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Brazilian Butt Lift

What is the Brazilian Butt Lift?

The Brazilian Butt Lift (BBL) is a type of butt augmentation procedure which results in youthful, prominent, perky buttocks and a more sensual body profile. The surgical procedure uses your own fat, so it is the most natural way to augment your buttocks.

What problems does the Brazilian Butt Lift address?

Candidates usually have these signs or symptoms:

  • flat buttocks
  • sagging buttocks
  • asymmetrical buttocks
  • small (disproportionate) buttocks
  • change of the buttock’s shape following massive weight loss

What are the Pre-Operative requirements?

The pre-op requirements for a Brazilian Butt Lift procedure are:

  • Your BMI (Body Mass Index) must be less than 35 kg/m2. This is calculated based on your height and weight, and is important to reduce the risk of post op complications.
  • Stop smoking 4 weeks prior to surgery. Smoking adversely affects your ability to heal and recover.
  • Stop taking aspirin products 1 week prior to surgery to minimize blood loss during surgery
  • History and Physical (H&P) and a CBC blood test are minimum requirements for a healthy adult. If you have ongoing medical issues, you must be cleared for surgery by your primary care physician.
  • Evening prior to surgery, NPO, nothing to eat or drink after midnight
  • Pregnancy test the morning of surgery (administered at Surgery Center)

How is a Brazilian Butt Lift performed?

The Brazilian Butt Lift technique varies dramatically among plastic surgeons. The technique that your surgeon uses will affect not only your surgical result, but will also influence how long your results last.

Fat extraction is performed by liposuction. Fat processing involves decanting and centrifugation. The final step is the process of fat injection back into the buttocks. The process of fat reinjection involves hundreds of injections. The procedure is designed to fill the upper quadrant of your buttocks so that the butt appears lifted and perky. The resulting effect is that your profile appears more attractive and sensuous.

Fat Extraction

Suction assisted tumescent liposuction is used to extract the fat which will be later used for the fat graft to the buttocks. I first remove fat from selected areas of your body using slender, 3mm cannulas with 1mm holes. The small cannula holes collect only the smallest fat particles which makes the best fat grafts.

During fat extraction, the buttock is first contoured in the areas around the buttocks to make them stand out more. Common areas liposuctioned include the back (directly above the buttocks), the stomach, and the thighs. Note that even the liposuction alone will give your lower body a more attractive look.

Fat Processing

After liposuction, the fat suctioned from these areas is carefully processed and purified by decanting and centrifugation. Only a fraction of the donor fat removed will qualify for re-injection to the buttocks. In most cases, not more than 33% of the fat cells extracted will be qualified for re-injection. Only the best donor fat cells are re-injected back into your buttocks for augmentation.

Re-Injection of Fat into the Buttocks, in subcutaneous region

The fat is placed or transferred to the buttocks in hundreds of injections with special cannulas. Small amounts of purified fat is injected into different areas of the buttocks and at various depths so that the patient will get the highest permanent absorption rate. Correct injection methods are essential to achieve a uniform, smooth, natural appearance to the buttocks.

To avoid the risk of Pulmonary Fat Embolism,  deep muscular regions are avoided, and injected predominantly into the subcutaneous region. This is the area above the major blood vessels and helps to avoid the risk of fat embolism associated with injection in the deep planes.

The average amount of fat that is injected into each buttocks cheek is 580 cc. However, patients who have a generous fat distribution before surgery can expect to get up to 1000cc of fat for each cheek.

While a prominent butt is usually the goal in the patient’s mind, it’s really not just about getting the biggest butt possible.


The type of Anesthesia used

The BBL procedure can be performed under IV Sedation or General Anesthesia. However, IV sedation is a better choice for patients undergoing a Brazilian butt lift. This anesthesia nearly eliminates the pulmonary risks that are associated with General Anesthesia. Besides that, patients wake up much sooner than they do with General Anesthesia, and experience very little nausea.

What is Brazilian Butt Lift Post-Op recovery like?

Recovery for this procedure involves these important protocols:

  • bed rest and drink lots of fluids for the first week
  • no sitting directly on your buttocks for two weeks
  • sit only on a Roho cushion during third week of recovery
  • no driving for two weeks
  • minimum 2 weeks off from work , if you can sit on a Roho cushion during the third week
  • follow up office appointment at post operative day 6-8
  • wear compression garment for 24 hours/day for the first 2 weeks

Most importantly, you must not sit directly on your buttocks for two weeks post op and sit only on a Roho cushion in your third week. This allows the best take of the fat graft in your buttocks and ensures the most long lasting result. If you do not follow these instructions, you may loose some of the fat graft!

You must wear a special compression garment (to control swelling) for two weeks. There may be a small amount of swelling for up to 6 weeks. However, you should be able to resume all normal activities at 4 weeks post op..

What are the risks and possible complications?

As with any surgery, there are risks and complications associated with the Brazilian butt lift. Possible complications include, but are not limited to:

  • swelling and bruising
  • numbness and pain
  • pulmonary embolism
  • fat embolism
  • stretch marks
  • hematoma
  • partial loss of fat graftdue to not following post op instructions

Risk of Fat Embolism with a BBL

The most serious risk of the Brazilian Butt Lift procedure is pulmonary fat embolism. Although the risk is very small, this complication can be fatal. A pulmonary fat embolism , also known as a PFE, occurs when the injected fat finds it’s way into veins that feed directly into the pulmonary circulation. There is increasing evidence that fat embolisms occur when fat injections are performed into the deep planes below the muscle.  The fat injected under the muscle can find it’s way into an injured vein and then travel directly into the pulmonary circulation. There is a definite danger zone in the vicinity of the inferior and superior gluteal veins.

How long do the fat injections last?

If the fat is harvested, processed, and injected correctly, the result should be long lasting. The procedure should not require touch ups or a second round of fat injections.


What happens to my new buttock if I lose weight?

If the procedure is performed correctly — the fat grafts should be unaffected. During both the loss and gain of her weight, the case patient kept her new figure.

Recovery Timeline

Although each patient may experience a slightly different healing time and process, the recovery timeline is typically as follows:

  • During the first week, you should plan to take time off of work and have a friend or family member care for you. You can shower, removing your compression garment and gently washing your buttocks, in about two days. You should come into your plastic surgeon’s office within the first week of recovery so that he or she can examine your buttocks and remove your drains, if they are no longer collecting much fluid. Sutures may be removed within ten days of your procedure, depending on your healing. You may not drink alcohol, smoke, or take medications like aspirin. Many patients return to work after the first week, but you may need someone to help you care for your house and children for two weeks. Plastic surgeons typically recommend taking short walks around your home during this time period to decrease swelling and keep your blood moving properly. Some plastic surgeons even recommend having regular massages to improve your circulation and help you recover more quickly from butt lift surgery. Depending on your condition and your customized procedure, you may be able to travel after the first week.
  • Two to three weeks after your procedure, you may be able to resume normal activities, except for squatting, stretching, or more strenuous exercise. You may be able to stop wearing your compression garment and sit on your buttocks at this time, depending on your surgeon’s assessment and instructions. If your drains are still in place, as is typically the case with traditional butt lift surgery, your doctor will likely remove them at this time, as long as their output is low enough. You may be able to drive, provided that you can sit comfortably on a pillow in the car and have stopped taking painkillers.
  • One month after your butt lift surgery, you can resume swimming and bathing in the tub.
  • Two to six months after your procedure, most of your discoloration and inflammation should have diminished. Most patients are fully healed at this point.
  • One year after your butt lift,you can expose your buttock tissue to sunlight. Before 12 months have elapsed, you should avoid sun exposure or wear at least SPF 30 sunscreen to prevent skin damage. At this point, your tissue or fat transfer should have settled so you can enjoy your results.



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