My Dr Says I Have a Big Butt Already I Just Need Lipo Not a Bbl is This True? (photo)

If you want a bigger butt than you currently have, then you want a bigger butt. This is a personal decision and one of taste.  If the surgeon that you have consulted with has a different view on things than you, I recommend continuing to look around until you find one that shares your vision of beauty.

The real issue here is how big do you want to go. You need to be clear with your doctor about the look you are going for. While you certainly have a full buttock, perhaps you want even bigger. In that case liposuction with fat transfer (BBL) would work well for you.

The decision as to what looks good is a personal one, and the doctor and patient may not agree. Nevertheless, the patient's desire is what is driving the conversation, and it is up to the doctor to try to understand what will make you happy.  If that is a buttock that is bigger than what that particular doctor feels comfortable with, then you should get several opinions before deciding whether or not to proceed. You can look at many pictures of buttock augmentation on this web site, and you will see a great range from moderate augmentation to augmentations that I personally would not call attractive.  Nevertheless, those patients were happy. 

    One of the advantages of fat grafting augmentation of the buttocks, or BBL, is that it shapes the hips, waist and thighs, and brings out the roundness of the buttock set off by a more shapely torso.  It may be that when you discuss this with a plastic surgeon and it is demonstrated that by shaping the waist and hips and upper posterior thighs, your buttock will look larger as these areas look smaller, you may decide you do not really want a larger buttock volume per se, but a buttock that stands out more. 

    It is also clear that personal preferences for buttock size have some cultural influences, e.g., in Brazil, women may see an attractive buttock as being larger than a woman in Europe or North America, generally speaking, might want. So, getting some professional feedback by visiting several plastic surgeons is a good way to start. You can be assured that in the US you can find a plastic surgeon that will give you a buttock augmentation either with fat or implants that will meet your needs.

The correct size of your buttocks is really up to you.  The plastic surgeon you consulted suggested that, if you reduced the amount of fat from your muffin tops, thighs, etc., it would automatically make your buttocks look bigger.  On the other hand, if you want the absolute size of your buttocks to be larger, then it would not be inappropriate to place the fat that has been removed, or some portion of it, into your butt. 

I recommend you have a face to face consultation with a Board Certified plastic surgeon so he or she can not only evaluate what your buttocks look like, but also have a chance to evaluate your personality, your overall height and weight, and to truly understand what your ultimate goals are.  This in-person consultation will help you crystallize your goals and help you determine whether a BBL or lipo with a BBL is the appropriate answer for you. 

    If you want larger buttocks, you should get fat grafting and the brazilian buttlift.  If you are happy with the size of your buttocks, just lipo everything around the buttocks.   This is really a personal decision.