Can a Patient with a Big Butt and Hips have a Brazilian Buttlift (BBL)?

Question: I have a big butt (A-shape) and somewhat wide hips, but how much can the width of my hip increase with Brazilian buttlift?

Answer: This is all a question of balance and proportions.  Fat can be taken from many different areas of the body including abdomen, sides, back, bra rolls, thighs, arms, underarms, etc.   You have to consider not only which areas will have perhaps the best fat, but also you have to consider which donor sites will have the fewest problems afterward with the liposuction.  In general, the abdomen and thighs are preferred, but, if those sites are not available, other areas can be used.  Creative liposuction with fat transfer to the hips can make them appear lifted and rounder.  If the waist was smaller at one time, the waist can likely be reduced to those same measurements or smaller provided the muscular and fascial integrity has remained the same.  Dr. Kenneth Benjamin Hughes, MD, American Board of Plastic Surgery Board Certified Plastic Surgeon in Los Angeles, performs thousands of Brazilian buttlifts and hip fat transfers both as primary procedures and as revision procedures for patients who had surgery with another surgeon somewhere else. Dr. Hughes can transfer fat to the hips in the amounts of 1000 cc per hip or so in appropriate candidates. Much of the result depends upon how much the hip area expands with the transfer of fat. Fat is an intrinsically weak substance that does not have the integrity to push out skin in any meaningful way. The surgeon is relying upon the skin to stretch with the added pressure. If the pressure in the area is too great and fat is actually coming back out from the injection point, there is no reason to continue inserting fat as the risk for fat necrosis and infection will only be higher.