Interested in a BBL with liposuction. Will I need a tummy tuck first? (photo)

Thank you for your question. Being that you have a lot of excess skin, I would recommend having a tummy tuck first. Then 4-5 months later, a BBL can be performed. The reason being that if you have significant excess skin and you get liposuction in that area, the area will look wrinkled, scarred, and irregular. Also doing significant liposuction on the abdomen and then having a tummy tuck later can predispose you to wound healing complications after the tummy tuck. I would recommend getting a proper evaluation by a board certified plastic surgeon. Take care, Moises Salama MD, Board Certified Plastic Surgeon

Whether or not you will need a tummy tuck before a Brazilian Butt Lift (BBL) with liposuction depends on the amount of excess skin and fat you have in your abdominal area, as well as your desired results.If you have a significant amount of excess skin or muscle separation in your abdomen, you may require a tummy tuck (abdominoplasty) to remove the excess tissue and create a smoother, flatter abdominal contour. This may be necessary even if you are primarily interested in enhancing the appearance of your buttocks with a BBL. A tummy tuck can also be combined with liposuction to remove excess fat from the waistline and flanks.However, if you have relatively good skin elasticity and muscle tone in your abdominal area, you may not need a tummy tuck before a BBL with liposuction. Liposuction alone can often be sufficient to remove excess fat from the abdominal area and create a more contoured silhouette. Your plastic surgeon will be able to evaluate your individual situation and recommend the most appropriate treatment plan for you.It's essential to schedule a consultation with a board-certified plastic surgeon to discuss your goals and determine whether you are a good candidate for a BBL with liposuction and/or a tummy tuck. We can evaluate your individual situation and provide recommendations based on your unique needs and desired outcomes.

Personally I would do the liposuction and the fat transfer FIRST and then do the extended tummy tuck second; I think doing the liposuction first allows you to take more skin out at the second surgery because the bulk is not there. That being said, every surgeon has a different vision and a path to get there with you. I would totally find someone who’s work you like and discuss what and why they want to do to get you what you want.,

Thank you for sharing your pictures. There are different ways to go about it. If done in two procedures I would suggest doing the liposuction & BBL first. You will remove the excess fat, and shape your buttocks. There will be additional excess skin from the liposuction that can be removed with the tummy tuck afterward. I would suggest consulting with your surgeon to determine what is best for you and your goals.

Hi! Your question is a very common one I get from my patients. And the answer has to do with the amount of excess skin and the skin quality. From the picture, I can see a skin fold and stretch marks, those two things tell me about the amount of excess skin which will be best to excise with a tummy tuck and the stretch marks tell me about the skin quality. The skin quality determines how much your skin will retract after liposuction. I recommend starting with the tummy tuck and 3-4 months later get the BBL. In my experience, this will give you the best results :) Hope this helped and good luck!

Hello @Kind380735, thank you for your question. As part of your surgical plan I suggest you take into account to have a tummy tuck and liposculture. Each procedure serves a different purpose, a tummy tuck is a surgical procedure that removes excess skin and fat from the middle and lower abdomen and strengthens the abdominal muscles, in which there is abdominal lipolysis, abdominal diastasis repair, skin removal with umbilical reconstruction depending on each case. On the other hand liposculture we take out fat from all parts of the body to make it more harmonious. The two procedures combine will give you the best results and the flat stomach that you desire. Is important that you consult consult with several board certified plastic surgeon. If you are considering surgery, consultation with a plastic surgeon who is experienced in this procedure is essential to ensure optimal results. Best wishes! Alan Gonzalez MD, FACS. International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)

Thank you for your question - I do agree that an extended tummy tuck, meaning an abdominoplasty with a wide incision that removes excess skin going into even the posterior of your body is recommended as this will not only remove fat, but loose skin as well. This alone can really change the contour of your sides. From the photos is does appear as if loose skin is causing your contour irregularities. Fat grafting can be done either at the same time or as a later procedure to really comprehensively recontour your hips and buttocks.

I need additional photos (oblique, side, and posterior) to give you the most accurate advice. However, I suspect you would benefit from a lower body lift (with liposuction and rectus plication) at the same time as you BBL.
You should be at your goal weight for at least 6-12 months prior to surgery. So, if you are planning to loose weight, give yourself the time you need to achieve and maintain your weight loss goals.

Thank you for your questions dear @Kind380735.
My recommendations for you is have a extended tummy tuck with muscle repair procedure done, this can guarantee to get rid of your hanging and extra skin in your abdomen area first and in a second round procedure you can have done a BBL procedure with excellent results. Also, you can decide to have both procedure done perfectly. Hope this helps.

Dear Kind380735,
based on your photos, you look like a good candidate for a TT. Full tummy tuck should tighten your abdominal muscles and remove the excess skin. Flanks liposuction would give you a better shape. 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