5ft, 120lbs, should I get the lipo 360/BBL now or wait until after kids? (Photos)

Question

I’m pretty petite, 5 ft 120 lbs and no kids. But I carry most of my weight in my belly making me look 5 months pregnant and I’m sick of it. I was gonna have a skinny bbl and lipo 360 but now that I’m getting married soon and we may start having kids in about a year I’m debating if I should go through with it or wait until afterwards. My fear is my stomach not snapping back and then having to do a round 2. How does pregnancy affect lipo/ bbl results and should I go through with it or weight?

Alan Gonzalez, MD, FACS · Answer

Hello @carmu2022, thank you for your question. Regarding surgeries the right time is when the patient determines that she needs the surgery. Is important that you have your surgery with a board certified plastic surgeon that is experienced that can guide you trough the process and develop a surgical plan that fits your possibilities, to fulfill your wishes for improvement and to take into account what can actually be achieved without a tummy tuck. I link a video about pregnancy and Liposuction to shed more light . Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP).

Randal Haworth, MD, FACS · Answer

Hello !

I would recommend you to wait afterwards. BBL is usually not affected by pregnancy but liposuction can. Furthermore, you might notice weight gain in other untreated areas.

I hope this helps, 
best of luck !

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question regarding whether you should get Lipo 360 now or wait until you have children. Thank you for your history and your pictures. Based on your history and the fact that you specifically said you are considering having children in about a year, I suggest you wait. Therefore, I would wait until you have all your kids and then consider having lipo and a BBL. At that time, you may also require a tummy tuck. Only time will tell. If you were getting married but were going to have your children in over a year or sometime in the far future, I would suggest having the BBL now. However, since you are considering having the children within a year, I suggest you wait. I hope this helps answer your question regarding when to time your procedure, lipo 360, and a BBL. 
Sincerely,
Dr. Katzen

Emmanuel Mallol Cotes, MD · Answer

Thank you for your question. To provide a valid medical opinion I will need to see pictures of you body in underwear or naked (the face do not need to appear) from different angles. I would suggest to be treated by board certified plastic surgeon with experience in this procedure, to get the best desired results.

Respectfully,
Dr. Emmanuel Mallol Cotes.-

Respectfully,
Dr. Emmanuel Mallol Cotes.-

Daniel Barrett, MD · Answer

Dear carmu2022,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Mats Hagstrom, MD (license on probation) · Answer

BBL is in fact to procedures done at the same time. The first is Liposuction typically of the abdomen or torso, and the second is grafting, fed the buttocks hips and potentially thighs. When making an assessment in regards to candidacy for this procedure, patient need to be assessed for both Liposuction and fat transfer. To make a quality assessment we need quality pictures and your pictures are insufficient for us to make a good assessment. Look at her plastic surgeons take before and after pictures for the BBL procedure. Do you need to strip down and wear undergarments preferably undergarments that are small and not tight. Picture should be taken showing your front side, your side and back side with your arms down standing in a neutral position. Have someone else take the pictures or use the timer on your camera. Pictures should be taken from about 8 feet away. You can then crop the picture to include your full body from your neck to just below your knees. 
In regards to your abdomen, there are four variables that determine what the abdomen looks like. In other words, if someone doesn’t like the way, their belly looks it is always because of one or more of for different reasons. Determining what is causing some thing to look the way it does is making an assessment for it in other words making a diagnosis. The four variables determine what the abdomen looks like are abdominal skin laxity typically due to previous pregnancies or weight loss, excessive amounts of subcutaneous, fat, muscle separation from previous pregnancies, or excess visceral or intra-abdominal fats.
Since you’ve not had a previous pregnancies, you certainly don’t have muscle separation, and you have not reported any significant weight loss or weight fluctuations so the problem lies in either subcutaneous fat, visceral, fat, or a combination of both. Visceral fat cannot be removed at surgery. Visceral fat with the fat around your internal organs, and it can only be lost through weight loss. It’s very important to understand and differentiate the difference because all the subcutaneous fat is removed with Liposuction. If this real fat is creating part of your abdominal contour, then your candidacy for Liposuction alone is limited. Pregnancy changes are usually related to skin, laxity and muscle separation. Having children that does not change your fat distribution so it does not affect liposuction or fat transfer results. Many women gain weight with pregnancy and some successfully lose pregnancy related weekend, while others maintain weight gain for long periods of time and sometimes permanently. 
If you have access visceral fat, then you need to be aware of this because your abdomen will bulge with weight gain and you may have concerns about your abdomen after your pregnancies. Most of pregnancy related changes are best treated with a tummy tuck because a tummy tucks specifically treats, abdominal skin laxity and the muscle separation.
While your pictures are not ideal, they do show that your bottom is not lacking in size and I question the need for a BBL. But I think you need more than anything is to lose some weight.
Best, 
Mats Hagstrom, MD

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