American Society of Plastic Surgeons
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Breast Augmentation

Combining BBL with BA?

barbiedoll3 Chicago, IL
22 days ago

Can and should I have my Brazilian butt lift done at the same time as my breast augmentation?

I have been to two plastic surgeons for consultations. One has told me to do the Brazilian butt lift at the same time as the breast augmentation. The other surgeon said it has to be done at different times. Is there a right or wrong answer? What is best for my health?


Gregory Dowbak, MD Miami, FL
22 days ago

Yes. The correct and safe way is to do these procedures at different times. BBL combines a 360 Lipo (lipo of entire abdomen, spare tire, love handles, flanks, lower back, wings and bra rolls) and then transfer fat to buttocks and hips creating an awesome hour glass silhouette with out of this world projection, cute cuffs, magnificent butterflies and stunning hips. Post op care is important, requiring one to rest on anterior side of body, keeping pressure off your buttocks and hips for four weeks and then gradually resume pressure over next four weeks. You need time to recover your blood count, strength and health. It is irresponsible for any surgeon to mislead a patient that it is safe to do both procedures at the same time. Wait six months to restore full health and strength to consider breast aug. At this time you will look so absolutely stunning you just might not want a breast aug. I perform over 90% of all BBLs in Miami

Addendum: In Miami it is against the law to do a BBL + BA

It’s not that the two procedures can’t be done at the same time. It’s that it will be a positioning issue for you during the recovery. You ideally do not want to lie on your stomach after having a breast augmentation it’s not that the two procedures can’t be done at the same time. It’s that it will be a positioning issue for you during the recovery. You ideally do not want to lie on your stomach after having a breast augmentation, And you don’t want to lie on your back after having a Brazilian Buttock augmentation. I usually stage them.

Nelson Castillo, MD Atlanta, GA
21 days ago

Thank you for sharing your excellent question. Although a combination of procedures is routinely performed, the difficulty with those two is positioning during recovery - because of the BBL you have to limit sitting/laying on your buttocks, while due to your breast augmentation you can not be on your stomach. As a result you have to alternate side to side assuming you are not having fat placed along your hip dips. Talk to your surgeon about more your concerns, they can offer you the best advice.

Karol Gutowski, MD, FACS Glenview, IL
20 days ago

I have done this combination of procedures more than a few times in selected patients without any problems. The positioning issue can be overcome with with some creative pillows and pads at night. From a health perspective, either option is fine.

Karen Leong, MD Upland, CA
17 days ago

Hello, thank you for your question. We commonly combine procedures like BA and BBL so that you have one recovery and less time under anesthesia. However, safety is the first concern of any ethical surgeon, so your two consultations may have given you different answers based on their comfort level and their experience. - Dr. Leong

Paul Parker, MD Paramus, NJ
12 days ago
SURGEON PROFILE PROFILE

These procedures can be done at the same setting or staged. If they are done at the same time, you and your surgeon will need to arrange for some pillows and pads to help your positioning.




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