5'5", 165lbs, 37yo, 2 kids - do I look like I will have loose skin with just lipo & BBL? (Photos)

Question

Wondering if I can get away with just lipo and BBL. I have some stretch marks but generally seems like I have good skin. I do tend to show light marks from any clogged pores for a while if that's a relevant data point.

Andre P. Marshall, MD · Answer

Hi Independent202566, 
Loose skin after liposuction is a very common concern. Most women that have had kids or carried additional weight in their midsection are certainly at risk for loose skin after liposuction. Everyone's body is different and there is no magic formula that predicts loose skin. If skin removal surgery is not an option for you, consider adding other modalities to your procedures such as Renuvion aka J-plasma to help you achieve the look you are going for. 
Dr. Andre P. MarshallDouble Board Certified Plastic SurgeonBeverly Hills, CA 90210

Alan Gonzalez, MD, FACS · Answer

Hello @Independent202566, thank you for your question and showing your pictures. Ideally, a patient should undergo a personalized consultation with a surgeon, during which a surgical plan tailored to the patient's expectations will be presented. The only way to determine whether or not you have muscle diastasis or whether your skin will retract properly is through a virtual or face-to-face assessment. For more information and recommendations, consult one or several board-certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS.

Finny George, MD · Answer

Hi, thank you for sharing your question. You are a great candidate for 360 Lipo + BBL. This procedure will improve your figure and give you an hourglass shape while also giving you more buttock and hip projection. You do not seem to have excess skin that would require removal. I hope this helps.

Emmanuel Mallol Cotes, MD · Answer

Thanks for the question.

In this regard, I recommend you waist and back Liposculpture, getting better curves especially in the waist, improving your body contour.

Finally, I suggested take the fat we get and transfer to the buttocks and hips, to mold them and get better volume, contour and butt projection, is that we know as "Brazilian Butt Lift" (BBL).

Kind regards

Daniel Barrett, MD · Answer

Dear Independent202566,
based on your photos, you look like a good candidate for a BBL. Liposuction of your abdomen, back and flanks should give you more curves and hourglass shape and fat transfer to buttocks should give you more projection. I would suggest you to consult a board-certified plastic surgeon because 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

Douglas Taranow, DO, FACOS · Answer

You should have great results from a Lipo 360 with BBL procedure.  
Only a physical exam would answer if you have wrinkling issues post liposuction, but from your photos alone, you look like a good candidate

Mats Hagstrom, MD (license on probation) · Answer

If done correctly you should not have any significant change in skin laxity. While removing fat does empty the envelope in the sense and massive weight loss patients develop serious skin laxity Liposuction also has an inherent skin tightening capacity because of the diffuse network of scar tissue that develops from the procedure. typically when the procedure is done correctly these two pretty much compensate for each other and the skin is basically has the same integrity after surgery as it did before.
If the procedure is not done well then there can be all kinds of irregularities to the skin but this is not necessarily skin laxity but due to an uneven fat distribution from poorly done surgery. The following are some general thoughts on Liposuction and fat transfer.
Delivering consistent high-quality liposuction and fat transfer results is more difficult than most people believe in this is true for both patients and plastic surgeons. Most plastic surgeons think they are better at liposuction than they actually are. Liposuction and fat transfer has more variance or difference in outcome purely based on who does the procedure than any other surgical procedure I’ve ever seen. Being board-certified in plastic surgery with an overall good reputation is not sufficient to guarantee that somebody has mastered body contouring with liposuction and fat transfer. Personally I view the torso as a single anatomic unit and either treated the entire torso or don’t do Liposuction. There are of course exceptions but for the most part I believe in treating the entire torso. A full torso includes upper abdomen, lower abdomen, love handles all the way down to the hip dips, waist, the entire back and under arm area all the way to the side of the breast. this leaves people with a natural thin fat distribution without transition zones between treated and entrteded areas. I’ve viewed the BBL as an enhancement to body contouring creating an ideal feminine S-curve that goes from the armpit to the knee. I did not emphasize a large buttocks with liposuction of the outer thigh creating a big round butt on the small leg which I sometimes called the “lollipop look”. Instead I emphasize long smooth harmonious curves creating a slightly hyper feminized balanced figure. To find the most talented and experienced provider in your community I suggest having multiple in person consultations. I do not recommend patients travel for elective surgical procedures and I recommend patients whenever possible avoid virtual consultations. During in person consultations ask each provider to show their entire collection of before and after pictures of BBL results. Always confirm that after pictures were taken at least three months from the time of surgery. anybody who shows early postoperative pictures such as pictures with patients still showing surgical drawings on them, being in the operating room or any evidence of recently having had surgery should be immediately discounted as showing “.fake news”. Early fat transfer results can look very impressive but do not at all represent final results. Ask the provider to show you examples of excellent outcomes, average outcomes and less than outcomes. Specifically ask each provider to show as many pictures as possible‘s of patients who have similar body characteristics to your own. An experienced provider should have no difficulty showing you a minimum of 50+ sets of before and after pictures. Simply seeing a handful of pre-selected sample pictures which in reality most likely represent the best results of that providers career is insufficient to get a clear understanding of what average results look like for that provider. Highly experienced providers will have hundreds or even thousands of before and after pictures and should be willing to give you access during the consultation to see as many pictures as possible. If somebody claims to of done a lot of surgery but doesn’t have a lot of before and after pictures then you should ask yourself why? Do not commit to surgery or pay a down payment during the time of consultation until you’ve finished all your consultations and have given yourself plenty of time to think about your decision. The results from these procedures are permanent and irreversible. When in doubt slow down and schedule more consultations. Finally I recommend patients read all reviews on all various physician review websites avoiding providers for any significant number of justified negative reviews. The absence of justified negative reviews is more important and more telling and having an abundance of positive reviews. Plastic surgeons with the biggest social media profiles are not necessarily any more talented than those who have no websites at all. Famous or likable does not equal talented. Find the right plastic surgeon and everything falls into place. 
Good luck, 
Mats Hagstrom MD

Jose A. Munoz, MD - Account Suspended · Answer

Hi and welcome to our forum!From your photos, I note a relatively full abdomen and full flanks. Unfortunately your lower abdomen is covered so I cannot comment upon skin laxity of the abdomen. Your buttocks appear relatively small.From what I can see, you appear to be a satisfactory candidate for BBL.Clogged pores? No problem...Visit a board certified plastic surgeon for evaluation and discussion.Best wishes...

5'5", 165lbs, 37yo, 2 kids - do I look like I will have loose skin with just lipo & BBL? (Photos)

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