Q: Dr. Eppley, I am roughly 75 pounds over my ideal weight looking and to have a Buttock Augmentation with Fat Injection. (Brazilian Butt Lift) My question is do you do what’s considered “Large Volume Liposuction” or do you have an issue with larger patients?
A: . One’s weight per se does really influence the ability to have a successful Brazilian Butt fit surgery…unless one has very little fat to harvest to be able to do the procedure successfully. (have enough fat to inject) Therefore patients that have excessive weight do not represent a limiting factor in being to do the BBL procedure. The only issue with patients with more weight is that they realize the liposuction harvest for the BBL is not going to make them thin nor serve as a weight loss method. Also there is a safe limit of fat harvest which is generally around five liters and that is where it is prudent to stop no matter how much more fat may be able to be harvested. Going about that ceiling and venturing into true large volume liposuction increases the risk of complications such as deep vein thrombosis and pulmonary emboli. Also it really can make the recovery period prolonged and can take weeks until one is fully functional again.
Lastly, using the ratio of about 1/3 fat concentrate results from the unfiltered liposuction fat harvest, the amount of fat that can usually be maximally injected is around 1,500 to 1,800cc or 750cc to 900cc per buttock.
Dr. Barry Eppley