DR. KENNETH HUGHES AND HIS BRAZILIAN BUTTLIFT (BBL) IN LOS ANGELES

Real Patients of Dr. Kenneth Hughes


Dr. Kenneth Hughes, Harvard-educated, Harvard-trained, board-certified plastic surgeon in Los Angeles, has performed thousands of Brazilian buttlifts (BBLs) in the Los Angeles and Beverly Hills areas. The demand for these procedures is extraordinarily high, and Dr. Kenneth Hughes sees patients from almost every state in the US, Canada, Ireland, England, France, Norway, Belgium, Netherlands, Germany, United Arab Emirates, Iraq, Saudi Arabia, China, India, the Philippines, Australia, Nigeria, and more. About 50% of Dr. Hughes’s patient base comes from out of state for his expert services.

Learn more about the Brazilian buttlift Los Angeles or BBL Los Angeles with Dr. Kenneth Hughes

 

Patients May View the Brazilian buttlift (BBL) Video for Dr. Kenneth Hughes in Los Angeles:

 

SO WHAT MAKES DR. KENNETH HUGHES AND HIS BRAZILIAN BUTTLIFT (BBL) SPECIAL?

 

1) Personal Attention with Dr. Kenneth Hughes

Dr. Kenneth Hughes makes himself available to his patients through email or by phone at all times.  Dr. Kenneth Benjamin Hughes answers all of his own emails (even on weekends and holidays), and the after-hours urgent line rings to Dr. Hughes’s personal cell phone. There are no middle men or answering services at Hughes Plastic Surgery.  Direct surgeon to patient is a hallmark of Dr. Kenneth Hughes and Hughes Plastic Surgery.

Dr. Kenneth Hughes responds not only to patients during the preoperative period, but he also responds during the postoperative period as well.  Many doctors or plastic surgeons are available before surgery to sell a surgery, and many are great salesmen who can be very charming and can tell the patient exactly what he or she wants to hear.  Dr. Kenneth Hughes will give the patient the facts and will be HONEST with regard to treatment protocols and having realistic expectations, even if doing so upsets the patient or causes the patient to go elsewhere.  Dr. Kenneth Benjamin Hughes respects the patients and the process, and he wants to be as transparent as possible in all aspects of patient care.

Dr. Kenneth Hughes, MD really wants patients to get the best possible result by preserving the surgical result that Dr. Hughes creates on the operating table. The key is to follow all of the postoperative instructions and stay in close contact with Dr. Kenneth Hughes after surgery. Dr. Kenneth Hughes sees all postoperative patients personally so that any postoperative concerns can be addressed expertly and immediately, if necessary.  Dr. Kenneth B. Hughes does not delegate these postoperative responsibilities to a nurse or assistant as is the norm in most practices.  This personalized service and attention to patients has set Dr. Kenneth Hughes, MD and Hughes Plastic Surgery apart from other plastic surgery practices in Los Angeles, Beverly Hills, and abroad.

 

2) Reliable and Significant BBL Results with Dr. Kenneth Hughes

Dr. Kenneth Hughes performs the Brazilian butt lift (BBL) or butt augmentation procedure to create whatever shape or silhouette the patient desires.  This plastic surgery operation is a straightforward outpatient procedure in which up to 5 liters of fat can be liposuctioned through a few small incisions in discrete locations.  Dr. Hughes places fewer incisions than other plastic surgeons, and patients have routinely expressed their approval about this aspect of this technique.  The fat is purified in the operating room by gravity sedimentation and transferred to syringes for injection. The fat is injected above the gluteus muscles and superficially under the skin into the fat of the butt and hips.  This method of soft tissue augmentation is referred to as autologous fat transfer.  Dr. Kenneth Hughes, MD in Los Angeles is a bonafide expert in field of cosmetic or aesthetic surgery and the Brazilian buttlift or BBL.

Dr. Kenneth Hughes DOES NOT inject fat into the muscle.  Up until several years ago, almost all plastic surgeons in the United States and around the world injected at least a significant portion of the fat into the muscle to improve the overall fat graft take or the amount of fat that survived in this process.  About 5 years, Dr. Hughes pioneered a subdermal fat injection technique for butt augmentation.  This subdermal technique virtually eliminates the risk for fat embolus and patient death. Precise placement of the fat is necessary to help reduce the risk for fat pooling and resulting fat necrosis (dead fat) and/or infection. Dr. Hughes sees many patients with deformities from fat necrosis after BBL performed at other facilities by other surgeons.  These complications are not trivial and removal of fat necrosis or fat death requires an incision and a resultant scar as well as reconstruction in the future.  This may lead to at least 2 unnecessary operations if the fat death is avoided in the primary of first procedure.  Some plastic surgeons avoid fat necrosis and complications by being very conservative and injecting very little fat.  This is not the solution to surgical issue either.  The vast majority of patients seeking butt augmentation are doing so to create a significant improvement in butt augmentation, projection, and contours.  Thus, a conservative procedure frequently leads to at least one additional operation if not more.

Thus, the Brazilian buttlift or BBL requires significant improvement as a fundamental tenet so as to avoid future surgeries, while minimizing complications so as to avoid future surgeries.  The goal is to have the BBL surgery done only ONCE.  This principle reduces patient cost, the number of patient recoveries, the number of anesthetic experiences, patient stress, patient complications, and increases overall satisfaction.  Frequently, Dr. Kenneth Hughes transfers 1200 cc to 2000 cc per butt and hip to give the most dramatic transformation possible. Dr. Kenneth Hughes, MD also performs fat transfers to the hips of 200 cc to 800 cc per hip.  However, Dr. Kenneth Hughes also has a near zero rate of fat necrosis or dead fat occurrences.  Thus, Dr. Hughes is able to expertly navigate a significant result with a very low rate of complications.  These significant results are sought by local patients in the Los Angeles and Beverly Hills areas to be sure, but Dr. Kenneth Hughes has become one of the world’s most popular butt augmentation surgeons.  Dr. Kenneth Hughes is frequently asked about his expertise with Brazilian buttlift and BBL by multiple publications and patient education websites.

In patients who are thin and lack the required fat to produce a significant volumetric improvement with the Brazilian buttlift or BBL, Dr. Kenneth Hughes offers butt implant surgery with solid, silicone implants from any of the butt implant companies that manufacture implants approved by the US FDA.  The butt implant surgery produces a significant and long-lasting improvement and a butt volume change that is predictable and reliable.

The New, Safer Brazilian Butt Lift Technique of Dr. Kenneth Hughes

The Brazilian buttlift or BBL procedure involves liposuction of areas of fat excess like the abdomen, love handles, flanks, back, armpits, arms and thighs, and then transfer of that liposuctioned fat to the butt or hips. As a background, Dr. Kenneth Benjamin Hughes is a board-certified plastic surgeon in Los Angeles, who has performed thousands of Brazilian butt lifts (BBL).

Five years ago, Dr. Kenneth Hughes developed a new fat grafting technique for Brazilian buttlift due to his concerns about the safety of intramuscular injections and the development of fat emboli (little pieces of fat migrating through the bloodstream and potentially blocking function of certain organs including the lungs).  Before 2015, Dr. Kenneth Hughes along with the vast majority of board-certified plastic surgeons in the United States transferred at least a portion of the fat into the muscles of the butt.

The old intramuscular technique had been adopted to produce greater fat survival rates due to the enhanced vascularity of muscle tissue. At that time, this method of injection was the standard of care and remained the standard of care until less than 2 years ago with no formal recommendation until August 2018. At this time in 2020, the plastic surgery community as a whole knows that intramuscular injection of fat into the buttocks can lead to fat embolus. The current theory is that larger diameter vessels in the muscles allow for a small risk of intravascular introduction of fat. Some of these fat emboli do not cause respiratory collapse, but can lead to significant morbidity even if the patient recovers. These fat emboli can migrate throughout the body affecting other organs. Some of these fat emboli will even lead to patient death.

In an effort to reduce the incidence of fat emboli, Dr. Kenneth Hughes developed a subdermal fat transfer method for the Brazilian butt lift. In this subdermal method, Dr. Kenneth Hughes places fat directly under the skin, visualizing the tip of the fat transfer cannula at all times.  There were many unanswered questions at the point in 2015 when Dr. Kenneth Hughes introduced this subdermal method. How would the subdermal technique affect the percentage of the free fat graft that would take or live? What was the likelihood for fat pooling, fat necrosis or fat death, and infection? However, these complications could be managed, whereas the complication of fat embolus could not be managed in any meaningful way.

Over the past five years, Dr. Kenneth Hughes has performed the fat transfer and Brazilian butt lift procedures with the subdermal transfer method. Dr. Hughes tabulated complications for this subdermal method. Of the approximately 1800 patients, infection occurred 3% of the time. There were no instances of fat necrosis with this method of transfer. The fat resorption rate was believed to be approximately the same though no MRI testing or volumetric analysis to confirm was performed. There were no instances of fat emboli observed with this method.  Thus, Dr. Kenneth Hughes has been able to produce dramatic, smooth results with the subdermal method without the issue of fat emboli associated with the intramuscular technique.

In 2017, The Report on Mortality from Gluteal Fat Grafting: Recommendations from the ASERF Task Force by M. Mark Mofid, MD, et al was published. The task force tried to determine the incidence of fatal and nonfatal pulmonary fat embolism associated with Brazilian buttlift or BBL. In their study, surgeons reported 32 deaths from pulmonary fat emboli as well as 103 pulmonary fat emboli that did not lead to death.  These surgeons also recommended against fat injections into the deep muscle, using cannulae smaller than 4 mm, and pointing the injection cannula downwards. These are all technical maneuvers, which Dr. Kenneth Hughes put into practice in 2015.

Dr. Kenneth Hughes, Los Angeles Plastic Surgeon and Brazilian buttlift expert, has been selected to Realself’s Medical Advisory Council to help provide honest and timely patient education in regard to Brazilian buttlift (BBL) and all aspects of cosmetic and plastic surgery.

 

Liposuction and BBL (Brazilian buttlift) Patient Testimonial for Dr. Kenneth Hughes in Los Angeles below:

Other Butt Augmentation Options Besides Brazilian Buttlift (BBL) with Dr. Kenneth Hughes

 

Though Dr. Kenneth Hughes has performed thousands of Brazilian buttlifts (BBLs), Dr. Kenneth Hughes is an expert at butt implant surgery as well.  Butt augmentation can be achieved with semisolid silicone implants which can be placed within the muscle or below the fascia. The implants cannot be placed under the muscle as this results in sciatic nerve compression. There must be a protective gluteal muscle cuff below the implants to relieve pressure on the sciatic nerve and support the butt implants.

The butt implant surgery can be performed through multiple incision locations, though many perform the incision or incisions at the level of the intergluteal crease or cleft (above the level of the buttock crack).  Dr. Kenneth Hughes typically uses two incisions in the intergluteal location to help prevent the higher incision separation rates associated with a single intergluteal incision.

Buttock augmentation can be conservatively done with implants as small as 150 cc or so up to the largest implant of 712 cc. Dr. Hughes has performed many of the 712 cc buttock implant surgeries though smaller implants admittedly result in easier recovery and fewer complications, in general. Once again, there is a balance between patient expectations for improvement and what is reasonable or safe for a person’s anatomy. Due to the large number of butt implant revisions Dr. Hughes performs, he realizes the need to satisfy the patient demands with the first surgery in regard to size and shape.

Buttock implants come in largely two shapes, round and oval. Dr. Hughes uses almost exclusively round implants as many patients are trying to achieve not only projection but roundness of the buttocks and hips as well. This simply cannot be achieved with oval implants. In addition, oval implants have the added risk of rotational deformity should they move within the pocket.

Butt implants can have complications including bleeding, infection, fluid collection, tissue thinning, capsular contracture, wound separation, need for replacement, implant migration, among others.

The Brazilian buttlift and butt implant or gluteal implant surgery with solid silicon implants are the only two approved methods of buttock augmentation.  Gel implants are not approved in the US by the FDA.  These implants have a risk of rupture.

Why Choose Dr. Kenneth Hughes for Your Liposuction and Brazilian Buttlift (BBL) Procedure?

Dr. Kenneth Hughes Was Voted Best Plastic Surgeon in Los Angeles in 2020 by at Least Five Independent Review Sources

https://kevsbest.com/plastic-surgeons-in-los-angeles/

https://wimgo.com/s/ca/los-angeles/plastic-surgeon/

https://www.caredash.com/specialties/plastic-surgery/ca/los-angeles

 

What about Foreign Body Injections like Silicone for Butt Augmentation?

Dr. Kenneth Hughes does not inject foreign materials like silicone into the butt. We do not have FDA approved fillers for this purpose, though some plastic surgeons will use Sculptra for small volumetric additions.

Dr. Kenneth Hughes spends at least several hours a week removing foreign material that has been injected by someone else. These injections can lead to skin damage and skin death, infections that can become systemic and lead to death, hard areas that generate pain on sitting or walking, along with various other complaints.

In many of these cases of injection that Dr. Kenneth Hughes treats the substance may be silicone, PMMA, hydrogel, and many other liquid variants. The patients often present with pain, skin changes, and inflammation, redness, and swelling around the sites of injection. Dr. Kenneth Hughes makes every effort to remove as much material as possible while minimizing the cosmetic deformity to the extent possible. In addition, Dr. Kenneth Hughes makes the incisions small, frequently only placing one small incision on each side to facilitate removal. Dr. Kenneth Hughes has this process choreographed on several of his you tube videos. A small incision is made and through visual inspection and palpation, Dr. Kenneth Hughes is able to identify the offending agents. He then removes these areas without removing the surrounding viable tissue so that he minimizes deformity to the patient.

A large number of Dr. Kenneth Hughes’s patients have had previous removal through a large scar that extends from hip to hip at the level of the buttocks. In these patients, Dr. Kenneth Hughes frequently has to revise the scar and reposition tissue or add fat or gluteal implants to restore the contours.

The main risks of the procedure include fluid collection, incomplete removal, infection, and need for cosmetic adjustment with fat transfer or buttock (gluteal) implants in the future.

Recovery is typically rapid with patients expressing improvement in comfort and feel of the buttocks shortly after surgery. Patients should realize that recovery may take 3 months or longer for the surgical sites to heal internally. At that time, additional cosmetic surgery can be performed if necessary to improve the cosmetic appearance.

 

How to Recover from Liposuction

Dr. Kenneth Hughes, a Los Angeles plastic surgeon, has performed thousands of liposuction procedures for patients from all over the world.  Dr. Kenneth Hughes has been frequently recognized as a top liposuction expert in Los Angeles.  Liposuction remains the most popular plastic surgery procedure among men and women alike in the United States. Liposuction is performed hundreds of thousands of times each year in the U.S., and patients may not know the best possible route to take for the optimal result. Patients can absolutely make or break the final result despite a perfect result achieved on the operating room table by Dr. Kenneth Hughes.

One of the most important decisions a patient must make is the selection of the best plastic surgeon to perform the liposuction procedure. Beyond this, the final result is largely the result of adherence to postoperative protocols to prevent complications that can largely be avoided. The number one complication in liposuction procedures, other than irregularity, is fluid collection formation or seroma formation. This complication can largely be prevented by the proper application and wearing of a compression garment. The liposuction of the abdomen has the highest rate of fluid collection and compression of the abdomen is paramount to success.

To further reduce the risk of fluid collection, no strenuous activity should be performed for about 6 weeks.  Patients should not exercise or lift anything greater than 5 or 10 lbs during this 6 week postoperative period.  In addition, patients should not perform twisting, bending, or stretching motions as this can cause shear stress between the liposuctioned flap and the underlying abdominal wall.  This stress can lead to the liposuctioned flap not annealing and healing to the underlying tissue, creating a greater opportunity for the development of a fluid collection.  Patients should always be instructed that smoking drastically increases the rate of fluid collection, and smokers should not smoke within a month of liposuction procedures at the very least.  There should be no smoking before surgery and no smoking after surgery.

 

Postoperative Care Following Brazilian Butt Lift Surgery

Over the past decade, Dr. Kenneth Benjamin Hughes has seen the popularity of buttock augmentation procedures increase substantially. Board-certified plastic surgeons have two available methods for buttock augmentation: fat grafting to the buttocks (Brazilian butt lift) and butt implant surgery (solid silicone implants). The butt implant surgery remains a distant second to the Brazilian butt lift in terms of popularity, even though Dr. Kenneth Hughes has performed and does perform many butt implant surgeries and butt implant revisions.

The Brazilian butt lift procedure involves extracting fat from the areas of excess like the abdomen, sides, back, arms, or thighs and transferring that fat to the buttocks and hips. The results are generally very good with excellent patient satisfaction rates. There are complications which patients should be made aware of. This includes, fluid collection, bleeding, infection, blood clots, fat embolus, fat necrosis or fat death, asymmetry, etc. However, one of the most important factors to ensure great results in this operation is the ability of the patient to adhere to a strict postoperative protocol.

All plastic surgeons will have different recommendations in the postoperative period, but Dr. Kenneth Hughes typically provides helpful advice in the form of these five tips:

1) Always come to follow-up visits – so that Dr. Kenneth Hughes can assess how you are doing and evaluate for fluid collections, infection, or other issues.
2) Wear your compression garment 24/7 for the first 6 weeks – Dr. Kenneth Hughes will show you how to place the garment, and he expects you to wear it as instructed to reduce the risk of fluid collection formation.
3) Avoid exercise and lifting anything greater than 5 to 10 lbs. for 6 weeks – exercise or strenuous activity can lead to postoperative bleeding and fluid collections due to increases in blood pressure.
4) Adequate nutrition – the patient should not be dieting but maintaining a calorie surplus with at least 100 grams of protein a day to ensure appropriate healing in the postoperative hyper-metabolic state.
5) No showering until Dr. Kenneth Hughes instructs you to do so – getting incisions wet can open the incisions and allow for transit of patient’s bacterial skin flora into the areas of surgery leading to an infection.

Each case will be different as each patient is unique and has unique considerations, and Dr. Kenneth Hughes will customize a plan for you.

Frequently Asked Questions (FAQs) about the Brazilian Buttlift (BBL) with Dr. Kenneth Hughes

 

Question: How bad are the scars after liposuction with fat transfer to the buttocks? Does liposuction give you loose skin in the stomach area?

Answer: In Dr. Kenneth Benjamim Hughes’s practice, the liposuction procedure involves making a few small (4 mm) incisions through which instruments called cannulae are inserted to remove the fat in a very precise fashion. Many varieties of liposuction are available including ultrasonic, smart liposuction, laser liposuction, vaser liposuction, power assisted liposuction, and conventional tumescent liposuction. The results depend very little on the method used and very much on the surgeon selected.

Liposuction may not create a greater problem with skin laxity, but liposuction will not improve the skin quality. The skin can tighten after liposuction as the swelling continues to resolve over three to six months after surgery.

 

Question: Lumps and bumps after BBL/LIPOSUCTION. Is this just a process of healing or should I be worried? It looks disgusting.

Answer:  Dr. Kenneth Hughes achieves a very smooth and even liposuction result for each and every operation.  This is the intrinsic skill associated with liposuction.  Dr. Kenneth Hughes can frequently discern technical issues by another surgeon versus normal swelling.

 

Question:  Brazilian buttlift or BBL with only 200cc of fat/cheek, will all fat survive?

Answer:  For most patients,  Dr. Kenneth Hughes tells them that at 6 weeks there is still a great deal of swelling in the abdomen, sides, and back (or wherever the liposuction was performed); and they will only look better in 6 months. About 50% of the fat that is transferred lives and becomes a part of you. This will hold stable as long as there is no weight fluctuation.

 

Question:  I had open heart transplant surgery 2 years ago. Can I get a BBL and tummy tuck?

Answer:  Having had heart transplant surgery does not automatically exclude you from being evaluated as a candidate for a BBL and tummy tuck. You would have to receive medical clearance from all the specialists involved in your surgery and treating you now. Your plastic surgeon, anesthesiologist, and surgical team would need to review medical history, lab work, medications, etc. to determine if the surgery would be worth the risks.

 

Question:  Which shaped BBL would be best for me: heart or bubble?

Answer:  In most cases, patients have a certain shape, which makes conversion to another shape more difficult.  In general, the goal should be to create a rounder, fuller, more projected buttock and a more hourglass figure.

 

Question:  Is a BBL more dangerous for a thin patient? Are they at higher risk due to more muscle than fat in buttock area?

Answer:  No. The thinner patient requires an expert at liposuction to remove as much fat as possible while leaving the skin smooth. There are a lot of women who can get nice results despite thinking that there is not enough fat.  The fat should always be injected subdermally to avoid intravascular injection (see Dr. Kenneth Hughes’s Safer Brazilian buttlift above).

 

Question:  Will a BBL make my stretch marks on my abdomen look better or they will stay the same?

Answer:  Removal of skin is the most effective stretchmark treatment available. Liposuction will not really change the appearance of stretchmarks on the abdomen.

 

Question:  Should I put on more weight to achieve my desired look?

Answer:  Gaining weight is often counterproductive. If you gain weight that is fat, some of the fat will likely be associated with the buttocks. In almost every case, Dr. Kenneth Hughes does not recommend weight gain prior to a BBL.  Dr. Hughes recommends that a patient maintain a stable weight.

 

Question:  Does BMI matter for a BBL when you could be more muscle than fat?

Answer:  BMI is just one measure of your fitness for surgery; current health is also important. In his practice, Dr. Kenneth Hughes looks for a BMI approximating 30 to lessen the risks of complications during and after surgery and to enhance the results of the procedures. A BMI of 35 is probably the upper limit that a plastic surgeon would consider for this procedure.

Gaining weight is often counterproductive.  Dr. Kenneth Benjamin Hughes recommends that a patient maintain a stable weight and be within 10 pounds of goal weight for three months or more prior to the BBL.

 

Q. Is 500cc enough to make a big difference?

A. An exam would provide a better way to evaluate you for the procedure. You may notice the enhancement you are seeking with 250cc fat SURVIVAL in each buttock if the liposuction creates more contours to give the illusion that your buttocks are larger. You and your PS will have to determine whether the fat harvest and transfer will provide a significant improvement.

Q. If I gain 10 pounds for a BBL, do I have to maintain that weight I put on after surgery?

A. Gaining weight is often counterproductive. If you gain weight that is fat, some of the fat will likely be associated with the buttocks. In almost every case, I do not recommend weight gain prior to a BBL. I think it is better to maintain your stable weight.

Q. Is there a certain limit on the amount of fat tat can be transferred in a bbl?

A. For safety reasons, 5000 cc is the generally accepted upper limit for liposuction in an outpatient setting, with the transfer being less than that. Depending upon how much the buttock will stretch, you may be able to inject 2000 cc per buttock.

Q. Ride Back after BBL – Is a 45 minute drive back too long to take after the surgery?

A. This is a question that should be answered by the board certified plastic surgeon who is to perform your liposuction and BBL.  Dr. Hughes’s post-operative protocols may be different than your PS’s, and Dr. Kenneth Benjamin Hughes will not have the benefit of knowing the extent of your surgery and seeing you in person to know how you are recovering.

Q. Can a bbl and tummy tuck be performed at the same time? If so how long after having a baby would be considered safe?

A. A patient could have surgery as early as 3 months following an uneventful childbirth, but each individual recovers differently. Therefore, depending upon how quickly a patient returns to a stable weight, a patient may want to schedule consultations with board certified plastic surgeons who are experts at both procedures at about 2 months after delivery.

Sometimes, the tummy tuck and Brazilian buttlift (BBL) can be done at the same time. Sometimes, the liposuction and BBL is needed before the tummy tuck to produce a better result. In a patient with a particularly thick upper abdominal flap, a patient will get a better result with liposuction and BBL first. If the patient has a hernia or an overwhelming amount of skin, the tummy tuck may be necessary before liposuction is performed.

Q. I have low hemoglobin. Is it possible to get an iron infusion before a BBL surgery this month?

A. Have your labs repeated a few days before your scheduled surgery. If they remain low, ask your plastic surgeon if he/she recommends that you postpone your BBL until they reach a satisfactory level. Besides eating dark leafy veggies, liver, lentils, almonds, dried apricots, beets, and other high iron foods, your plastic surgeon or internist could prescribe iron pills or infusions upon the cause of the anemia.

Q. Am I too skinny for a BBL? Should I get butt implants? (photos)

A. Gaining weight is often counterproductive. If you gain weight that is fat, some of the fat will likely be associated with the buttocks. In almost every case, Dr. Kenneth Benjamin Hughes does not recommend weight gain prior to a BBL.   Dr. Kenneth Hughes thinks it is better to maintain your stable weight. The thinner patient requires an expert at liposuction to remove as much fat as possible while leaving the skin smooth.

Q. Do majority of BBLs result in a cellulite looking appearance on the butt?

A. Fat transferred to the buttocks can and does improve dimpling. In the thousands of BBLs Dr. Kenneth Hughes has performed, Dr. Hughes has not found the buttocks to look saggy as you heal. In general, the dimpling, which is different from true cellulite, is improved with the BBL and typically resolves with time as the fat becomes part of your body and swelling subsides.

Q. Is it possible that my body rejected or reabsorbed the fat? (Photos)

A. Your body did not reject the fat. The results you experienced are typical: at about six weeks 50% of the fat transferred has an established blood supply and is viable. The revision implies that there is less fat than the first time, and scar tissue will make the surgery much more difficult on the surgeon. The percentage of fat survival in the BBL the second time should be about the same. Photos show major improvement in contours from liposuction.

Q. Am I a candidate for a BBL? I’m 5’9 and 122lbs. I’m 30 years old. I’m looking to get work done in March of 2020. (photo)

A. Gaining weight is often counterproductive. If you gain weight that is fat, some of the fat will likely be associated with the buttocks. In almost every case, I do not recommend weight gain prior to a BBL. I think it is better to maintain your stable weight. The thinner patient requires an expert at liposuction to remove as much fat as possible while leaving the skin smooth. Recommend that you discuss realistic results with a board certified plastic surgeon who performs hundreds of BBLs annually with great results.

Q. Is it normal to still have firmness in the butt 10 weeks post-op? (Photos)

A. From my perspective, I hardly ever see fat necrosis after the BBL procedure. I think that this may soften with time. If there is a large area, it is less likely to soften. If you are uncomfortable and want it removed, follow up with your PS.

Q. What type of massages should I be having and how many do I need?

A. This is more plastic surgeon preference than anything else. Dr. Kenneth Hughes recommends no lymphatic massage, as he does not want any of his surgical results altered.   Dr. Kenneth Hughes achieves as perfect a result on the table as possible, and he does not want his result compromised.

Q. Can I get a Lipo360 and BBL with round one to achieve this look? I’m 20 years old and my BMI is 32.6. (photos)

A. BMI is just one measure of your fitness for surgery; current health is also important.  Dr. Kenneth Hughes looks for a BMI approximating 30 to lessen the risks of complications during and after surgery and to enhance the results of the procedures. It is best to be within 10 pounds of your weight goal for three months prior to the BBL.

Q. 360 liposuction and BBL 3 1/2 months ago. Why does my stomach look like this? (photos)

A. Liposuction will not improve the skin, but it can create a dramatic improvement in the way a person looks. It will not alter the underlying musculoskeletal anatomy or help with any amount of significant laxity. Recommend that you wait six to 12 months after BBL recovery and then consider a tummy tuck to address the laxity on your abdomen.

Q. 3And what can I do to lose the fluid on my lower abdomen?

A. Recovery from BBL is patient dependent. Much of this depends upon the amount of liposuction performed and the amount of fat transferred. The fluid in your lower abdomen, if not present as a collection, should be absorbed. Usually by 3 months, the swelling is minimal and totally resolved by 6 months.
Follow whatever post-operative protocols, such as wearing your compression garment, were provided by your plastic surgeon for optimum recovery.

Q. Would I be a candidate for a fat transfer? (Photo)

A. Sometimes, individuals will have problem areas that are relatively exercise and diet resistant. These are the focus areas for your plastic surgeon to liposuction. Liposuction will remove the excess fat on your sides, abdomen, and thighs and make the waist as small as possible. The fat harvested can be transferred to the buttocks to ensure optimal fat viability and projection.

Q. Can drastic results from a BBL be achieved if the patient is going under local anesthesia?

A. You do not necessarily need general anesthesia, but Dr. Kenneth Hughes thinks it is a better patient experience.
This procedure can be extraordinarily painful for the patient. You want the most dramatic transformation possible, and you do not want to be in pain. You also only want to have the procedure performed once.  Surgery time will vary greatly by skill level of the plastic surgeon, the number of areas liposuctioned, and the amount of fat transferred.

Q. Are there certain things I should ask for when discussing what I am looking for. More of a fitness model look?

A. Having been an athlete and natural bodybuilder for over 20 years, I share my wealth of knowledge and experience in nutrition and exercise regimens with my patients. I carefully evaluate my patient’s anatomy and goals and then tailor the results to an individual’s preference and specification.
I would recommend that you evaluate the following in selecting a PS that understands the BBL look you are seeking: (1) before and after photos on the board certified plastic surgeon’s website, (2) personal time with the PS through email or Skype before and after meeting in person. (3) Patient reviews to obtain an understanding of the types of procedures the PS performs and his/her availability to answer your questions pre-operatively and post-operatively. Good communication is critical.

Q. How would the post op process work if you have a patient coming from another state?

A. Ask for your board certified plastic surgeon’s opinion regarding flying from Chicago to LA following BBL surgery. I recommend that my BBL patients remain in LA for at least a week in a near-by location for follow-up and recuperation. With an uneventful surgery and recovery, you may not need to return to Chicago for follow up exams and treatment. Otherwise, you may find that local plastic surgeons may have different post-operative protocols and are reluctant to assume responsibility for your care should an emergency arise and you cannot return to Chicago in a timely fashion.

Q. Can the fat for a BBL come from thighs, back and arms instead of my abdomen?

A. 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. Most lipomas do not need to be removed, unless they are painful or need formal diagnosis.

Q.I’m at my 5 week post op and I feel like my butt looks boxy. Is this the final result? Advice?

A. Recovery from BBL is patient dependent. Much of this depends upon the amount of liposuction performed and the amount of fat transferred. I have observed that between 4 and 6 weeks the buttocks tend to stabilize in volume. Usually by 3 months, the swelling is minimal and totally resolved by 6 months. Suggest that you follow up with your PS to discuss your concerns and gain approval to start exercising such as squats. At six weeks, my BBL patients can return to the gym.

Q.Will my butt continue to shrink? It’s been 18 days post BBL.

A. Recovery from BBL is patient dependent. Much of this depends upon the amount of liposuction performed and the amount of fat transferred. I have observed that between 4 and 6 weeks the buttocks tend to stabilize in volume. Usually by 3 months, the swelling is minimal and totally resolved by 6 months. Suggest that you follow up with your PS to discuss your concerns.

 

Q: What can be done to help my flat and dented bottom?

A. Creative liposuction will allow you to have stubborn fat resistant to exercise and diet removed from unwanted areas (abdomen, love handles, thighs, back) and transferred to the hips for a lifted and rounder appearance. 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. Schedule an email, Skype or in-person consultation with a board certified plastic surgeon.

 

Q: Am I good enough for a BBL if I am 112lbs, 5’5.5 and have a 19.1 BMI (body mass index)?

A: Butt implants range in size from very small (100+ cc) to the largest of 712 cc. The most common sizes fall in the range of 360 cc to 580 cc. While placing smaller implants is technically easier and does result in fewer complications, the truth is that most patients are not interested in buttock implants smaller than 300 cc in the vast majority of cases. In fact, most patients want to push their anatomic limits with implants larger than 400cc. 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 fascial integrity has remained the same.

 

Q: I am 24 and have a history of factor v Leiden one gene. Am I still able to have a bbl?

A: Risks should be evaluated and managed appropriately by your plastic surgeon. Blood clots after BBL are not common. Blood clots that lead to pulmonary embolus are even more uncommon. However, if you have more than one risk factor for blood clots other than having liposuction and BBL, you may need Lovenox or something similar. Your plastic surgeon should be familiar with the Caprini assessment, and he or she should be able to determine if this is indicated. Although you have only one gene for factor v Leiden, I would only get necessary surgeries since it is unpredictable to tell when and where a blood clot can happen.

 

Q: In 2018 the ASPS said that a BBL is the deadliest plastic surgery procedure. Is this true? Does Sculptra carry the same risks?

A: Sculptra is FDA-approved for the treatment of facial wrinkles, including smile lines. Off-label uses include the Sculptra butt lift and the treatment of cellulite. Sculptra is considered a very safe treatment, but it should only be placed superficially with blunt cannulae to avoid intravascular injection. Some patients may experience some redness, swelling, and discomfort but very few will experience serious side effects.

 

Q: If you lose weight after a BBL will the butt still be bigger than it originally was?

A: If you stay within 10 or 20 lbs of your operative weight, you are likely to maintain the results. The fat will not move, but losses in weight will distribute differently. The fat that lives in the buttocks from the procedure will get larger with weight gain and smaller with weight loss.

 

Q: Am I too skinny for a BBL at 5’1 and 123lbs? (Photos)

A: I have had great success with BBLs for thinner women, but these surgeries are not easy. Maximal fat must be harvested without creating any contour deformities. 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 fascial integrity has remained the same. There are a lot of women who can get nice results from the BBL despite thinking that there is not enough fat. Schedule an email, Skype, or in-office consultation with a board certified plastic surgeon who specializes in thin patients. I perform about 500 BBLs each year, and this procedure is the most surgeon dependent plastic surgery procedure.

 

Q: I would like to alter the shape of my butt without changing the shape too much, how can I achieve my goal? (Photos)

A: The final shape of the buttocks is largely determined by the starting anatomy, the distensibility of the tissues injected, and the surgical skill employed by the plastic surgeon. The fat is expertly placed to produce very shapely, custom tailored buttocks. Even large defects in the buttocks or marked asymmetry can be remedied with this fat transfer technique.

Certain aspects of the buttocks or hips may not be improved as much if the tissues do not allow for much stretch or cannot accommodate the fat that is transferred. In these cases, the final result will be limited by the skin envelope. This is an issue that cannot be completely controlled by the surgeon. Finally, the ability of some patients to heal and retain more of the fat than another patient accounts for differences in shape and result following BBL.

 

Q: Should I have a liposuction and Brazilian buttlift or liposuction, a tummy tuck, and a Brazilian buttlift (BBL)?

A: Creative liposuction will allow you to have stubborn fat resistant to exercise and diet removed from unwanted areas (abdomen, love handles, thighs, back) and transferred to the hips for a lifted and rounder appearance. 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. If you have some skin laxity in the abdomen after the liposuction, you can always tighten the skin with BodyTite.

 

Q: Do I need to lose weight for a bbl? I am 5ft and 157 lbs

A: Overall medical health and suitability of the procedure are just as important as the BMI. In my practice I look for a BMI approximating 30 (yours is 30) to lessen the risks of complications during and after surgery and to enhance the results of the procedures. No need to lose weight.

You should be a good candidate for liposuction and BBL. Fat can be taken from many different areas (abdomen, sides, back, bra rolls, thighs, arms, etc) depending upon the areas of excess and what your goals may be. Most patients get an immense benefit with maximal liposuction of the abdomen, sides, and back to obtain the smallest waist possible and then maximal fat transfer to the buttocks and hips. The goal is to transfer fat from areas where you find it displeasing to areas in which you would like more volume. Set up an appointment with a board certified plastic surgeon for proper evaluation.

 

Q: Is having a BBL procedure highly not recommended for someone prone to forming keloids? (Photos)

A: Your risk is greater for having keloids as you have evidenced a proclivity in the past; but it does not necessarily mean that you will have keloids from the small incisions. For keloid formers, there is not a way to prevent keloids. In general, the longer the scar or the greater the number of scars, the greater the chance for keloids. The keloids may require multiple modalities to achieve the best results. Laser may help to some extent with some types of scarring issues.

As an author of “Scars and Scar Revision” in Reoperative Plastic and Reconstructive Surgery, I am well versed in the potential treatment options. One treatment may be helpful for one patient while another treatment may help another patient. Keloids can be reexcised, injected with steroids, and irradiated.

 

Q: I’m on antibiotics for cellulitis and I have a pre op appointment tomorrow for a BBL…. will surgeon deny me?

A: Most surgeons will wait to perform surgery until after an infection resolves. It’s in your and the PS’s best interest to take care of an infection before surgery to prevent complications with healing. I think that most PSs would prefer that patients inform them of any infections prior to the day of pre-op.

 

Q: Am I a candidate for a BBL with fat transfer from my lower inner thighs? Male, 30 years old, 130 lb, 5″5.

A: The thinner patient requires an expert at liposuction to remove as much fat as possible while leaving the skin smooth. This is more dependent upon the individual goals. Dr. Kenneth Hughes would need to examine you or examine photos to determine if you have enough fat to reach your final goals. As long as you maintain the same amount of body fat after the surgery, the buttock will remain improved long term.

 

Q: Is it possible to get a flat or close to flat stomach with just a BBL or will I definitely need a tummy tuck plus a BBL?

A: You may be able to avoid the tummy tuck, but this will depend upon your exam and the precision with which the liposuction is performed for the BBL. How flat the abdomen will be will depend upon how much fat is removed from the area as well as how you heal. If you plan to have additional children, you will probably want to postpone the tummy tuck. The rectus diastasis is repaired at the time of the tummy tuck and would get stretched if you were to get pregnant again. Make sure that your BMI is close to 30 to lessen the risks of complications during and after the liposuction and BBL and to attain maximum results.

 

Q: I really don’t want a mini tummy tuck or full tummy tuck. Will I benefit from just a BBL?

A: You may be able to avoid the full tummy tuck, but this will depend upon your exam and the precision with which the liposuction is performed. How flat the abdomen will be will depend upon how much fat is removed from the area as well as how you heal. Unfortunately, no amount of exercise or physical therapy will bring the muscles back together.

 

Q: Wisdom tooth removal before BBL?

A: Unless you develop post-operative complications, you should be able to return to normal activities two to three days after the extraction. Your oral surgeon will be able to tell you if he clears you for the BBL to occur about a month later. Your plastic surgeon has already approved of the BBL within the time frame mentioned so you already appear to have the best answer.

 

Q: Am I a candidate for an plus size extended tummy tuck and bbl?

A: Dr. Kenneth Hughes performs the liposuction, tummy tuck and BBL in combination for many of his patients though the BMI must be reasonable to reduce the risk for complications. However, if they prefer staging the procedures I always recommend the liposuction and BBL first, followed by the tummy tuck three to six months later so that the result will be as tight as possible.

A tummy tuck addresses both the loose skin and the lax abdominal wall as to give a nice, flat youthful contour to the abdomen. The tummy tuck also creates a more youthful belly button. Tummy tuck without muscle repair may make the recovery easier, but, if you have laxity in that area, the result will be better with plication. In general, the muscles should be brought to anatomic norms. The smaller the separation, the less tightening required and probably the less discomfort. Swelling will occur irrespective of muscle repair, and almost every patient requiring a tummy tuck will benefit from the muscle repair.

 

Q: Would a BBL even me out and make me look natural and proportionate?

A: You can likely benefit from a BBL. Fat can be taken from many different areas (abdomen, sides, back, bra rolls, thighs, arms, etc) depending upon the areas of excess and what your goals may be. Most patients get an immense benefit with maximal liposuction of the abdomen, sides, and back to obtain the smallest waist possible and then maximal fat transfer to the buttocks and hips. The goal is to transfer fat from areas where you find it displeasing to areas in which you would like more volume.

 

Q: Does having psoriasis makes it riskier to get an infection after a BBL?

A: You should likely be able to pursue your surgical desires even with psoriasis. Going through the stress of having the surgery may cause your psoriasis to flare up temporarily. Consult with your dermatologist or other specialist who is treating your condition for clearance to have the surgery and then schedule a consultation with a board certified plastic surgeon who can explain any risks associated with surgery.

 

BRAZILIAN BUTT ARTICLES