Am I a candidate for Brazilian Butt Lift?

Thank you for your question regarding which procedure would get you the best results for your buttock, namely a Brazillian Butt Lift (BBL) or posterior body lift. Let's examine the BBL. For a successful BBL procedure, you have to have fat and the place that's accepting the fat, namely the buttock, has to have enough skin elasticity to accept the fact. In my opinion, you do not have much fat. Though you may feel that you have a significant amount of fat in your love handles and perhaps the abdomen, in my opinion, you do not have much fat. Though this fat can be transferred, I do not think the effort will be worth your buttock results. If you closely examine your buttock, you have excess hanging sagging skin in the lower portion of the buttock where the buttock meets the posterior thigh. Some patients call this a "diaper butt". To fix this, you will need a significant amount of volume added to the buttock. Again, you do not have much fat to transfer from other body parts. Therefore, what are your options? First, you could gain weight to create fat for fat transfer. In your case, I would suggest you gain 10-15 lbs which can then be transferred to the buttock. If you do not want to gain weight, there are other options. Option number 2: posterior buttock lift. An incision would connect your tummy tuck scar to the top of the buttock crack to the other end of your tummy tuck scar. An incision would be made across the buttock, tissue dissection would be made across the top of the buttock, down the buttock, and the buttock would be pulled up, raised, and made more full. The downside of this is a moderate amount of recovery time and a scar that goes across your buttock. However, in my opinion, this would lead to a much better improvement of a "diaper butt" than a BBL. Option number 3: insertion of a buttock implant. This would add volume to the buttock and correct the inferior portion of the buttock. The problem with buttock implants is that it's a foreign body inside of your buttock. Option number 4: injecting of sculptra. Sculptra is used to manufacture collagen in the body. The creation of collagen leads to buttock augmentation and areas can be targeted on your buttock, especially the inferior portion of your buttock. Therefore, you have several options. In my opinion, your best option would be to either gain weight for a BBL or undergo the posterior body lift with the incision across the buttock. Thank you for your question regarding whether you'd be a good candidate for a BBL or posterior body lift.

Sincerely, Dr. Katzen.
(“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, International College of Surgery, and American Board of Metabolic and Bariatric Surgery, and ​member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)

Hello @amerr98631 thank you for your question and showing you pictures. You are a candidate for BBL Surgery an it would help you be closer to your goal look if you have a lift and reconstruction of the gluteal sulcus you get great result. However, to give you a proper assessment more information and the requirements, is best if you have a consultation. Before you make a decisionvisit several board certifies plastic surgeons. Best wishes!

It seems like you can benefit from a BBL; fat can be taken from many different areas (abdomen, sides, back, bra rolls, thighs, arms, etc) depending upon the areas of excess and what your goals may be. Most patients get an immense benefit with maximal liposuction of the abdomen, sides, and back to obtain the smallest waist possible and then maximal fat transfer to the buttocks and hips. The goal is to transfer fat from areas where you find it displeasing to areas in which you would like more volume.

Thanks for the question. I recommend you waist and back Liposculpture, getting better curves especially in the waist, improving your body contour, also, take the fat we get and transfer to the buttocks and hips, to mold them and get better volume, contour and butt projection, is that we know as "Brazilian Butt Lift" (BBL).

Kind regards

Dear amerr98631,
based on your photos, you look like a good candidate for a BBL. Liposuction of your abdomen, back and flanks should give you more curves and hourglass shape and fat transfer to buttocks should give you more projection. I would suggest you to consult a board-certified plastic surgeon because only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Yes! a lipo 360/ BBL is recommended based upon the excellently posed photos. Fees range from $5,500-$12,000. Use a boarded private practice PS.

It looks like in your photos that you have loose skin over your 360. Do you have a history of weight loss? Or did you have high volume liposuction with your previous mommy makeover? You like would benefit from a combination of skin excision and fat transfer.

hi dear thanks for the pics. luckily as I can see in your pics u have some amount of fat left in back area which we can easily utilise to contour your buttocks,.u are a good candidate for BBL so that your butts shape up as your upper and mid torso has.

You can certainly have a BBL if you want to but the biggest variable that’s keeping your backside from looking good is the amount of fat you have on your lower back and in your love handles.

It looks like your plastic surgeon did liposuction of your waist as part of your mommy makeover.

I could be wrong but that’s what it looks like.

Regardless the transition point of where the hips stay wide and come in to a narrow waist is set much too high. Just getting all of that bulk off your upper buttocks love handles and lower back will bring your body into a more harmonious S-curve.

Adding graft to the lower buttocks and potentially lower hips and outer thighs could make the S-curve transformation even better.

From your picture it looks like you have mild cellulite and somewhat of a flat spot on your lower inner buttocks. that flat spot is difficult to get projection in with fat transfer and it may stay flat after the procedure. Likewise cellulite can be made worse from fat transfer.

The outcome approach and eventually final results of the BBL procedure varies shoot from individual to individual based on plastic surgeons personal philosophy, comprehension of aesthetics, experience and education.

In my opinion the greatest result will come from well done Liposuction but the fat transfer can help make the results even better.

I recommend you and all people interested in these procedures have multiple in person consultations with local board-certified plastic surgeons who seem to have a good track record for the BBL. Delivering consistent high-quality liposuction and fat transfer results is more difficult than people believe.

Do it once and do it right. Do that by finding the most experienced and talented provider in your community.

During consultations ask each provider to show their entire collection of before and after pictures for this procedure asking specifically for patients with similar body characteristics to your own.

Highly experienced provider should have no difficulty finding 25 or more sets before and after pictures especially if patients who look like yours. Highly experienced providers will have hundreds or potentially thousands of before and after pictures of just BBL results.

Avoid providers with any significant number of justified negative reviews on various physician review websites.

Find the right plastic surgeon and you should have a nice outcome.

Best,

Mats Hagstrom MD