Is it possible to get a BBL if you’re plus size? (Photo)

Question

Hi I am an 24 year old plus size female, I’ve maintained my weight at 230 for about 5 years now it does fluctuate up and down about 5 pounds but it tends to always come back at 23, I’ve been considering getting a bbl for a few years now but it’s ver difficult for me to lose weight even with diet and exercise. I’m not looking for a dramatic change to my waist I just want most curve in my back side

Moises Salama, MD · Answer

Thanks for your question. Plastic surgeons have a Body Mass Index (BMI) limit for BBL surgery. At my practice, the max BMI limit for the BBL is 35. The BMI is based on your height and weight. You can check online what your BMI is using an BMI calculator. If you are over the BMI limit, I would recommend consulting with your primary care physician on a proper diet for you to bring down your BMI in order to be able to undergo the procedure. Please always consult with a board certified plastic surgeon. Take Care, Moises Salama MD, board certified plastic surgeon

Kenneth Hughes, MD · Answer

In general, overall health as well as BMI and body habitus should all be used to determine appropriateness of the candidate. I prefer my patients to have a BMI around 30 to lessen the risks of complications during and after surgery and to enhance results.

Luis A. Mejia, MD · Answer

Dear Fabulous939730, Thank you for sharing your question. After analyzing your case I can say look like a good candidate for Liposuction on your back, flanks and abdomen plus BBL. I'm sure those procedures will give you an amazing result! Make sure you go on consultation with a board-certified plastic surgeon. Hope this helps and best of lucks. Dr. Luis Mejia.

Esteban Marten, MD · Answer

Thank you for your question. It is possible for you to get a BBL and obtain a significant improvement. You would be a good candidate for fat transfer from your abdomen waist and back to your buttocks and hips. The results may very well be dramatic.

Daniel Barrett, MD · Answer

Dear Fabulous939730,
generally speaking, you want to reach your goal weight before you consider a BBL, 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

Tania Medina de Garcia, MD · Answer

Hello dear!
Thanks for the question and provided information as well.
To be a candidate for plastic surgery, in general, you need to be physically healthy and at a stable weight, have realistic expectations, be a non-smoker and your BMI needs to be 33 or less.
l recommend you to make an appointment with a board certified plastic surgeon to talk about your goals and anything you need to know.
Good luck :)

Darryl J. Blinski, MD · Answer

Not a good idea because in most states there is a max liposuction volume allowed. In Florida that max is only 4 liters or 8.8 pounds. At your high BMI you are easily 10 liters of fat. So you would need multiple surgery rounds. Best to discuss via virtual with a boarded PS whom does lipo/BBLs.

Arian Mowlavi, MD, FACS (license on probation) · Answer

Yes, you are a candidate for a BBL. If you are interested in curves and improving the contour of your body, from the pictures you provided, you would benefit from high definition VASER liposuction combined with a BBL and TT. The optimal BBL outcomes are achieved with: 1) use of VASER liposuction to harvest the fat, 2) a closed looped system such as Puregraft to process the fat, and 3) strategic micro-packet transplant technique. These three processes have demonstrated over 95% fat graft take. This means that your results will be stable as long as you maintain your weight. As an official VASER trainer, I am routinely referred unhappy BBL patients. One of the most common reasons for disgruntled BBL patients is that patients are not able to accurately communicate their desired buttocks goals to their surgeons. A buttocks assessment tool can be an invaluable tool to communicate to your surgeon the exact buttocks size and shape you are desiring. A Skype or FaceTime consultation with a BBL specialist can help you get an accurate recommendation and pricing.

Respectfully,
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Mats Hagstrom, MD (license on probation) · Answer

When it comes to making an assessment and BBL it is a fairly complex procedure. It is after all two separate procedures combined done at the same time. The assessment should be made for each of the two components Liposuction and fat transfer.

In regards to liposuction it’s reasonable to say that the ideal candidate tends to be young, with tight skin, no pregnancy related changes be slightly overweight.  Fat can be harvested from any area but the most common is liposuction of the full abdomen or as I prefer the full torso including the back and under arm area.

Starting with the front of the abdomen in this area there are four variables that contribute to shape and contour. These are skin laxity, excess subcutaneous fat, muscle separation from previous pregnancies and lastly excess visceral fat. Patients who have only access subcutaneous fat as the only variable causing them to look less than perfect get the best liposuction results.

The worst candidates are those who have little subcutaneous fat but all of the other components creating problems.

Liposuction results are also potentially limited due to obesity because of safety limits of not removing more than four or 5 L of fat. This equates to about 8 pounds of fat.

While 32 sticks of butter stuffed into someone’s blouse may seem like an impressive amount 8 pounds on the scale is really not all that much especially considering someone may be paying tens of thousands of dollars.

5 L of fat removal is sufficient for a total body transformation and seven up to about 160 pounds. Above that it can become an insufficient amount of fat for ideal results. My maximum cut off typically Hiers around 220 pounds. Above that even two rounds of liposuction removing up to 10 L of fat is insufficient to get ideal results.

Obviously the procedure can be justified even if ideal results are not obtained.

The total potential impact of 5 L of fat removal on someone to 130 pounds without consideration of having a second round of liposuction is going to be a limited Liposuction results. If you are on top of this add someone who has other variables such a skin laxity, visceral fat or muscle separation then the results can be, even more limited.

So far we have not even talked about the BBL or fat transfer part of the procedure.
You did not include any pictures of your backside.

Rather than just jumping to the term BBL it’s much more important if you can specifically define the exact changes you’re trying to achieve.  The fat transfer aspect of a BBL primarily makes the bottom bigger. Is it a enlarging procedure more than anything else.  it can contribute a shape to some degree but in reality the BBL primarily adds volume.

Based on my assessments you are not an ideal candidate but this doesn’t mean you can’t have a BBL. You simply need to recognize the limitations and what can and cannot be achieved with the procedure. In particular you need to recognize the limitations of the Liposuction I specked especially if opting for only one round of liposuction.

Patients who have substantial weight loss such as morbid obesity weight loss measuring over 100 pounds often develop enough skin laxity that liposuction becomes a lesser procedure and through successful weight loss these patients often become better candidates for skin surgery like extended tummy tucks or wraparound body lifts.

To get a more accurate assessment and better understanding of the procedure as well as various physicians recommendations I suggest having multiple in person consultations with local board-certified plastic surgeons in your area.

Best,

Mats Hagstrom MD

Is it possible to get a BBL if you’re plus size? (Photo)

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