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