Am I able to have a skinny BBL? 5’0” / 90lbs / BMI: 17,7 (Photo)

Question

Hi, since my weight is very low I wondered If I could still be a candidate for skinny BBL. I’ve tried gaining weight but I just don’t seem to increase in weight and neither am I anorexic. My goal is to create more of a hip and fill in my hip dips.

Kenneth Hughes, MD · Answer

There are a lot of females who can get nice results from the BBL despite thinking that there is not enough fat. The thinner patient requires an expert at liposuction to remove as much fat as possible while leaving the skin smooth. Fat can be harvested from the abdomen, flanks, thighs, arms, back, etc. and transferred to the hips and buttocks. If the waist was smaller at one time, the waist can likely be reduced with liposuction to those same measurements or smaller provided the muscular and facial integrity has remained the same. You will find that the results are very much surgeon dependent. Recommend that you consult via email or Skype with a board certified PS to determine your fat stores.

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
Dr. Emmanuel Mallol Cotes.-

Daniel Barrett, MD · Answer

Dear Neat783081,
it is hard to tell for sure without an examination. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. 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

Tania Medina de Garcia, MD · Answer

Hello dear!
Thanks for the question and provided information as well.
Based on your pictures, you are a great candidate for liposuction with BBL, and I think you'll get very good results. 
Liposuction allows your plastic surgeon to transform your entire shape. You can improve your abdomen, back and flanks, and of course your buttock, to give you a nice heart shape.
In general, you need to be physically healthy and at a stable weight, have realistic expectations, be a non-smoker and your BMI needs to be 33 or less.
l recommend you to make an appointment with a board certified plastic surgeon to talk about your goals and anything you need to know.
Good luck :)

Antonios Mitsakos, MD · Answer

Everyone has some fat. The question is if you would be happy with what is achievable with the amount of fat you have. I don't think there's much point in gaining a lot of weight preoperatively as your body will tend to revert to its normal weight after surgery and some of the transferred fat may dissolve. Maintaining a higher body weight will require a permanent change of lifestyle and might not be sustainable sometimes. The desired "hour glass" shape starts building up with liposuction (for example making the waist slimmer and the buttocks proportionally bigger) and is only complemented with the fat transfer.

Erika Sato, MD, FACS · Answer

Some women that are thin like you do have enough fat for a small BBL or to fill in small hip dips. It is best to do an in person consultation as we need to pinch on you to see what you have. You can also share wish photos at that visit to make sure that if you do have excess fat, your expectations are realistic.

Manuel Diaz, MD · Answer

Good afternoon, thanks for the photos and ask, each patient needs a rigorous physical examination to see if they are suitable for any surgery. In her case, it should be investigated where enough fat would be extracted to be able to undergo a BBL, since her BMI is low. be sure to consult a board certified surgeon. good luck

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

If you are concerned you do not have enough fat for a regular BBL this is not true. Based on your pictures, you are an excellent candidate for a Brazilian Butt Lift (BBL). The optimal BBL outcomes are achieved with: 1) use of VASER liposuction to harvest the fat, 2) a closed looped system such as Puregraft to process the fat, and 3) strategic micro-packet transplant technique. These three processes have demonstrated over 95% fat graft take. This means that your results will be stable as long as you maintain your weight. As an official VASER trainer, I am routinely referred unhappy BBL patients. One of the most common reasons for disgruntled BBL patients is that patients are not able to accurately communicate their desired buttocks goals to their surgeons. A buttocks assessment tool can be an invaluable tool to communicate to your surgeon the exact buttocks size and shape you are desiring. A Skype or FaceTime consultation with a BBL specialist can help you get an accurate recommendation and pricing.

Respectfully,
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Mats Hagstrom, MD (license on probation) · Answer

Assessing how much fat can be removed and low BMI patience is very difficult. It generally almost always requires an examination.

Well you made a good attempt at posting pictures they are not sufficient to make an assessment on how much body fat you have and what your body fat distribution is.

Instead of taking a picture in the mirror with a flash try using the timer on your camera with good lighting taking pictures from your front, side and back similar to how plastic surgeons take before and after pictures for this procedure.

In the end being a candidate for a BBL when patients have less than the ideal amount of fat is often not a yes or no answer but rather one of gray zones or variables.

The challenge is to convey to the patient what they can expect and how many areas they’re willing to have treated with liposuction to harvest sufficient fat.

After conveying the type of results that are possible the patient needs to make a decision if the procedure is justified with the help of a plastic surgeon.

On top of this plastic surgeons will have different opinions. The key is to have consultations with plastic surgeons who have enough experience that they can pull before and after pictures from their collections of patients with similar body structures to your own to show exactly what results can look like.

Most slim patients who don’t have enough fat from liposuction of their torso need to involve their extremities as well.

I typically treat the entire torso as a single anatomic unit. A full torso typically includes upper abdomen, lower abdomen, love handles, waist, full back and under arm area. If more fat is needed I often go to the arms or thighs and inner knees.  If all of these areas are treated with liposuction enough fat can generally be harvested to give a very nice fat transfer procedure. Still, the results may be subtle compared to the results of the patients who have ample amounts of fat to work with.

Patients with more body fat get more dramatic results not only because they have more fat to work with in regards to fat transfer but also because liposuction has a more profound effect when there’s more to remove.

Whether it it’s justified or not to liposuction your entire body to have a modest fat transfer result is in the end up to you.

These are difficult decisions and like I said, plastic surgeons are likely to give you different answers.

Likewise, for some people subtle results justify the procedure while for others unless they can have a dramatic change they are not at all interested.

In your case I would encourage you to schedule multiple in person consultations with local board-certified plastic surgeons who have extensive experience with this procedure.

The following is a list of recommendations I often give out as recommendations to get the best results.

I recommend patients avoid traveling long distances for elective surgical procedures. There are of course instances where there is a lack of local talent and traveling to some degree is inevitable. If traveling for the procedure patients should be ready to travel to have the consultation, post operative appointments and follow up should there be issues or complications.
Patients sometimes do not appreciate the importance of in person consultations, that complications do happen or the number of people who have issues with their results or need revisions.

Schedule multiple consultations with different providers in your area who seem to have a good reputation for the procedure you’re interested in. Starting with at least five consultations seems like a reasonable number to me.

Whenever possible schedule in person consultations.  
During in person consultations ask each plastic surgeon to show all of their before and after pictures for the procedure you’re interested in.

The goal is not to see the best results of their career but to get an idea of what average results look like and get some type of confirmation of how many of these procedures that provider has performed.

Ask to see results that were not as good as the doctor would’ve hoped for and talk about the differences in outcomes.

Honest and experienced providers should have no problems presenting this type of information.

A highly experienced plastic surgeon should have hundreds of before and after pictures for the procedure you’re interested in.

Read all the reviews on various physician review websites paying close attention and avoiding providers with any significant number of justified negative reviews.  Providers with an abundance of reviews often have aggressive marketing campaigns.

The plastic surgeons I respect most all have the single variable of not having justified negative reviews on their online profiles. 
In my opinion justified negative reviews are far more telling than an abundance of positive reviews.

Avoid scheduling for surgery or making a deposit on the day of the consultation.  Give yourself some time to think about the decision and make sure you finished all scheduled consultations before committing to having surgery that will permanently and irreversibly change your body.

When in doubt slow down and schedule more consultations.

Choosing the right plastic surgeon is the single most important variable to having a positive experience.

Don’t go chasing after technology or names of certain equipment. Instead focus all your efforts on finding the most experienced and talented board-certified plastic surgeon.

Best,

Mats Hagstrom MD

Am I able to have a skinny BBL? 5’0” / 90lbs / BMI: 17,7 (Photo)

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