Brazilian Butt Lift– BBL (Fat Grafting to the Buttock)

Much More than its name

While celebrity culture may display fuller more shapely derrieres, the statistics are in—according to the American Society for Aesthetic Plastic Surgery, buttock augmentation procedures have increased significantly over the last several years. While this procedure has had a rapid growth rate, to put things in perspective, buttock enhancement accounts for a small a percent of all cosmetic procedures.

So if you’ve been thinking about a BBL, the common abbreviation for Brazilian Butt Lift, make sure you schedule a consultation with a plastic surgeon who is certified by the American Society of Plastic Surgery and who has experience and likes doing the procedure. He or she must be able to look at your anatomy and understand how to develop an individualized surgical approach that will meet your expectations. In creating a beautiful buttock, there is no one ideal. Individuals from different cultures, ethnicities, and age may have very different ideas of what’s ideal. Look at before and after photos or download some pictures of individuals who have what you think is appealing when discussing your goals.

The Brazilian Butt Lift focuses on shaping and sculpting the buttock, not just enhancing it. There are two basic options to shape sculpt, and enhance the buttock—fat grafting or buttock implants. Fat grafting is much preferred, giving a softer more natural look as well as enabling the surgeon to more precisely shape your buttock. Liposuction is performed to remove excess fat, usually from the abdomen, flanks and back. The fat is then processed and transferred to shape and enhance the buttock. If you don’t have enough fat to spare, you may be sent home with instructions to gain 10 to 20 pounds and come back in two or three months– a piece of cake for some and a tall order for others. If that doesn’t work, then your other options would be a buttock implant. There are, however, more complications associated with a buttock implants than with fat grafting. In many patients, just contouring the surrounding areas can improve buttock shape and give the illusion of a more full buttock.

Brazilian butt lift is typically performed under general anesthesia in a certified outpatient facility. Approximately 50 to 75 percent of the fat can survive. Pressure kills fat cells, so no sitting on your new buttock for 2 weeks—yes, bathroom ok. After the first two weeks, you can sit on a pillow that is placed under your thighs (hamstrings) so you’re not sitting directly on the area of grafted fat. You’ll wear a compression garment for four to six weeks that facilitates resolution of swelling in the areas where liposuction was performed but does not compress the grafted fat. It will take at least several months until you can appreciate the final result.

Patient safety is the first priority of any surgical procedure.  Patients should be aware that there have been numerous deaths associated with BBL procedures in the United states, South America and Mexico. An international research task force of multi-plastic surgery societies have found that deaths as a result of BBL’s have several findings in common: fat injected into the gluteal muscle, fat under the muscle, damage to the inferior or superior gluteal vein, massive fat emboli in the heart or lungs.  It is presumed these finding have resulted from injecting fat into the gluteal muscle.  There have been no cases of death with fat injected into the subcutaneous space.  This procedure can and is often performed safely by Board Certified Plastic Surgeons by injecting fat into the subcutaneous space, the space above the muscle.  Please perform your due diligence when selecting a surgeon for this procedure.

Remember always consult a Board Certified Plastic Surgeon with experience performing Brazilian Butt Lifts, do your research and be sure to discuss the right butt for your body. In this case, one size does not fit all.


Give us a call at (212) 308-4600 to learn more about Brazilian Butt Lift– BBL or click here to schedule an appointment.