How do I have a BBL if I could never get my BMI lower (195)?

Thanks for the question.

In this regard, I recommend you waist and back Liposculpture, getting better curves especially in the waist, improving your body contour.

Finally, 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

Your BMI is 39.7 People with obesity have increased risk of cardiovascular disease, type 2 diabetes, high blood pressure, and other health conditions. Waist-to-hip ratio, waist-to-height ratio, and body fat percentage measurements can provide a more complete picture of any health risks. A person should consult with their healthcare provider and consider making lifestyle changes through healthy eating and fitness to improve their health indicators before considering a BBL. Ask your PCP for help in getting you on a weight reduction program (diet and exercise) so that you can achieve your dream.

Dear ReDDCook21,
generally speaking, you want to reach your goal weight before you consider a surgery, otherwise your results will be suboptimal if you continue to lose weight after the surgery. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. 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

Obesity is your primary problem and is the number one variable that is keeping you looking better.

Weight loss can be a struggle and requires constant daily vigilance and active participation.

Look for local support groups or whatever it takes to get the motivation to change your eating behavior and patterns.

You can have a BBL and you can find plastic surgeons willing to do the procedure but you are not a particularly good candidate for the procedure for a variety of reasons.

Addressing the primary problem which in your case is obesity is always going to give the best results.

Your problem is not for distribution it is simply obesity.

BMI is a ratio of your weight compared to your height.

It is a simple formula you can look up on the Internet.

In the end the decision is yours but having procedures done that you’re not a great candidate for typically leads to disappointment and that doesn’t make life any better.

Best,

Mats Hagstrom MD

Hello, and thanks for your question. Your BMI is actually closer to 38-40, not 195. I only operate on patients that have a BMI lower than 35. If you lose about 30 pounds you should be cleared to have surgery.

Please see a board-certified physician for your consultation. Best of luck to you!

Sincerely, James Fernau, MD
FACS Aesthetic Surgery Certified, American Board of Plastic Surgery Certified, American Board of Otolaryngology/Head & Neck Surgery Member: American Society of Plastic Surgery (ASPS) American Society of Aesthetic Plastic Surgery (ASAPS) International Society of Aesthetic Plastic Surgery (ISAPS) American Academy of Facial Plastic Reconstructive Surgery (AAFPRS) American Academy of Otolaryngology/Head & Neck Surgery (AAOHNS) American Society for Laser Medicine and Surgery (ASLMS) The Rhinoplasty Society

Hi and welcome to our forum!Unfortunately I have to disagree with you regarding your muscle weight. From your photos, you appear to have an excess of soft tissue between your skin and muscle. At your present BMI, cosmetic surgery is not recommended.BMI (body mass index equals weight in kg / square of height in meters) is one criterion to determine the anticipated results of a cosmetic surgery. You can find BMI calculators on the internet. If your BMI is greater than 30, the cosmetic result will not be optimal. If your BMI is greater than 35, your operative risk will rise. In our practice we recommend a BMI of less than 30. Your BMI is currently 37.8. We recommend that you be at a healthy comfortable stable body weight at the time of surgery. The cosmetic effect improves with lower BMIs. We recommend a regimen of diet and exercise to reach a safe and healthy body weight. If not achievable, one may consider a bariatric procedure such as a gastric sleeve to achieve dramatic weight loss. It is performed as an outpatient procedure.Visit a board certified plastic surgeon for in-person evaluation and discussion.Best wishes...