How do I know if I'm in "perfect" condition for BBL?

If you lose weight, you will lose some volume in the buttocks and
some in that body area as well. It is best to try not to lose weight prior to
surgery so that the donor site will provide enough fat for the Brazilian Butt
Lift.  I would recommend discussing your
options with your Plastic Surgeon during your consultation. 

    You need to be evaluated and medical conditions and overall health assessed, followed by labs and medical clearance if necessary.

The most important thing is finding a board-certified plastic surgeon. They will review your medical history and determine if you're a good candidate for surgery. Typically, no further studies are needed in healthy patients. 

Whether it is elective or no-elective surgery, it all starts by doing your homework.Is the surgeon Board Certified in the specialty of surgery and is the procedure wanted part of his/her part of the core procedures. Does the surgeon have privileges to do the surgery in a hospital?Is the Facility accredited?Then comes the consultation with the surgeon, which includes a thorough discussion of the surgery. A thorough physical examination.. Understanding all aspects of the surgery and it's potential risks and complications. Who is administering the anesthesia? Who is doing the follow-up after surgery?Once the decision is made that the patient is a candidate for surgery then will need a complete history and physical examination by the Family Physician. including present illness, past illness, past experience with surgery, review of systems and family history., complete blood work. EKG and consultation with other specialists when needed.Clearance should be reviewed also by the operating surgeon and anesthesiologist. Then a decision is made whether you are a candidate for the procedure or not.Does the philosophy and the surgeons approach meet your expectations and national standards. In my practice this takes two to three sessions of consultations. Patients are given all the information about the surgery wanted. Also patients are given all pre-operative and post-operative instructions and finally prescriptions. Then we go to surgery.Follow up is done by the surgeon, patients given home phone and cell phone numbers instructed on what to look for post operative emergencies. Every stitch and drain is examined by the surgeon and removed by the surgeon. In spite of all this surgery has it's risks and complications. Including unforeseen risks and complications.If you can not accept these potential risks and complications then do not do the surgery.Understand your financial obligations and policy for revision surgery and your financial obligations.Consultation can cost some money but it is worth it for you. (If you call a plumber they will charge you for coming as well as the repairs). Virtual consults are not enough and phone (Skype) consults are not enough. 

Perfect it's one of those extreme terms like infinite, always and never.
In the same way of thinking there's no such thing as perfect health.
All of us could use a little more fitness, improve diet etc.  
Someone's overall medical health is always reviewed during an in person consultation.
During this time a board-certified plastic surgeon can easily make an assessment if someone is in good enough health to undergo a surgical procedure and if not what type of evaluations they would need before proceeding.
The clinic you refer to does not have the best reputation.
Staying with someone who is board-certified and plastic surgery has several years of experience and has a good reputation with minimize the chance of having bad outcomes.
That place in Florida has one board-certified plastic surgeon andfive other doctors who are listed as plastic surgeons but are not board-certified plastic surgeon's.
When you have a general doctor or dermatologist performing complex surgical procedures the chance of complications it's going to go up.
Not only will complications go up but the ability to diagnose it properly treat a complication diminishes rapidly.
Brazilian butt lift is a very safe procedure.
Complications can happen from any procedure.
My practice is devoted exclusively to body contouring using liposuction and fat transfer.
During the past seven years I performed well over 3000 liposuction procedures. Many of them including fat transfer.
During this time I had two complications.
That makes my complication rate 0.0007 or Close to 100th of 1%.(my current complication rate from 2011-2017)
The chance of dying in a car accident in the United States is approximately 1/10 that risk.
To put things in perspective those complications like most were fairly minor and were easily treated.
I have personally never seen anyone die as a result of a cosmetic procedure.
That includes not only all of my procedures but all of my colleagues procedures as well.
Fatality from cosmetic surgery on young healthy people is exceedingly rare.
Much lower than the chance of dying in a car accident.
So what does all this mean.
Surgery is scary.
It's anxiety provoking.
Sometimes to the point of sheer terror.
Patients need to be given accurate facts but also reassurance.
Lots of reassurance.
The chance of something going wrong is greatly decreased by having procedures done by experienced board-certified plastic surgeon's with excellent reviews.
Complications or things going wrong are also decreased when patients stay with local doctors and have an in person consultation prior to procedures.
In the end hopefully the doctor has given enough reassurance and patient education that each patient feels comfortable enough to simply have faith and move forward with the procedure.
The rewards of going through with a well-planned cosmetic procedure can give a lifetime of joy and happiness.
I suggest you start by consulting with several experienced board-certified plastic surgeon's who have experience with this procedure.
Don't base your emotional judgments on information from the Internet.
Best,
Mats Hagstrom,MD

I, and many of my colleagues, would hesitate to say any patient is in "perfect" condition for any surgery, including a BBL procedure.  That said, some patients are better candidates for a BBL than others.  First one should be in good overall physical condition.  If you have any health problems - high blood pressure, diabetes, blood clotting or bleeding tendencies, etc. - you should let your surgeon know about these issues.  If you are overweight, you should try to get your weight down below a BMI (Body Mass index) of 30.  If you are on the thinner side, I would NOT recommend that you gain weight, simply to have more fat to transfer (this is a common question).  Do not compromise your health.  Be certain to check with your primary physician and ask if they have any concerns regarding the surgery.  Best wishes, Dr. Lepore.