48 y/o interested in BBL and breast fat transfer - do I have enough fat for both procedures? (photos)

It is difficult to say without a physical exam to assess how much fat you have as a resource in each area. Your body weight and photos suggest you have a moderate amount of fat to transfer. I ask my patients to give me their priority list and target the high priority area first.

Thanks for your question. From you pictures, you seem to be a good candidate for a BBL and fat transfer to breasts. You would just need to be in good health and cleared for surgery. I would recommend scheduling a consult for a proper evaluation. Please always consult with a board certified plastic surgeon. Take Care, Moises Salama MD, board certified plastic surgeon

Based on your pictures, you are an excellent candidate for a "mommy makeover" and have sufficient fat for your desired procedures. While the procedure is personalized to each patient, a "mommy makeover" often addresses volume loss in the buttock and breasts regions as well as a protruding abdomen by combining fat grafting to the buttocks and lateral hips, a tummy tuck with or without muscle plication, and a breast augmentation with implants or fat grafting.
Additionally, you may benefit from having strategic liposuction to your flanks, middle/lower back and bra roll regions for an improved silhouette. An in person or virtual consultation with a MommyMakeover specialist will provide you an accurate recommendation and pricing.
Respectfully,Brandon Richland, MD

The amount of fat that is available is only one factor. Your goals as well as your selection of your surgeon are important as well. 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.
In general, 200 cc per breast is typically the upper limit of fat injection recommended by most plastic surgeons. It is not that more cannot be injected; but on average, this has been determined to be the most that can be expected to live during one transfer. Multiple transfers would be required for additional ccs. In general, the abdomen and thighs are preferred donor sites but fat from other areas can be used. Some of the retention rate will depend upon the amount of fat transferred, as smaller volumes will likely have a higher survival. Occasionally, a patient can resorb a great deal of the fat despite optimal transfer procedures. Thinner patients are outstanding candidates in my opinion, because the fat transferred is extremely resistant. Results are largely dependent upon the skill of the surgeon, his/her ability to remove fat without creating contour deformities, and your expectations.

Based on these photos, it looks like you will have sufficient amount of fat to be used for augmentation/shaping of breasts and buttocks/hips. In person consultation with a plastic surgeon with expertise in fat transfer and liposuction, is recommended. Good luck.

Thank you for your pictures. You are a great candidate for fat transfer to the breast and buttocks. One thing to look into is skin laxity. After liposuction, your skin will be looser from removing the excess fat. I will suggest considering skin tightening to give you better results.

I think you have enough fat for a BBL; for breast transfer you may be a bit limited. It's a great surgery and really changes your body appearance. If you've had 5 kids, there may be need for a tummy tuck if too much fat is suctioned from your front. Reliable, changes in breast volume/ size changes really doesn't do as well with fat; you get some volume but you really get more contour changes with fat graft to the breast. Breasts implants are definitely more reliable for size change of the breast. Best Wishes!!

To answer this question, we would need to have a good idea of what end result you would like. For example, are you looking for more shape to the breast/buttock or a significant increase in size? Typically fat transfer to the breast tends to be less predictable for increasing size alone and I like to use this technique along with a small breast implant as a "hybrid" augmentation. The implant provides needed volume to counter deflation that occurs with pregnancy and time, while the fat helps to shape the cleavage and give a natural slope. In that way, it may be possible to use some fat for the breast in addition to transferring to the buttock. Remember, that fat transfer may require a second round as some gets reabsorbed after transfer. The best option is to consult with a board certified plastic surgeon who specializes in fat transfer and breast/body surgery.

Thank you for your question and pictures. You do have enough fat for liposuction and fat transfer to buttocks and hips. In you're done having children I would also suggest considering a Tummy Tuck, that'll help you achieve a flatter abdomen and smaller waist.

If you're willing to travel, Surgeons in the Dominican Republic have experience and very high standard of excellence when it comes to plastic surgery. I'm positive you can get what you're looking for.

Thank you for your question regarding a BBL and a breast fat transfer and for including photos. They are very helpful!

It is possible to do both procedures. However, I recommend an in person consultation to assess the amount of fat that you actually have and to gain realistic expectations if you proceed with both procedures.

I hope this helps!