Q: Dr. Eppley, I am interested in buttock augmentation by fat injections. I have attached pictures to see if I am a good candidate. I would like a nice round booty if you think it would be possible.
A: Thank you for making the effort in sending your pictures. You have several issues of relevance to your desire for buttock augmentation. The overall amount of fat that you have to harvest is adequate but marginal. The fat alone would produce a modest buttock augmentation result but certainly not a large result…or as you have desired a ‘nice round booty’. You simply don’t have enough fat to do it.
You also have a lot of extra and loose abdominal skin and you really need a tummy tuck and not just abdominal liposuction alone. Ideally the best approach in our situation is to do a combined BBL surgery with a tummy tuck and use the tissue removed from the tummy tuck as buttock implants. That tissue is placed into the buttock muscle and then fat is injected in the buttock tissues above the muscle. All together this will give you the best buttock augmentation result combined with major abdominal/waistline reduction.
Dr. Barry Eppley