Too skinny for BBL? (photos)

Question

I have heard mixed feedback on whether I'd be a candidate for a BBL. I am not interested in having a large butt since I have a thin frame and thin legs; I just want it to be rounder/perkier and would ideally like the narrowest part of my waist to be a little lower on my torso. My hips are naturally wide so I don't really want additional widening of my hips. Would I be a candidate for this procedure given my more conservative goals? I am 5'8.5" and 130 lbs, but naturally have little muscle mass.

Emmanuel Mallol Cotes, MD · Answer

Thanks for the question.

In this regard, I recommend you waist and back Liposculpture, getting better curves especially in the waist, improving your body contour.

Finally, I suggested take the fat we get and transfer to the buttocks and hips, to mold them and get better volume, contour and butt projection, is that we know as "Brazilian Butt Lift" (BBL).

Kind regards
Dr. Emmanuel Mallol Cotes.-

Kenneth Hughes, MD · Answer

There are a lot of women who can get nice results from the BBL despite thinking that there is not enough fat. The thinner patient requires an expert at liposuction to remove as much fat as possible while leaving the skin smooth. Fat can be harvested from the abdomen, flanks, thighs, arms, back, etc. and transferred to the hips and buttocks. If the waist was smaller at one time, the waist can likely be reduced with liposuction to those same measurements or smaller provided the muscular and facial integrity has remained the same. You will find that the results are very much surgeon dependent. Recommend that you consult via email or Skype with a board certified PS to determine your fat stores.

John L. Burns Jr., MD · Answer

You'd have enough fat for a conservative but noticable difference.  Fat could be skimmed from the deeper layer next to the muscle around your thighs and flanks.  This might yield between 300 and 500cc per side which again would make a nice difference.

George Marosan, MD · Answer

Thank you for your question and photos. Based on your photos and BMI of 19, you do have limited amount of fat to be grafted. To maximize this, you would do best with VASER Hi Def Lipo 360 degrees and fat transfer to the flat, depressed areas of your buttocks. The waist line is between the lowest rib and the top of the pelvic bone. You are tall and have a longer waist line, so it can be maximized a little lower. As a Total Definer surgeon, I do these surgeries with stealth incisions, no visible signs that you had surgery. It is done under intravenous sedation in our certified office surgery suite. Since you are thin, you have one chance to get a great result.
See a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person consultation/evaluation. Good luck.

Miguel Mota, MD · Answer

Hi! Skinny BBLs are more common the people think. Most patients have some fat to work with, but they should understand that dramatic results are unlikely. There is usually a considerable change as far as shaping the body shape; waist, hips, butt, due to the “rearranging of fat deposits”.  This definitely translates into good results as long as expectations are realistic.

Gaining weight before surgery and keeping it on, or gaining weight after,  can complement and improve results.

It is hard to say if you have enough fat to fulfill your expectations, without seeing you in person or better understanding what you are looking for. So I would still suggest gaining some weight just to make sure.

Best of luck,
Dr. Miguel Mota

Daniel Barrett, MD · Answer

Dear georgiapeachy,
it is hard to tell for sure without an examination. Based on your photos, it looks like you don't have a lot of extra fat. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Tania Medina de Garcia, MD · Answer

Hello dear!
Thanks for the question and provided information as well.
Based on your pictures, you are a great candidate for liposuction with modest BBL, and I think you'll get very good results. 
Liposuction allows your plastic surgeon to transform your entire shape. You can improve your abdomen, back and flanks, and of course your buttock, to give you a nice heart shape.
In general, you need to be physically healthy and at a stable weight, have realistic expectations, be a non-smoker and your BMI needs to be 33 or less.
l recommend you to make an appointment with a board certified plastic surgeon to talk about your goals and anything you need to know.
Good luck :)

David S. Rosenberg, MD · Answer

yes I think you are a candidate, the fat can be taken from your abdomen, arms, flanks and inner thighs and give you a nice improvement in your buttocks

Mats Hagstrom, MD (license on probation) · Answer

At 5‘8“ and 130 pounds you are definitely on the slim side for body fat transfer.

Based on that your goals are modest I definitely think this may be a worthwhile pursuit. Personally I would recommend liposuction of your “full torso” (upper abdomen, lower abdomen, love handles, waist, back and under arms).  My best guess is that your torso will deliver between 400-800 mL of usable fat.

In addition you could add liposuction of your arms which should contribute an additional 150-300 mL. Liposuction of your thighs solely for the purpose of harvesting fat could yield an additional 200-400 mL.

An ideal BBL would probably require grafting around 600 mL per side. Grafting less than 400 mL per side he’s going to give very conservative results and grafting up to 1000 mL per side will give dramatic results.

Simply doing liposuction of your love handles to bring in the narrow part of your waist lower on your torso like you described may in fact make the biggest impact.

In the end the question you must ask yourself is is it worth it to have liposuction of your entire body to have the fat transfer? It’s liposuction of your lower torso sufficient?

I am not one to recommend weight gain for fat transfer procedures.

In my opinion patients number one concern should always be minimizing the chance of being disfigured.  With this procedure when things go wrong it is almost always from the liposuction part of the procedure.

I cannot emphasize enough the importance of choosing a highly experienced board-certified plastic surgeon who has years of experience doing liposuction/fat transfer work.

I’ve summarized what I think highlights the most important aspects of finding the right plastic surgeon and will include them below.

Avoid traveling long-distance for elective surgical procedures. There are obviously exceptions for this for those who live in small communities.

Rely on in person consultations.

Schedule multiple consultations with surgeons in your area who have a good reputation for the procedure you’re interested in.

During the in person consultation to ask each surgeon to show all of their before and after pictures of the procedure you’re interested in. The goal is not to see the best results of their career but to see what average results look like and get confirmation of how many of these procedures that surgeon has performed.   Ideally the surgeon should be able to find before and after pictures of patients who are very similar body shapes and contours to your own.

An experienced plastic surgeon should have an abundance of before and after pictures. A highly  experienced plastic surgeon will have several hundred or even thousands of before and after pictures for each procedure.

Read all the reviews on various physician review websites avoiding providers with any significant number of justified negative reviews.

Organic  unmanipulated reviews tend to follow fairly equally among different review websites.  Those with an excessive number of positive reviews on a single website may be a telling sign of aggressive marketing.

The presence of justified negative reviews can be more important than an abundance of positive reviews.

Don’t schedule surgery during the consultation.

Give yourself time to think about important decisions like permanently and irreversibly changing your body.

When in doubt slow down and schedule more consultations.

The outcomes of this procedure are all over the place based exclusively on the skill and experience of the surgeon.

Best,

Mats Hagstrom MD

Too skinny for BBL? (photos)

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