MPawlak Aesthetic Medicine and Anti-Aging Clinic

Brazilian Butt Lift (BBL)

What is a Brazilian Butt Lift

A Brazilian butt lift (BBL) is a specialized fat transfer procedure that augments the size and shape of the buttocks without implants. Excess fat is removed from the hips, abdomen, lower back, or thighs with liposuction, and a portion of this fat is then strategically injected into the buttocks. BBL can improve the proportions of the entire lower body, helping a patient lose fat in common “problem areas” and enhance the buttocks, with results lasting many years.

Why Brazilian Butt Lift

The shape and proportion of a person’s buttocks are largely determined by genetics; both your skeletal structure and how your body stores fat influence the appearance of the lower body. A healthy diet and exercise can work to achieve a healthy body weight and tone the muscles, but many patients remain unhappy with a “flat” buttocks that lacks shape, despite a healthy lifestyle. BBL surgery can help overcome the effects of genetics by reshaping the buttocks and surrounding areas, such as the hips, lower back, and thighs. You might consider a BBL to:
-Enhance the curves of your lower body
-Reduce fat pockets on your hips, thighs or belly while adding fullness to the buttocks
-Help clothing fit more attractively
-Give a more youthful, aesthetically pleasing shape to flat buttocks
-Enhance your overall proportions by improving balance between your upper and lower body

Am I a good candidate for a Brazilian butt lift?

BBL can be a great option to improve the shape and size of the buttocks; however, certain patients are better suited to the procedure, and it is important to have realistic expectations about the surgery, recovery, and results. In general, you are likely a good candidate for a BBL if you agree with the following:
-You want a buttock augmentation without implants
-You have good skin tone in the hips and buttocks
-You have adequate fat stores in other areas to harvest for injection into the buttocks
-You are willing and able to avoid sitting directly on your buttocks for several weeks
Despite its name, a BBL is not a traditional “lifting” procedure—it does not address loose skin on the buttocks. If you are bothered by excess, sagging skin on the buttocks or thighs, thigh & buttock lift surgery may be a more suitable option.

Brazilian butt lift vs. buttock implants

One significant advantage of BBL surgery is that it increases buttock size without implants, so the procedure has a low risk for complications and can achieve remarkably natural looking and feeling results. However, if you are very lean, you may not have enough fat to harvest, and buttock implants may be the only way to achieve your desired size increase. Buttock implants may be a good option for some patients; however, it is important to understand the added risks of having implants, including capsular contracture and a higher risk for infection. Buttock implants can also look and feel less natural compared to a skillfully performed BBL.

What is involved in Brazilian butt lift surgery?

BBL involves three basic steps:
-Fat is removed from the hips, lower back, thighs, abdomen, and/or other areas with liposuction
-The extracted fat is purified and prepared for transfer
-The surgeon injects fat into specific points on the buttocks to increase volume and improve shape
Surgery is typically performed as an outpatient procedure, using general anesthesia or intravenous sedation and local anesthesia. It is typical for a portion of the injected fat not to “take” in its new location—an experienced surgeon will take this into account and may initially inject a slightly greater amount of fat into the buttocks than is needed to ensure your final results most closely achieve your goals.

Recovering after your Brazilian butt lift

Having an operation on the buttocks requires some special modifications during recovery. While pain is typically minimal and easily controlled through pain medication, you will not be allowed to sit or lie directly on your buttocks for about 4 weeks after BBL. During this time, you will need to sleep on your stomach, and either lie this way or stand for all activity except using the toilet. When you are ready, your surgeon will allow you to sit in a modified position, using a special seat or placing a pillow under your thighs to avoid pressure on the buttocks. Normal sitting activity is typically allowed after 8 weeks or so. Given you follow your surgeon’s instructions, you should be able to resume light daily activities within 1 week after surgery and return to work within 14 to 21 days.

Life after Brazilian butt lift surgery

BBL results are meant to last for many years. Fat cells removed with liposuction will not return to the area, and fat cells that survive transfer to the buttocks will remain for years to come. However, significant weight fluctuations can affect your results, so maintain a stable weight to keep your results looking their best. Results are typically final within 6 months of surgery, after residual swelling has gone away and you are fully healed. By this time, your curvier buttocks and improved lower body proportions will be noticeable in how you look and in the way clothing fits.


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MPawlak Aesthetic Medicine and Anti-Aging Clinic  •  Konstruktorska 10C/216, Warsaw  ✆  +48 661 661 861