I Have a Wrinkly Butt, And I Want a BBBl. Will It Work For Me? (photo)

Question

Im not sure if I need the surgery will it make my butt look better? And would it make me look slimmer? My arms make me look fatter than i look and my boobs as well. Or should i exercise and get better results?

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Thanks for the question.  Looking at your pictures it does appear to me that you have enough fat to make a significant improvement with a BBL procedure.  The skin wrinkling is unlikely to be improved with fat grafting since the wrinkling represents increased skin laxity.  Skin laxity is usually treated with surgical removal (tightening) of the skin.

	Dr. ES

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

Armando Soto, MD, FACS · Answer

Hi there-

	From the photos you posted, it is very difficult to say whether or not you are a candidate for a Brazilian Butt lift, in which fat is removed from areas of prominence and grafted into the buttocks for improvement in shape and fulness.

	An in person examination would be necessary to know for sure.

	Generally speaking, the procedure is safe and effective when performed by an experienced BBL surgeon, and patient satisfaction rates very high- but an exam is needed.

	Locate an experienced and ethical BBL surgeon in your area and visit for a consultation.

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 moderate 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, hips, arms, 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 30 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 :)

C. Bob Basu, MD, MPH, FACS · Answer

The BBL procedure involves harvest fat from areas of your body where there is excess fat and injecting that fat carefully into the central zone of your buttock. In addition, it involves liposculpting the buttock to facilitate a more rounded look. The common donor sites for this procedure is your posterior waist/flanks, lateral thighs, back, waist, and anterior tummy. Please visit with a board certified plastic surgeon to learn more about your options.

Pat Pazmino, MD, FACS · Answer

The Brazilian butt lift is beautiful and effective way to contour your torso, create a flat tummy, a small waist, sculpted back, full hips, and round new bottom. In our practice here in Miami, we have performed the Brazilian butt lift in patients of all shapes and sizes. To get the results that you are looking for, your best bet is to work with a plastic surgeon that is board-certified by the American board of plastic surgery and has a great deal of experience in not only the Brazilian butt lift, but fat grafting, liposuction, and body contouring surgery. Such a Dr. will be able to carefully examine you and evaluate not just the amount of fat that is available but how your skin will react after the surgery. Although your pictures are somewhat limited it does seem that you do have enough tissue in your lower back to be a candidate for liposuction in this area as well. This can definitely help your shape and create a dramatic curves. When discussing your goals with your Dr., they may assess other parts of your body and determine if liposuction there as well can help collect the fat necessary to meet your objectives.

Peter A. Aldea, MD · Answer

Wrinkles and folds imply both sagging and skin excess. A Brazilian Butt Lift is a misnomer - it is a fat transfer from other parts of the body to deficient areas of the buttocks and to then further augment their projection and volume. Just as is the case with sagging breasts, sagging is treated with a formal surgical lift NOT by adding more volume (a huge implant in the breast or a lot of fat ("Ghetto Booty") in the buttocks). 

	In your case you appear to have stretch marks AND fat of the lower back. Liposuction of these areas ("Back Scoop Surgery") would greatly enhance your appearance. That should have been discussed at the time of yout Tummy Tuck. If you wanted this fat placed in the buttocks for further projection that would be another option.

	Good Luck

Samir Shureih, MD · Answer

The pictures posted show stretch marks in the lower back upper buttocks, just below the tattoo. These will nit improve with Brazilian butt lift.

	You have significant fat collection in the love handles and the buttocks differ in shape significanly.

	Liposuction of the love handles will significanly improve on the shape of the buttocks. The fat liposuctioned can be distributed in strategic areas to improve on the asymmetry of the buttocks.

	I can not tell if your skin is lax in the love handles upper buttock areas to justify extending your abdominoplasty incision to circumferential lift to tighten the skin and may be improve on the stretch marks.

	Other options for the stretch marks is a tatto.

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