At Hill Country Plastic Surgery, we perform the Brazilian Butt Lift (BBL) to enhance the shape, size, or fullness of the buttocks using fat grafting. In this procedure, liposuction is performed on other areas of the body and the fat is processed and then injected into the buttocks in the desired areas. The effects of the BBL are two-fold. First, the abdominal and flank liposuction performed is done to enhance the waist and contour the back and thighs. This contouring helps enhance the look of the buttocks. Secondly, fat is injected into key areas to enhance the contour of the buttocks. The areas that are typically troublesome to patients are the lateral buttocks or the top of the buttocks so fat can be transferred to this area.
Am I a good candidate for this procedure?
This procedure is best for patients who are healthy and are at or close to their goal weight so maximal results from the contour definition can be seen. If you have realistic expectations of the results, want to improve the general shape or roundness of the buttocks or make your buttocks more symmetrical, you may be a good candidate for the procedure. During your consultation, we will discuss your options and expected results based on your current buttock size and shape, the amount of fat you have available, your goals and activity level, and your skin quality.
How is the procedure performed?
The procedure is typically done under general anesthesia but for some, it can be done awake with minimal sedation. Liposuction is performed in areas determined by you and your surgeon. The areas done are usually the abdomen, flanks, back, and thighs. The fat is collected and then purified and separated prior to reinjection. The purified fat is injected into the layer of fat under the skin to help correct any contour defects of the buttocks. This procedure can take anywhere from 2-4 hours depending on the complexity.
What is the recovery after fat transfer buttock augmentation (BBL)?
You will be in compression garments with special buttock panels after surgery. You will need to wear a compression garment at all times except when showering for at least 6 weeks. It will take months for the full results of your surgery to be seen so it is recommended that you wear the garment for 3 months. Swelling and bruising can be present for several weeks. You should sleep on your stomach or side for at least 2 weeks to avoid pressure on the newly grafted areas. Most patients return to work within one to two weeks, and are comfortable with returning to social engagements after a couple of weeks. Patients are allowed to resume their normal exercise regimen 6 weeks after the procedure once the wounds have sufficiently healed and swelling has decreased. This allows the fat that is transferred to have the best chance of survival. Additionally, most patients should buy a special pillow to offload pressure from the buttocks while sitting.
How big can you make my buttocks?
Your final outcome depends on multiple factors, but the way we perform the procedure is to improve the shape and increase the size in a safe manner. We do not perform high-volume buttock fat transfer due to concerns about safety and final outcomes.
Does the fat go away?
Of the fat that is injected during the procedure, 60-80% of the fat remains. The fat that remains, stays around and does not go away.
Is BBL (fat transfer to the buttocks) safe?
Fat transfer to the buttocks is safe when performed correctly but it has been linked to fat embolism leading to respiratory distress and even death. It is important that the procedure be performed by a board-certified plastic surgeon who has training in the procedure. Our surgeons have extensive knowledge of the anatomy of the buttocks through their experience of multiple types of buttock surgery, including flap surgery. High-volume fat transfers and injection into the muscles have been associated with higher risk of fat embolism and death.
Do you do buttock lift with auto-augmentation?
Yes, we do! This procedure is usually done after massive weight loss and there is excess skin present that needs to be surgically removed. Your own skin and tissue are used as a flap to increase the size of the buttocks. Please see the body contouring section of our site for more information.
We emphasize safety while performing the fat transfer butt lift procedures. We do not do high-volume fat transfers which have been associated with increased risk of fat embolism and death.
What are some potential risks of BBL?
In addition to the standard risks associated with any surgical procedure such as complications of liposuction, anesthesia, bleeding, and infection patients should be aware that there can be: bruising, stretch marks, blood clots, excessive blood loss, cardiac and pulmonary complications, deep vein thrombosis, fat embolism (fat is injected into the bloodstream and travels to the lungs), or necrosis of fat or surrounding tissue.
What to Expect During Your Consultation Visit
During the initial consultation with your surgeon at Hill Country Plastic Surgery, we will discuss your concerns and goals before recommending treatment options that are tailored specifically to your needs. Prior to your consultation, we recommend that you review the procedure on our website so you are familiar with the terms we will be using during our discussion.
Once we identify your concerns and surgical goals, we will discuss all the treatment options that are available to you. Every patient is unique and we will develop a tailored surgical plan that addresses your specific goals. In addition, we will thoroughly review your medical history, surgical history, medications, allergies, family medical history, and other important details. It is very important that we obtain accurate information in all these areas as it may impact the outcome of your surgery.
While discussing different treatment options, we will perform a physical exam and take measurements that are necessary for planning for your surgery. We will measure and do an analysis of your skin elasticity and body fat to ensure that you are a good candidate for the procedure.Pre-operative (before surgery) photos will be taken either at your initial consultation, or during your pre-operative visit.
After your consultation, you will receive access to your notes on the patient portal in addition to information about your specific surgery. If you have not activated your patient portal, this can be done at your appointment by asking any of our staff to assist you. If you have questions after your appointment, you can contact our office or message us through the patient portal. Some patients will require medical clearance from their primary care physician or a specialist or additional tests before undergoing surgery.
Once you have determined that you would like to have surgery and have completed any clearances and tests that were requested, contact our office at (210) 658-3555 to schedule a pre-operative appointment with one of our surgeons.
Brazilian Butt Lift (BBL) FAQs