Worried about BBL Risk - Is fat transfer to just hips safer than full transfer to hips and buttocks?

Question

I have a procedure coming up in a few days for 360 Lipo, extended tummy tuck & BBL. I have an inverted triangle shape so it will be nice to have some hips however I am so scared of the BBL. Is fat transfer to just hips safer than full transfer to hips & buttocks? Will my results look odd if I ask for just fat transfer to hips as I have a relatively flat bum? How about long term implications of fat transfer as we age? My priority is safety, TIA

Oliver Chang, MD · Answer

Unfortunately there are no photos to help better assess your anatomy and situation. Fat grafting to the buttocks area by an experienced surgeon leading to complications should be very low esp. when it comes to fat embolism. (once the fat transfer is complete the risk for fat emboli is extremely low post op). DVT and pulmonary embolism are slightly more common but still also very low as if all safety protocols are properly taken before, during and after surgery. If you graft only your hips - yes ideally, that is likely even lower in terms of fat embolism but again depends on surgeon technique / experience - and if you don't graft the buttocks at least some - your results might not look continuous or flow properly. But speak to your surgeon about that. Another thing to think about is - if you want to reduce as much complications as possible - maybe just doing the liposuction with fat transfer first then the abdominoplasty 6+ months later - this can greatly reduce operative time, anesthesia time less likely for DVT / PE issues. Stay hydrated, walk a lot, good luck.

Worried about BBL Risk - Is fat transfer to just hips safer than full transfer to hips and buttocks?

Answers (1)

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