Skinny BBL/ Tummy Tuck - what will give me the best shape and remove loose skin? (Photos)

Question

I’m 39 yo mom of 2. 2 cections with and weight gain of 70lbs. Currently at 145lb 5’7. I really want to enhance my back side with some projection and I do like the pear shape. With loose skin I would ideally need a tummy tuck. I’ve been advised and quoted differently. 1. Full tummy tuck with back and lipo flanks to fill hip dips - subtle change as per doctor. 2. dominican tummy tuck, butterfly lift, 5lb weight gain for bbl. Both price ranges were extremely different. I don’t want a unnatural look but something that suits my frames..… I have shape, wider hips etc..… Any feed back would be great!

Muge Sevindik, MD · Answer

thank you!With a full tummy tuck, liposuction of the back and flank area, and fat transfer to the hips using your own harvested fat, it is possible to create a beautifully contoured pear-shaped silhouette. This combination allows us to achieve a slimmer waistline, smoother body contours, and a more feminine, well-balanced figure overall.

Carlos Alberto Ríos García, MD · Answer

I understand why you’re getting different recommendations&mdash;this is actually very common in cases like yours.Based on your history (pregnancies, C-sections, and loose skin), one thing is clear:a tummy tuck is necessary if you want a defined, smooth abdomen. Liposuction alone won’t address the excess skin.
Now, regarding your shape goals:
At your height and weight, and especially since you mention you already have curves and wider hips, you do have enough fat to sculpt your body properly&mdash;not just a subtle change.
A well-planned approach can:
define your waistenhance your natural pear shapeand give you glute projection that looks balanced, not exaggeratedThis doesn’t require extreme techniques or forcing weight gain.About the second option you were offered:terms like “Dominican tummy tuck” or “butterfly lift” usually refer to more aggressive approaches. They can create more dramatic changes, but sometimes at the expense of control, safety, or long-term tissue quality.
If your goal is something natural that fits your frame, the strategy should be precise, not aggressive.
In my experience (over 20 years treating these cases), patients like you tend to get the best results with:
Full tummy tuck (to remove loose skin and tighten muscles)Liposuction of back and flanks (to create a defined waist)Fat transfer to hips and glutes, using the fat you already have to shape&mdash;not overfillThis allows us to sculpt the entire silhouette, not just the abdomen or the buttocks.So the key is not choosing between “subtle” or “dramatic”&mdash;it’s designing a result that:✔ matches your anatomy✔ respects your tissues✔ and looks natural long-term
I see cases like yours very frequently, and when it’s done correctly, the result is not an artificial BBL look&mdash;it’s simply a more defined, balanced version of your own body.
If you’d like, I can guide you more specifically based on your photos and show you what would realistically suit your frame.

Zoran Potparic, MD · Answer

Probably the most efficient surgery in your case would be liposuction of torso (360), abdominoplasty and fat transfer to buttock/hips. Buttock lift with flap augmentation is another option. In person consultation is always the best option to learn and select. Good luck.

Priya Bansal, MBBS, MS ,DNB · Answer

From your photos, your concern is less about significant sagging of the buttocks and more about volume, contour, and skin quality. The buttock position itself appears reasonably maintained, so the focus should be on enhancing projection and shape rather than lifting.
Fat transfer as part of a BBL can effectively add volume, improve roundness, and create a more defined, lifted appearance. When it comes to Brazilian butt lift surgery in India, for many cases like yours, we address mild laxity by filling and supporting the tissue. Equally important is hip contouring, as correcting hip dips will help create the smoother, more balanced silhouette you are looking for. 
At the same time, the abdominal skin laxity you described is better addressed with a tummy tuck. A high lateral tension technique can be particularly useful, as it removes excess skin and pulls tissue inward, helping to create a more defined waist while incorporating lateral skin excess into the closure.
When combined with 360-degree liposuction, this approach allows for comprehensive contouring of the waist, flanks, and back, while also providing fat for transfer. This is the same principle followed in tummy tuck surgery in India, where the goal is to create a more sculpted waist along with improved skin tightness for a balanced, natural-looking result.

Skinny BBL/ Tummy Tuck - what will give me the best shape and remove loose skin? (Photos)

Answers (4)

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