A 35-year-old patient with a high BMI had a Brazilian buttock lift to transform her square buttock into a peach-shaped buttock.
What is Your BBL Shape?
Patients often wonder what their BBL shape is and what is the best BBL shape to strive for when undergoing a Brazilian butt lift. Patients interested in a Brazilian butt lift cosmetic surgery present with one of two shapes: a V-shaped butt or, commonly, a square butt.
Cosmetic surgeons describe the V-shaped butt as maintaining moderate to severe excess skin in the flank region. This appearance is contrasted against a deflated and flat middle and lower buttock region. Many patients opt for Brazilian butt lift surgery following significant weight loss to replace the volume of fat cells lost in the latter areas to create a bubble butt. Others strive to achieve an hourglass figure by maximizing lateral buttock fullness. Finally, a subset of more athletic patients desires upper central buttock projection indicative of a Jennifer Lopez butt. That said, knowing the buttock size and shape you desire and having realistic expectations about your Brazilian Butt Lift procedures remains essential.
Clients who have a V-shaped buttock have lost a significant amount of weight. Patients often present with a square-shaped butt described by a lack of curvature. There is typically excess skin and fat in the flank and lateral thigh areas surrounding a flat or concave mid-lateral buttock contour. The mid-buttock concavity on the backside correlates with the recently popularized hip dip when visualized from the front. Your buttock surgeon’s ability to correctly identify which BBL shape you have is critical to achieving your best BBL shape during your BBL procedure.
What is the Best Surgical Plan?
The preoperative shape of a V or square determines the best surgical plan to improve the buttock shape. The square buttock requires a combination of liposuction of the flanks and lateral thighs and subsequent fat transfer. Specifically, your cosmetic surgeon transfers the fat to the mid-central and lateral buttock region to round out the buttock. In contrast, the V-shaped buttock requires a combination of a lateral thigh and buttock tuck in addition to fat transfer and liposuction. Fat transfer is localized to the mid and, more importantly, the lower lateral buttock region, where maximal deflation is observed.
The desired postoperative buttock shape determines the details of the buttock liposuction. Postoperative best buttock shapes are commonly described by either round and peach buttocks or heart and pear-shaped buttocks. Liposuction is first performed universally along the upper medial buttock by creating the central diamond. To create the peach buttocks, the upper lateral buttock is conservatively liposuctioned along the inferior border of what has been termed the transition zone. The lower medial buttock is liposuctioned along its inferior border to round out the inner lower buttock. Finally, the lower lateral buttock is liposuctioned, extending into the lateral thighs. To create the pear-shaped buttock, your surgeon must preserve the lower lateral buttock and lateral thigh fullness while focusing on liposuction of the upper lateral buttocks and flank region.
When choosing your best BBL shapes, you must consider multiple factors that include your preoperative buttock starting shape and your desired postoperative buttock shape. Your actual buttock start and end points determine the optimal plan to achieve your fuller buttocks and best BBL shapes. Fat deposits will be evaluated as early as your initial consultation to ensure that you are a suitable candidate for a BBL. BBL candidates can use the Buttock Assessment Tool to determine their desired buttocks size and shape. Types of BBL shapes and sizes and patient preferences must be considered to choose among the various treatment options to establish the appropriate BBL technique.