Hello mahlako, It’s a pleasure to answer your questions! It is possible to get a high volume VASER Liposuction with fat transfer to the buttocks (BBL) surgery with your current Body Mass Index (BMI) estimate. Many of my full-figured patients who desire flat abs and a fuller, beautifully rounded backside opt for BBL surgery, and get amazing results. Based on your pictures and description, I would recommend you two different surgical plans: 1) undergoing a weight loss program until you reach a Body Mass Index (BMI) estimate equal or less than 30, and then having a traditional abdominoplasty (full tummy tuck) done, followed by a VASER Liposuction with fat transfer to the buttocks (BBL) procedure, six months afterwards; or 2) a staged procedure consisting of a large volume High-Definition VASER Liposuction with fat transfer to the buttocks done first, followed by an abdominoplasty, 6 months after you’ve fully recover from BBL. Your current BMI estimate of 43 surpasses the recommended range for a safe and successful tummy tuck procedure and recovery. For procedures that involve long incisions, such as abdominoplasty, it is ideal to achieve a BMI of less than 30 to minimize your risks of complications, such as wound dehiscence and infection. Set up an in-person consultation with an experience plastic surgeon to assess your candidacy for abdominoplasty and/or VASER Liposuction with fat transfer to the buttocks based on your age, presence of skin laxity and stretch marks, BMI and health status, among other factors. With appreciation, Dr. De La Cruz.