Asian female, 20 y/o, BMI 18.8 - should I get BBL along with breast fat transfer?

Hello @Reliable756954, thank you for your question. Yes, it is possible to have a BBL (Brazilian butt lift) along with breast fat transfer in order to make the best decision regarding these procedures done at the same time, more information is needed. A consultation is vital to develop a surgical plan tailored toward meeting your needs specifically since lipoinjection can benefit you in many ways beyond simply improving body proportion including improved shape of breasts or glutes. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science Member (IFATS), Colombian Society of Plastic Surgery member (SCCP).

Thanks for your question. It's difficult to provide a proper evaluation with pictures. That said, a BBL and breast augmentation can be done at the same time. At my practice, I perform many such combo procedures. I suggest you schedule a consult for a proper evaluation. Hope this helps. Always consult with a board certified plastic surgeon. Take care, Moises Salama MD, Board Certified Plastic Surgeon.

"Thank you for your question. Performing both surgeries simultaneously would make recovery extremely challenging, since you wouldn't be able to lay directly on either your buttocks or breasts. This would severely limit your ability to rest comfortably and might adversely affect the survival of the transferred fat cells. Therefore, having these procedures separately would be more advisable to ensure a safer and more comfortable recovery period. You may want to try gaining some weight to have as much fat as possible to transfer. Always consult with a board-certified plastic surgeon for the best guidance.




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Hello and thank you for your question! In my opinion, you are likely not the best candidate for a fat transfer procedure. Everyone has differences in the distribution and quality of fat deposits, but in patients BMIs less than 20, the surgeon will have a difficult time getting enough and quality fat from multiple sites to have enough donor to make a significant differences for 1 fat transfer procedure, let alone 2. The ultimate answer would be to have an in person consultation with a board certified plastic surgeon to perform a physical exam and review your options!

Thank you for your question. To provide a valid medical opinion I will need to see pictures of you body from different angles. I would suggest to be treated by board certified plastic surgeon with experience in this procedure, to get the best desired results.

Respectfully,
Dr. Emmanuel Mallol Cotes.-

Dear Reliable756954,
I understand your concern. It is best however that you consult with a board certified plastic surgeon to determine whether you can have several aesthetic surgeries in one session, as this would depend on various factors including but not limited to your general health condition, the type of anesthesia that will be used, and the type of surgeries that will be performed among others.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Dear Reliable,
Although it is generally accepted that a patient with a BMI of 18.8 is not likely a candidate for fat transfer breast augmentation, or buttock augmentation, I just did a breast augmentation with fat last week on someone that thin. The difficulty in advising you is that we don't know where or how your fat is distributed. So, you might indeed be a candidate. Never say never! Good luck!

Naked photos of your front, sides and back along with your breasts are required to give you an accurate answer. With a BMI of 18, I wonder how much fat you have to donate to either your buttocks or breasts. Realistic expectations are required prior to accepting you as a potential patient.
Best wishes,
Dr. Taranow

To make an assessment we need at a minimum in to see quality pictures. Look at how plastic surgeons take before and after pictures to get an idea of what we need.
Your BMI is low or may not have enough fat to do either a BBL or breast fat transfer. A lot depends on your fat distribution. You probably do not have enough fat to do both procedures well. Delivering consistent quality, liposuction and fat transfer results is more difficult than most people realize. The number of plastic surgeons have truly mastered. These procedures are in a small minority. If done poorly, these people can leave people permanently disfigured. I cannot emphasize enough the importance of provider selection. being bored, certified in a plastic surgery with years of experience, and having a good reputation, that does not mean somebody has mastered anyone single procedure, especially procedures, like Liposuction had fat transfer. Because there’s so much variation in outcome, depending on who you choose as a provider, patients should consider having multiple in person, consultations to get an accurate assessment, clear understanding of what the procedure can, and can’t do, and how to find the best provider.
During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients who had similar body characteristics to your own. Unexperienced plastic surgeon should have no difficulty showing you the before and after pictures of at least 50 previous patients. When reviewing before and after pictures of fat transfer results, always confirm the exact time frame of when after pictures were taken. Early fat transfer pictures can look very impressive, but do not in anyway represent final results. After pictures from fat transfer procedures, should not be taken less than 3 to 6 months from the date of the procedure in order to accurately represent final results.
An experienced plastic surgeon should have no difficulty showing you the before and after pictures of at least 50 previous patients. When reviewing before, and after pictures of fat transfer results, always confirm the exact timeframe of when after pictures were taken. Early fat transfer pictures can look very impressive, but do not in anyway represent final results. After pictures from fat transfer procedures, should not be taken less than 3 to 6 months from the date of the procedure in order to accurately represent final results. in my opinion, patients do not spend enough effort, vetting, plastic surgeons, and have too few in person consultation before committing to permanent irreversible body contouring procedures.
We can’t really begin to make an assessment without seeing pictures. Numbers alone, do not tell the whole story. Breast fat transfer can typically increase breast size by 1/2 cup. The procedure outcome is subtle, and the procedure does very little to change the shape of the breast.
Low BMI patients should probably pick one or the other in order to have enough fat to have a quality impact. There’s no correct number of consultations needed to find the right provider. Considering how much variation there is in skill and experience among plastic surgeons for these procedures, I suggest patient start the process by having at least five in person consultations.
Best,
Mats Hagstrom, MD