My backside has no company back there

Raven asks the doctor:

My goal was to wear a bikini from the age of 16. I am now 26 and I haven’t met that goal. I have no bottom and no butt if that makes sense. My boyfriend tries to pinch me and there is NO GRIP! I have lots of abdomen and back fat. My shape is exactly like my mother’s but hers is hidden because she has gun casings (whatever the correct name is). Her waste appears small. I have a boxed shape. Does my bone structure has anything to do with the outcome of the procedure if performed.

Raven, I read your post and the story is very typical of the patients I see in my office. The images you see in the media place very high goals as to what is a “normal” body type. Keep in mind some of these people showing their bodies have had plastic surgery themselves (and or very good airbrush artists).

“I have no bottom and no butt if that makes sense. My boyfriend tries to pinch me and there is NO GRIP!”

Yes, what you say makes sense. Indeed, if you look at the pages of many fashion magazines you will see models with “no bottom and no butt.” For many years liposuction to reduce the size of the butt was all the media talked about. The beauty ideal was to have as little butt as possible. Jennifer Lopez (J-LO) changed all that!

“I have lots of abdomen and back fat. My shape is exactly like my mother’s but hers is hidden because she has gun casings (whatever the correct name is). Her waist appears small. I have a boxed shape.”

A women’s shape is determined in large part by where fat deposition happens. For example, some women have “centralised” fat deposition- most of the fat is deposited in the trunk. They may have a lot of fat in the abdomen and low back, and relatively large breasts, yet small legs and butt. Others may have “pear shaped” fat deposition, with very small breasts and tiny waists, but very generous hips and thighs. You are right, there is a large hereditary component to women’s shapes, although the body type may come from the mother or the father’s side.

“Does my bone structure has anything to do with the outcome of the procedure if performed.”

Although bone structure may have something to do with the outcome, the overwhelming factor for success is making sure the fat cells remain alive after harvest and transfer to the butt. In your particular case, the fact that you have a lot of– abdominal and back fat, and a “box shape” bodes well for you. This is because the Brazilian butt lift’s effect depends not only on what is added to the butt, but also on what is taken out. In your case, the fat used to augment the butt will be taken from the abdomen and back. So your body will have an overall transformation in shape- flatter abdomen, slimmer waist, rounder, perkier butt. It’s all good.

The idea is to change where fat is deposited long term. After surgery, the body will now deposit fat in the same cells it used to, except these cells are now in the butt area, not in the abdomen or back. Any extra pounds will likely show up in your buttocks instead of your stomach or trunk. It’s a win-win.

By Dr. Ricardo L. Rodriguez MD Board Certified Plastic Surgeon Cosmeticsurg Baltimore, Maryland Ricardo L. Rodriguez on American Society of Plastic Surgeons.

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