Do I have enough fat for a BBL? I was turned down by a couple doctors for not having enough fat and one suggested that I only lipo my flanks. I’m 5’4 and 130 pounds. Am I able to achieve my wish pic (last photo)?
Answer: BBL Candidate Thanks for your question!Based on your pictures, I recommend you gain at least ten pounds to possibly achieve your desired goal. Please always consult with a board certified plastic surgeon. Take care, Moises Salama M.D., Board Certified Plastic Surgeon
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Answer: BBL Candidate Thanks for your question!Based on your pictures, I recommend you gain at least ten pounds to possibly achieve your desired goal. Please always consult with a board certified plastic surgeon. Take care, Moises Salama M.D., Board Certified Plastic Surgeon
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Answer: Brazilian Butt Lift A good candidate has enough fat available for transfer in the procedure. The amount of fat that can be transferred in a BBL depends on how much fat the patient has to harvest and the amount of space there is to move the fat into. It is recommended for the patient to have a BMI of 30 or less. If you are too thin, a Brazilian Butt Lift may not be possible.
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Answer: Brazilian Butt Lift A good candidate has enough fat available for transfer in the procedure. The amount of fat that can be transferred in a BBL depends on how much fat the patient has to harvest and the amount of space there is to move the fat into. It is recommended for the patient to have a BMI of 30 or less. If you are too thin, a Brazilian Butt Lift may not be possible.
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April 2, 2018
Answer: Enough fat is a relative question Patients interested in BBL often ask questions of the necessary volume for transfer. Ultimately, the answer is two pronged and based upon both patient expectations and the nature of fat graft themselves. BBL and fat transfer is ultimately dependent upon the long term viability of the fat grafted. That being said the resorption rates of fat transferred can be significant. Clinically this translates to a progressive loss of grafted volume in the months following the procedure. I tell patients that they can expect resorption or graft loss on the order of 50% (at most; prepare for the worst and hope for significantly better). Additionally some harvest volume is lost in processing the fat graft prior to transfer. Thus I generally recommend that patients seeking even the most minimal volume increase have adequate reserves for grafting of 500 cc per cheek (at minimum). This means that harvest will usually exceed 1 liter (assuming for processing loss). However, it important to remember that these are recommendations and can be amended based upon a patient's particular expectations. Some patients only want a subtle change and may be willing to accept a less significant result. But the rule still applies you have to have the fat to transfer the fat. Ultimately, there are limits both on donor yield and recipient capacity. There is no defined space for filling thus there is a component of stretch and expansion that goes along with transfer. Once the limit is reached, injected fat will extrude from the injection sites. Overfilling will only lead to greater loss and place you at risk for necrosis. Based upon your photos, you have adequate donor sites for a modest augmentation. You will benefit from the contouring effect of liposuction, irrespective of the yield for fat transfer. I often find that the happiest BBL candidates are those that recognize both the benefits of waistline contouring liposuction as well as the volumizing effect of the fat transfer. I do not, however, believe you have adequate reserves to mirror the volume in your goal photos. I would also discourage weight gain specifically for the purpose of transfer unless you plan on maintaining. Otherwise, transferred fat is the first to be lost post-op. As always, discuss your concerns with a board certified plastic surgeon (ABPS).
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April 2, 2018
Answer: Enough fat is a relative question Patients interested in BBL often ask questions of the necessary volume for transfer. Ultimately, the answer is two pronged and based upon both patient expectations and the nature of fat graft themselves. BBL and fat transfer is ultimately dependent upon the long term viability of the fat grafted. That being said the resorption rates of fat transferred can be significant. Clinically this translates to a progressive loss of grafted volume in the months following the procedure. I tell patients that they can expect resorption or graft loss on the order of 50% (at most; prepare for the worst and hope for significantly better). Additionally some harvest volume is lost in processing the fat graft prior to transfer. Thus I generally recommend that patients seeking even the most minimal volume increase have adequate reserves for grafting of 500 cc per cheek (at minimum). This means that harvest will usually exceed 1 liter (assuming for processing loss). However, it important to remember that these are recommendations and can be amended based upon a patient's particular expectations. Some patients only want a subtle change and may be willing to accept a less significant result. But the rule still applies you have to have the fat to transfer the fat. Ultimately, there are limits both on donor yield and recipient capacity. There is no defined space for filling thus there is a component of stretch and expansion that goes along with transfer. Once the limit is reached, injected fat will extrude from the injection sites. Overfilling will only lead to greater loss and place you at risk for necrosis. Based upon your photos, you have adequate donor sites for a modest augmentation. You will benefit from the contouring effect of liposuction, irrespective of the yield for fat transfer. I often find that the happiest BBL candidates are those that recognize both the benefits of waistline contouring liposuction as well as the volumizing effect of the fat transfer. I do not, however, believe you have adequate reserves to mirror the volume in your goal photos. I would also discourage weight gain specifically for the purpose of transfer unless you plan on maintaining. Otherwise, transferred fat is the first to be lost post-op. As always, discuss your concerns with a board certified plastic surgeon (ABPS).
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March 23, 2018
Answer: You need to temper your expectations Lipo and a BBL would be appropriate, but I do not believe your results would approach those in your "wish pic". Lipo would improve the appearance of your abdomen, flanks and low back. Aggressive liposuctioning of your low back will also give the illusion of increased buttock projection. Fat grafting to the lateral buttock would be critical to improve the outer "frame" of your buttocks, but unfortunately, the amount of added projection would be limited by the relatively small amount of fat available for grafting. Your alternative would be buttock implants, or a combination of both procedures. Hope that helps!
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March 23, 2018
Answer: You need to temper your expectations Lipo and a BBL would be appropriate, but I do not believe your results would approach those in your "wish pic". Lipo would improve the appearance of your abdomen, flanks and low back. Aggressive liposuctioning of your low back will also give the illusion of increased buttock projection. Fat grafting to the lateral buttock would be critical to improve the outer "frame" of your buttocks, but unfortunately, the amount of added projection would be limited by the relatively small amount of fat available for grafting. Your alternative would be buttock implants, or a combination of both procedures. Hope that helps!
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March 22, 2018
Answer: BBL Thank you very much for your question in the attached pictures. In ladies that are of slim build a small amount and already impact the hip to waist ratio significantly. I would be happy to show you pictures of ladies of your statue and their results. Your desired figure might not fully be at Shiva bowl but surely you can shave a big step towards it. Have a wonderful rest of the day greetings from the beautiful island of Jamaica
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March 22, 2018
Answer: BBL Thank you very much for your question in the attached pictures. In ladies that are of slim build a small amount and already impact the hip to waist ratio significantly. I would be happy to show you pictures of ladies of your statue and their results. Your desired figure might not fully be at Shiva bowl but surely you can shave a big step towards it. Have a wonderful rest of the day greetings from the beautiful island of Jamaica
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