resistent fat pocket which exercise did not take care of.

Peter A Aldea, MD