Ideal bmi for BBL + lipo 360 & should I lower for best results? (Photos)

Question

Hello. I am wondering what a good/ideal bmi for lipo & bbl would be? That would get the greatest results. I am 5 foot tall, 153 pounds so around 29-30 bmi. I have done a couple consultations and have been told to lose a few pounds before surgery and then some also have said don't lose anymore weight or you could even gain a couple. I am wondering what the best thing to do is? Should I lower my bmi to get best possible results?

Alan Gonzalez, MD, FACS · Answer

Hello @Emilyg1234 thank you for your question and showing your pictures. Losing weight when you are overweight will always be good. Not only the physical condition of the patient is considered, but also the state of health when making a surgical plan. The imc should be in the healthiest possible range, preferably below 30. Best wishes! Alan Gonzalez MD FACS

Natalia Vidal Laureano, MD, FACS · Answer

Hi! Your question is a very common one and really depends on your body type and your fat distribution. In my experience, I 've seen that a BMI 25-27 gives the best results. By loosing some weight, but not a lot!, you can flatten more your abdomen (visceral fat) and reduce the circumference of your arms, that way you'll have a better overall look. By loosing some pounds, you will still have enough fat to be transferred and have a nice result. Remember, the most important part is for you to be able to maintain that weight in order to keep your results longer ;) Hopes this helped!

Finny George, MD · Answer

Hi, thank you for sharing your question. You are a good candidate for 360 Lipo with BBL. You do not need to adjust your weight. This procedure will give you a great shape and excellent projection to the areas that are deficient.

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

Daniel Barrett, MD · Answer

Dear Emilyg1234,
based on your photos, you look like a good candidate for a BBL. Liposuction of your abdomen, back and flanks should give you more curves and hourglass shape and fat transfer to buttocks should give you more projection. I would suggest you to consult a board-certified plastic surgeon because 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

Cagil Meric Erenoglu, MD · Answer

If we plan a gluteal fat injection, we don't want our patient to loose too much fat. You can have your BBL operation with your current weight. The fat taken from abdominal area, waist and back will also help contour your body.

Darryl J. Blinski, MD · Answer

There is no ideal BMI to obtain perfect BBL results. There are to many factors that can effect outcomes- ie the skill of the surgeon, the type of fat to be transferred, your healing potential, fat survival, etc. You seems to be at an acceptable BMI, based on the posted photos. Best to use only private practice boarded PSs, NOT clinics based surgeons! Virtual with me at anytime if want an honest assessment.

Arian Mowlavi, MD, FACS (license on probation) · Answer

You are ready for a BBL with 360 lipo if your weight is stable. You should not lose or gain any weight prior to your surgery. This is critical to appreciate so I would suggest that you do a virtual consultation with a high definition body sculptor.

Mats Hagstrom, MD (license on probation) · Answer

The first thing I would ask is why do you want a BBL?

Can you clearly describe in your own words exactly what it is you don’t like about your body and what do you want to change?

Gaining further weight will simply make you look fat.

Gaining weight for fat transfer procedures is pointless unless someone plans to maintain the increased weight for the rest of their life.

If someone can’t do a fat transfer at your current weight then you’re probably not finding the right plastic surgeon.

In my opinion there’s an awful lot of bad BBL‘s being done and I would encourage any patient considering this procedure to move forward with great caution when it comes to provider selection.

First and foremost have a very clear idea of exactly where you want fat removed and where you want volume added.

To me a question if you even need a BBL but I don’t know what you’re trying to achieve.

Delivering consistent high-quality liposuction and fat transfer results is more difficult than most people believe in this is true for both patients and plastic surgeons. Most plastic surgeons think they are better at liposuction than they actually are. Liposuction and fat transfer has more variance or difference in outcome purely based on who does the procedure than any other surgical procedure I’ve ever seen. Being board-certified in plastic surgery with an overall good reputation is not sufficient to guarantee that somebody has mastered body contouring. Personally I view the torso as a single anatomic unit and either treated the entire torso or don’t do Liposuction. There are of course exceptions but for the most part I believe in treating the entire torso. A full torso includes upper abdomen, lower abdomen, love handles all the way down to the hip dips, waist, the entire back and under arm area all the way to the side of the breast. this leaves people with a natural thin fat distribution without transition zones between treated and entrteded areas. I’ve viewed the BBL as an enhancement to body contouring creating an ideal feminine S-curve that goes from the armpit to the knee. I did not emphasize a large buttocks with liposuction of the outer thigh creating a big round butt on the small leg which I sometimes called the “lollipop look”. Instead I emphasize long smooth harmonious curves creating a slightly hyper feminized balanced figure. To find the most talented and experienced provider in your community I suggest having multiple in person consultations. I do not recommend patients travel for elective surgical procedures and I recommend patients whenever possible avoid virtual consultations. During in person consultations ask each provider to show their entire collection of before and after pictures of BBL results. Always confirm that after pictures were taken at least three months from the time of surgery. anybody who shows early postoperative pictures such as pictures with patients still showing surgical drawings on them, being in the operating room or any evidence of recently having had surgery should be immediately discounted as showing “.fake news”. Early fat transfer results can look very impressive but do not at all represent final results. Ask the provider to show you examples of excellent outcomes, average outcomes and less than outcomes. Specifically ask each provider to show as many pictures as possible‘s of patients who have similar body characteristics to your own. An experienced provider should have no difficulty showing you a minimum of 50+ sets of before and after pictures. Simply seeing a handful of pre-selected sample pictures which in reality most likely represent the best results of that providers career is insufficient to get a clear understanding of what average results look like for that provider. Highly experienced providers will have hundreds or even thousands of before and after pictures and should be willing to give you access during the consultation to see as many pictures as possible. If somebody claims to of done a lot of surgery but doesn’t have a lot of before and after pictures then you should ask yourself why? Do not commit to surgery or pay a down payment during the time of consultation until you’ve finished all your consultations and have given yourself plenty of time to think about your decision. The results from these procedures are permanent and irreversible. When in doubt slow down and schedule more consultations. Finally I recommend patients read all reviews on all various physician review websites avoiding providers for any significant number of justified negative reviews. The absence of justified negative reviews is more important and more telling and having an abundance of positive reviews. Plastic surgeons with the biggest social media profiles are not necessarily any more talented than those who have no websites at all. Famous or likable does not equal talented. Find the right plastic surgeon and everything falls into place.

Good luck,

Mats Hagstrom MD

Jose A. Munoz, MD - Account Suspended · Answer

Hi and welcome to our forum!From your photos, I note a full abdomen, as well as full flanks and hips. You have moderately sized buttocks. Your current BMI is 29.88.BMI (body mass index equals weight in kg / square of height in meters) is one criterion to determine the anticipated results of a cosmetic surgery. You can find BMI calculators on the internet. If your BMI is greater than 30, the cosmetic result will not be optimal. If your BMI is greater than 35, your operative risk will rise. In our practice we recommend a BMI of less than 30. We recommend that you be at a healthy comfortable stable body weight at the time of surgery. The cosmetic effect improves with lower BMIs. You are at the high end of our range...However, you will still achieve marked improvement.Visit a board certified plastic surgeon for in-person evaluation and discussion.Best wishes...

Ideal bmi for BBL + lipo 360 & should I lower for best results? (Photos)

Answers (10)

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