Tummy Tuck First or Brazilian Butt Lift?

Which procedure should be done first between Tummy Tuck and Brazilian Butt Lift with fat grafting? Should I do the butt augmentation first to make sure there will be enough fat, or the tummy tuck so my waist will narrow down then have a better butt augmentation result? I am confused and the doctor who will perform my Tummy Tuck does not do butt augmentation. I will have to travel for that procedure.

Doctor Answers 17

Butt Lift and a Tummy Tuck - Timing for Surgery

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In my practice, I perform butt reshaping very frequently. To answer your question in regard to having multiple procedures done at the same time, including a tummy tuck, you have to understand what involves the postoperative recovery of the fat transfer procedure to the buttock area and what the procedure is about. The fact is that as much fat as possible is needed to reshape the person’s butt and make it proportionate to the body frame. In other words, fat will be taken from the abdomen, flanks, back, and axilla among other areas. Now, after surgery, you can’t sit constantly on the buttock for approximately 10-14 days to make sure the fat is not damaged. If going to the bathroom, the person can just sit for 5 minutes. That’s it.

Now, let’s think about the tummy tuck. You will have an incision on your lower abdomen that will hurt so most likely you won’t be able to lie on your stomach for some days. Let’s say you have a tummy tuck and a Brazilian butt lift. You won’t be able to lie on your back due to the Brazilian butt augmentation nor on your chest because of the tummy tuck. In other words, your recovery will be unbearable.

This is not a matter of having multiple procedures done at the same time. In fact, multiple procedures at the same time like a tummy tuck and a breast surgery (Mommy makeover) could be done but not together with the Brazilian butt lift. In my practice, I perform the Brazilian butt lift first, harvest as much fat as possible, and then do a tummy tuck at least 6 months after the procedure, if the patient needs it. This will depend on how your skin will respond to liposuction.

In my practice, some of my patients have indicated me that certain surgeons recommend having multiple procedures done with the buttock augmentation.  On further questioning, they even recommend having a tummy tuck and also the butt augmentation while the patients are on their back on the surgical table. Injecting the butt with fat when the patients are lying on their back is a bad idea. You will need to be on your chest for the surgeon to visualize the areas of deficiency and inject the buttock properly. In addition, if you take into consideration the surgical implications of both procedures, you come to the conclusion that it is not possible. For example, when you close the incision for a tummy tuck, many times the patient’s belly needs to be bent forward to excise the excess abdominal skin. Consequently, this will prevent the patient from lying on the chest for the buttock procedure once the tummy tuck is done.

Understanding the postoperative recovery is as important as the surgery itself. In conclusion, I do not recommend having any procedure done in addition to the butt sculpting procedure since you will compromise your recovery and long-term results

Great question - takes a large amount of fat for the butt lift

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This is a frequent question in my practice as women who come to me for the Brazilian Bottock lift do not always have the proper amount of fat elsewhere to provide enough donor fat for the buttick lift. Looking at your pictures, I would stage the procedure, to ensure that we would have enough fat for the buttock lift by also liposuctioning your abdomen. which I do not like to do in combination with an abdominoplasty. Finally, I am very careful what procedures I combine with abdominoplasty, as this procedure has the highest incidence of deep venous thrombosis of all the cosmetic procedures we do. If you would like any more information about the buttock lift, pleases feel free to contact my office. We have perfromed well over 100 of these procedures and have learned that proper technique is crucial to the success of the procedure. There will be a show airing in August on TLC channel wjere I performed this particular procedure on a patient. Good luck!

Tummy Tuck or Brazilian Butt Lift

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Dear Livylive,

It would be helpful to have pictures of your back as well, but from what I see you are very thin. Although that makes for a GREAT tummy tuck (assuming you are not a smoker or have other health concerns), you simply do not have sufficient fat in your tummy for a major fat transfer to the buttocks.

UNLESS you are willing to EITHER gain weight just to have more for transfer (illogical in my opinion), or are willing to pay for and have liposuction of arms and thighs to try to get more fat (more costly and painful), I would recommend your surgeon liposuction your hips and especially the pre-sacral area together with a tummy tuck. The liposuction of those areas ALONE, will make your present buttocks look A LOT rounder and projecting without the extensive liposuction needed otherwise to get the amount of fat required for a Brazilian Butt Lift.

Hope this helped.

Peter A. Aldea, MD
Memphis Plastic Surgeon

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Alway do the Brazilian Butt Lift first

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Hi there-

Especially when there is some question about whether there is enough fat available for a pleasing Brazilian Butt Lift outcome, it is imperative that the fat present not be disturbed by another procedure... (provided the patient already know she wanted this)

I would therefore ALWAYS recommend doing the Brazilian Butt Lift first. In my practice, it is our routine to do the Brazilian Butt Lift, and follow 6 weeks later with the tummy tuck, and I can tell you our outcomes have been excellent.

Tummy tuck before or after Brazilian butt lift

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These are both very complementary procedures and in all likelihood, should be performed at the same time. I would recommend that you find a plastic surgeon willing to do both procedures at the same time. The fat obtained from the tummy tuck and liposuction portion will be very useful in providing fat for transfer to the buttocks. If it is done before the buttock lift, then there will be less fat for buttock augmentation. If you are planning on doing them separately, then I would do the butt lift first since all the fat can be suctioned out of the abdomen. The left over sagging skin can then be removed with a tummy tuck. Good luck with your decision.

Sirish Maddali, MD
Portland Plastic Surgeon

BBL first, then tummy tuck

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Thank your for your question. A tummy tuck can address the skin and muscle laxity of the abdominal region as well as reducing the excess fatty tissue. A brazilian butt lift helps to shape the buttock by borrowing fat from one part (or several) and transferring this fat to another. They are both extremely rewarding procedures. The best approach for a patient who wants to have both procedures is to stage them and possibly start with the BBL. Here is why:
1) A brazilian butt lift is transferring fat from one area to the buttock. One common donor area is the tummy. Once the fat is transferred, you need to keep pressure off the buttock as this allows new blood supply to develop to the newly grafted fat cells. Any stress such as pressure can reduce the efficacy of this process and hence you may lose some fat. Hence, no sitting or laying on your bottom for ~2 weeks.
2) A tummy tuck is removing excess skin and tightening the muscle as well as remove extra fat. To make the skin removal efficient and protect the incision, you surgeon will often remove skin while your hips are flexed. You will need to maintain this position after surgery for about a week. This will required you to sleep in a recliner position for a good week. In addition, l often combine liposuction of the abdomen and flanks as part of this procedure and once this fat is removed, it cannot be stored for the brazilian buttock lift in the future.
Since the recovery process for these two popular procedures compete, I would recommend staging them. If you are surgeon is needing as much donor areas to recruit as much fat as possible, then I would start with the brazilian buttock lift so you can use the abdominal and flank regions as donor areas.

Do both tummy tuck and brazilian butt lift at the same time

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You clearly need adequate fat to perform a buttock lift with a fat transfer. If the procedures are performed together, you can accomplish your goals with one stage. Liposuction would be performed on your lower and lateral abdomen. Liposuction would also be done on your hips and flanks. The washed fat would be injected into the buttock. The lax skin from the liposuction of the abdomen would then be removed with a mini or standard tummy tuck. It would take a significant recovery, but would achieve your desired goals

Good Luck!

Do them simultaneously

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Many of my patients combine tummy tuck and Brazilian buttock lift surgery. The sequence is to first liposuction the belly, then perform the tummy tuck, turn you over and complete the liposuction and Brazilian. I wouldn't expect an enormous buttock enhancement, judging from the limited view picture that we have, but overall, your results would be quite dramatic. Good luck!

About the Mommy Makeover Procedure

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It's difficult to suggest without a in-person one-on-one consultation. The Mommy Makeover is a combination of procedures to bring a woman’s body back to the way she looked prior to pregnancy. Most commonly some variation of a #TummyTuck and #BreastSurgery are performed. Additional procedures can include liposuction, umbilical hernia repair.  The most common #breastprocedures include #mastopexy or #breastlift, #breastaugmentation, or #breastreduction.  

#Combined operations are often performed with our #Gynecology colleagues. Tubal ligation is a common post pregnancy procedure which is done at the time of many of the surgeries included with a #MommyMakeover. If you require a gynecologic operation or study (laparoscopy) and are considering a plastic surgery procedure, discuss these issues with your physician and board-certified plastic surgeon. Also, combining these #procedures may decrease anesthetics, costs, and recovery time.
In addition to a one-on-one consultations with a board certified Plastic Surgeon, patients always need to be seen by their primary care doctor prior to such procedures.  We screen every patient and their medical records for risks of blood clots (DVT) and then take appropriate measures.  MWL (massive weight loss patients of  75 lbs or more) tend to have poor skin elasticity and will frequently need additional tightening even afte 6 -12 months regardless of who or how their surgery is performed. This is simply the nature of such body tissues and the ability to heal with the lack or limited elasticity. 

Your procedures should be performed by a #PlasticSurgeon who is board-certified and has a great deal of experience specializing in cosmetic #surgery. You will then greatly improve your chances of getting the result you desire, and, without the need for a revision surgery. It is suggested that you look at before and after photos of the surgeons actual patients, and read patient reviews. Gathering all of this information will help you make a well-informed decision.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

Tummy Tuck First or Brazilian Butt Lift

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Great question. Some Surgeons will perform both procedures at the same time. I prefer to stage them to allow for greater viability of the fat transfer. I would start with the BBl follwoed by the tummy tuck.  Good luck and choose a Board certified Plastic Surgeon.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.