Should I have a BBL before a bodylift? (Photo)

Question

Hi, i was quoted a BBL before a body lift. Is it the right thing to do in my situation? Thank you.

Zoran Potparic, MD · Answer

Without in person evaluation it would be difficult to give you definitive answer. However, based on this single photo, I would suggest liposuction and BBL, wait at least 6-12 months and decide about further surgery if needed. Good luck.

Laura Roider, MD · Answer

This is a great question. If you are considering a BBL it is important to do this either before or at the same time as your body lift. This allows the fat to be repurposed before it is removed. 
Often these procedures are combined to optimize your result and consolidate healing. Hope this is helpful!

Mats Hagstrom, MD (license on probation) · Answer

There are pros and cons to performing these procedures in different sequences, and the right order truly depends on the individual patient.
One potential disadvantage of doing a Brazilian Butt Lift (BBL) first is that liposuction creates a fine network of scar tissue beneath the skin. That internal scarring can reduce skin pliability and, in some cases, may limit how much skin can be safely removed during a later tummy tuck or body lift.
For that reason, many surgeons recommend performing the BBL first&mdash;and sometimes that is absolutely the correct approach. If a patient is unlikely to have enough fat remaining after a tummy tuck or body lift to achieve a meaningful BBL result, then the BBL should definitely be done first.
However, if a patient has a sufficient amount of subcutaneous fat such that adequate fat can still be harvested after a body lift, I often prefer to perform the skin-tightening procedure first. There are additional variables to consider as well. For example, body lift procedures carry higher wound-healing risks in patients with very thick layers of subcutaneous fat. Closing thick fatty layers under tension can increase the likelihood of healing complications. In those cases, staging procedures thoughtfully becomes even more important.
If liposuction with BBL is performed before a tummy tuck or body lift, I recommend waiting at least six months&mdash;preferably longer&mdash;before undergoing skin surgery. This allows the internal scar tissue to mature and soften, which can improve surgical safety and outcomes.
Based on the single photo you shared, a well-executed BBL could produce a significant improvement. However, without seeing the front of your abdomen, it’s difficult to assess how much skin laxity is present and whether skin excision is necessary.
From the limited view provided, the procedures likely to have the greatest impact appear to be: 1. Liposuction alone 2. Liposuction with BBL 3. Skin surgery (tummy tuck or body lift)
Properly reducing the flanks (“love handles”) can create a more defined S-curve to the torso and may even enhance the appearance of buttock projection without fat grafting.
That said, the most important variable is surgeon selection. In experienced hands, excellent outcomes can be achieved regardless of sequencing, because the surgical plan will be tailored appropriately.
Choosing the right provider is more challenging than most patients expect. I strongly recommend scheduling multiple in-person consultations, ideally with experienced surgeons in your area. Bring photographs of yourself to clearly communicate your goals. During each consultation, ask to review a broad range of before-and-after photos of patients with body types similar to yours.
An experienced surgeon should have more examples available than you’ll have time to review. It’s important to see not just a handful of their very best results, but a large sample that reflects their typical outcomes.
There is no “correct” number of consultations. In general, the more consultations you attend, the more informed and confident you will be in selecting the right surgeon for your needs.
Best,Mats Hagstrom MD

Should I have a BBL before a bodylift? (Photo)

Answers (3)

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