Have very tight skin and lots of stretch marks. Will I still get decent results from a Brazilian Butt Lift? (photos)

Question

I’m 31, 5’7” and around 145 pounds. I really have no butt. Will bbl give me any bum?

Semih Yildiz, MD, FEBOPRAS · Answer

A BBL may be able to improve your shape, but from your photos you appear relatively lean with limited donor fat. That usually means the result would be more of a modest, natural improvement rather than a very large increase in buttock size. Often the biggest change in lean patients comes from shaping the waist, flanks, and lower back, not just from how much fat can be added to the buttocks.

Tight skin and stretch marks do not automatically rule out a BBL, but they do affect expectations. Tight skin can limit how much fat can be safely placed in one session, because overfilling a tight envelope can compromise fat survival and contour. Stretch marks suggest the skin has been stretched before, but they do not tell the whole story; your surgeon has to feel the skin and assess elasticity in person.

If you want a subtle improvement in roundness and hip/buttock contour, you may be a reasonable candidate. If you want a dramatic change, you may be disappointed or may need more than one fat grafting session. I would meet with a board-certified plastic surgeon who performs BBLs regularly and ask specifically how much donor fat they think you have and what percentage of your goal is realistic while keeping fat placement safely in the subcutaneous plane.

Emmanuel Mallol Cotes, MD · Answer

Thank you for your question. I would like to see your front area to check how much fat do you have, but you can have upper and lower back liposuction and love handle lipo and, I suggested 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

Kind regards

Miguel Mota, MD · Answer

Hi! I believe you will! Tight skin can actually be a good thing. Most patients qualify for a BBL as long as they understand that some BBLs can be dramatic and others can be subtle. So, even though some patients may not have enough fat for the results they want, I still feel most patients have enough fat for good results. 
This means that the size and shape of your butt will improve after a BBL. The waist and other areas will get smaller with lipo, so the hips to waist ratio will improve regardless of butt size. Plus, 360 Lipo with BBL reshapes the entire torso, this in turn enhances the patient’s silhouette! 
On smaller petite patients, gaining weight before surgery may be necessary as long as they keep the weight on after surgery. 
A BBL result will change due to weight fluctuations. Sometimes gaining a little bit of weight after surgery actually enhances results so do not stress if you feel you might need more fat. Weight gain after lipo BBL happens mostly in places where there is more fat. Basically, your fat cells will increase in size wherever you have more fat. This is good news for most patients in your situation because after a BBL most of the fat will already be in your butt.

Best of luck, 
Dr. Miguel Mota

Zoran Potparic, MD · Answer

Based on these photos, it doesn't look that you have much fat for large buttock augmentation. Only on the basis of in person consultation, a board certified plastic surgeon, could give you better idea of viability of BBL concept in your case. Sometimes minimal augmentation can create significant change. Good luck.

Gregory Lakin, MD · Answer

Yes even though you have tight skin and stretch marks I think you’ll have an excellent result. What is almost as important as adding fat to the butt and hip dips is also removing areas of excess fat surrounding the butt to sculpt out an hourglass shape. The combination of both procedures of lipo sculpting as well as fat transfer will yield a great outcome in your case. Good luck!

Daniel Barrett, MD · Answer

Dear Kaylaann,
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

Darryl J. Blinski, MD · Answer

1. Lipo 360/hip dip BBLInteresting question? "descent" results cam mean many things to each individual. I see limited donor fat so you would be a "skinny" BBL. The hip dips are your primary issue with projection secondary. I offer 3 options: #1. Lipo 360/hip dip BBL using ultrasound required injections as required in Florida. Call for fees. #2. Injection BBL using my combo of Radeisse/Sculptra in 2-4 sessions @ $3,000 or $6,000 per sessions depends on # of vials/syringes used per session. #3. Combination # 1 & #2. Or I call/label this "Composite Skinny BBL" using both fat injected with filers injected. Fees from $10,000+++. Best to virtual consult with....

Douglas Taranow, DO, FACOS · Answer

Photos of the front of your belly would aid in accurate answers.  You have sone fat of your hips and lower back, but I would like some more to give you more shape.

Mats Hagstrom, MD (license on probation) · Answer

There are two variables that determine the quality of results for aesthetic procedures. The first is the individual patients candidacy and the second is simply had a procedure is performed or in other words the skill and experience of the provider.
In regards to candidacy I would say you are a good candidate. Primarily removing the fat from your midsection especially your love handles and grafting primarily in the lateral buttocks sometimes called the hip dip area to create a smooth continuous s-curve for your body would be the goal. It may be somewhat challenging to find enough fat for an ideal outcome and getting substantial projection in areas that are very thin or another words have insufficient post tissue may be difficult with one procedure.
Delivering consistent high-quality liposuction and fat transfer results is more difficult than most people believe in this is true for both patients and plastic surgeons. Most plastic surgeons think they are better at liposuction than they actually are. Liposuction and fat transfer has more variance or difference in outcome purely based on who does the procedure than any other surgical procedure I’ve ever seen. Being board-certified in plastic surgery with an overall good reputation is not sufficient to guarantee that somebody has mastered body contouring. Personally I view the torso as a single anatomic unit and either treated the entire torso or don’t do Liposuction. There are of course exceptions but for the most part I believe in treating the entire torso. A full torso includes upper abdomen, lower abdomen, love handles all the way down to the hip dips, waist, the entire back and under arm area all the way to the side of the breast. this leaves people with a natural thin fat distribution without transition zones between treated and entrteded areas. I’ve viewed the BBL as an enhancement to body contouring creating an ideal feminine S-curve that goes from the armpit to the knee. I did not emphasize a large buttocks with liposuction of the outer thigh creating a big round butt on the small leg which I sometimes called the “lollipop look”. Instead I emphasize long smooth harmonious curves creating a slightly hyper feminized balanced figure. To find the most talented and experienced provider in your community I suggest having multiple in person consultations. I do not recommend patients travel for elective surgical procedures and I recommend patients whenever possible avoid virtual consultations. During in person consultations ask each provider to show their entire collection of before and after pictures of BBL results. Always confirm that after pictures were taken at least three months from the time of surgery. anybody who shows early postoperative pictures such as pictures with patients still showing surgical drawings on them, being in the operating room or any evidence of recently having had surgery should be immediately discounted as showing “.fake news”. Early fat transfer results can look very impressive but do not at all represent final results. Ask the provider to show you examples of excellent outcomes, average outcomes and less than outcomes. Specifically ask each provider to show as many pictures as possible‘s of patients who have similar body characteristics to your own. An experienced provider should have no difficulty showing you a minimum of 50+ sets of before and after pictures. Simply seeing a handful of pre-selected sample pictures which in reality most likely represent the best results of that providers career is insufficient to get a clear understanding of what average results look like for that provider. Highly experienced providers will have hundreds or even thousands of before and after pictures and should be willing to give you access during the consultation to see as many pictures as possible. If somebody claims to of done a lot of surgery but doesn’t have a lot of before and after pictures then you should ask yourself why? Do not commit to surgery or pay a down payment during the time of consultation until you’ve finished all your consultations and have given yourself plenty of time to think about your decision. The results from these procedures are permanent and irreversible. When in doubt slow down and schedule more consultations. Finally I recommend patients read all reviews on all various physician review websites avoiding providers for any significant number of justified negative reviews. The absence of justified negative reviews is more important and more telling and having an abundance of positive reviews. Plastic surgeons with the biggest social media profiles are not necessarily any more talented than those who have no websites at all. Famous or likable does not equal talented. Find the right plastic surgeon and everything falls into place. 
Good luck, 
Mats Hagstrom MD

Have very tight skin and lots of stretch marks. Will I still get decent results from a Brazilian Butt Lift? (photos)

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