Would I need a lower body lift to get the BBL results I desire? (Photo)

Question

I want a bbl and plan on moving forward with one however, I lack skin laxity. I’m 5’3 123 lbs so I don’t know if I have enough fat to fill up the places I want volume in order to obtain my desired result. I’m wondering if a lift would be necessary before the bbl.

J. Timothy Katzen, MD, FACS · Answer

Hello Katz111. Thank you for your question regarding whether a lower body lift is necessary to achieve your desired BBL results.

Thank you for your history and your pictures. The main question is what kind of buttock shape and size you desire. If you're looking to increase the size of your buttocks, I would recommend starting with a Brazilian Butt Lift (BBL). Afterward, you might consider an extended tummy tuck or a 270-degree lower body lift to further enhance your contours.

However, if your goal is to have a smaller, lifted, and perkier buttock, then a 360-degree circumferential lower body lift might be the better choice. Based on the results from the lower body lift, you may find that you no longer need a BBL to achieve your desired look.

Good luck, and I hope this helps guide you towards the best procedure for your goals!

Sincerely,

J. Timothy Katzen, MD, FASMBS, FICS

Luis Suarez, MD · Answer

We would need to check your medical history in order to better assess your case as far as maybe if you have lost weight or fluctuated in your weight, which would give us a better idea of the condition of the skin, but if in fact what you have is more so loose skin then yes a circular tummy tuck or also known as lower body lift would be a great procedure for you. It would give you an automatic butt lift and in addition we can add that and transfer to your butt for added projections. I think you would be a good candidate and have great results!

Salvador Medina, MD · Answer

Hello Katz111.
Needing a  but lift depends on the elasticity of the skin, which is sometimes difficult to judge with a picture. Is you have not lost a lot of weight, it is probable that you do not need a posterior lift, and a liposuction of the back and flanks would be enough to enhance the butt. But if  the elasticity of your skin is not adequate, a posterior lift, combined with liposuction and fat transfer would be the best option.

Let me knos is you would like more information.

Thanks
Dr. Medina

Carmina Cardenas, MD · Answer

You have developed very hollow hip dips and saggy buttocks, your lovehandles are thick and saggy as well, so you are a perfect candidate for liposuction to lovehandles, which will become saggier because of deflation, also a real buttocks lift (incision above the buttocks area) to create a smoother appearance of the butt, and a real rejuvenation which means tighter and firmer and use the fat from the liposuction and the fat from the skin removal (fat fragmentation) to achieve rounder more projected butt and fuller hip dips. 
Be encouraged!!
You will look amazing and rejuvenated. 
Dr. Cardenas

Daniel Barrett, MD · Answer

Dear Katz111,
it is hard to tell for sure without an examination. It is probably better to get BBL and wait to see if you will end up with loose skin. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Gerald Minniti, MD, FACS · Answer

Photos can deceive, but your buttock tissues don't look displaced like we see in those with massive weight loss. I think it would be safe to proceed with significant reduction of your hip and waist fat, which overlap and approximate each other, and fat grafting to your lateral buttocks. As for your front, I don't know!

Camille Cash, MD · Answer

An in person evaluation is recommended but from the photo it doesn't appear that a lower body lift is needed.  A consultation is needed to determine if you are a good candidate for a BBL based on the amount of available fat and your goals.  Contouring with liposuction can be done if there is not adequate fat for transfer.

Daniel P. Markmann, MD · Answer

I would recommend doing the BBL first.   If done well, it will fill out your hip dips.  This will also tighten your skin by filling it out.   Lower body lift may be an option to tighten your skin and can add more volume to your buttocks, but I'm not sure you will need it and there is no point in getting a big surgery and scar if you don't need it

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