Schulman, a board-certified plastic surgeon in New York City who performed his first BBL in 2007. “Elevated BMIs, over 30, have been associated with increased risk for surgical complications during the surgery and with healing afterward,” says Dr. BMI varies from person to person since height and weight factor into it. The amount of fat on the body determines how much fat your plastic surgeon can safely remove. Some surgeons put their patients on high-fat diets to gain five or 10 pounds of much-needed fat for a successful result. “I had to lose about 12 pounds before the surgery to fall into the exact BMI range of where I needed to be.” Losing weight before surgery isn’t out of the norm, and neither is gaining it if need be. “There were only a few doctors that I liked that do surgery on people in my range,” she says. A bigger butt calls for more fat, whereas a subtle increase in size uses less.įor Safiya, her high BMI instantly took many doctors off her list. The procedure is entirely customizable, so patients can choose to go as small or as large as they desire (safely and within reason) as long as they have a “healthy” BMI (body mass index) and enough fat to harvest. Next, the donor fat is purified to create a pure-fat concentrate and then transplanted via injections into the buttocks. The two-step surgery (done all at once while under anesthesia) includes liposuction first to remove excess fat from the stomach, thighs and/or love handles. In simple terms, the Brazilian Butt Lift removes fat from where it’s unwanted and puts it where you do want it. Yet, surgeons became more aggressive over the years, reallocating much more significant amounts of fat into various planes of the buttocks, which led to the labeling of the surgery as dangerous and even lethal. Pitanguy advocated for only a modest amount of fat transfer. Alex Earle, a board-certified plastic surgeon in Miami who has performed more than 2,000 ultrasound-guided BBLs, Dr. Initially, butt lift surgeries removed excess skin and tissue to reduce sagging. The advent of the BBL is credited to one of the most well-known plastic surgery visionaries, Dr. Ashkan Ghavami, a board-certified plastic surgeon in Los Angeles. “If you go back and see (on social media) that a surgeon has consistent results and professionally showcases their work and focuses on the patient, that’s the mark of a good surgeon,” says Dr. “I did a lot of research and liked his before-and-after images, which were very natural looking, and that’s what I wanted,” she says.īecause a BBL is a highly skilled procedure that requires attention to detail and a ton of experience, you can’t pick your doctor from TikTok or Instagram alone, and not just anyone will do. He was the only plastic surgeon she consulted with and chose him based on his qualifications. Three years ago, Safiya, a New Jersey native, booked a ticket to Miami for a BBL (following a previous face-to-face in-office consultation) with Dr. David Shafer, a board-certified plastic surgeon in New York City. That same thinking is what had plastic surgeons realizing that discarded fat (from liposuction) could be injected back into the patient’s body and survive, says Dr. “At first, I thought, I’ll get liposuction, but then I thought to myself, what are they doing to do with all that fat? So, I decided to put it in my ass,” she continues. Despite working out like crazy, she wasn’t getting her desired results. “I was always top-heavy, and if you were to cut me in half, my bottom is not equal with my top,” she says. After losing weight, Safiya wanted to address a few things about her new body. Miami is the BBL capital of America-and the destination for women from all four corners of the globe to flock to for the curves they crave. I Got Dimpleplasty After 15 Years of Wanting Dimples
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