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Brazilian Buttlift

Brazilian butt lift

What is a Brazilian Buttlift?


Brazilian Buttlift (BBL or BBT – Brazilian Butt transfer) has been popularized in today’s society by the likes of many celebrities both within the states and abroad. It is a plastic surgery procedure in which fat is transferred to the buttocks and hip area to increase projection of the buttocks and can also be used to widen the hips.

This involves removing fat (liposuction) from troubled areas, typically the trunk (abdomen, flanks, and back) and then transferring it to the buttocks.


Can fat be taken from other places?


Absolutely, fat is most commonly taken from the trunk to shrink the waist, thereby creating more defined buttocks. However, some patients just do not have enough fat or they have other areas that are concerning and that fat is taken from that area. Other common areas include the inner thighs and arms.



Who does this procedure?


This is a very important question. Unfortunately, many unqualified individuals perform this procedure, which has led to a high mortality. The procedure is an invasive procedure and should be done by qualified medical professionals (plastic and reconstructive surgeons) that have been trained to perform such procedures.



How do I know my doctor is qualified?


You can easily perform an Internet search to confirm you are actually seeing a doctor. By selecting a board certified plastic surgeon, you will at least have the piece of mind knowing that you are having surgery in a safe setting and your surgeon is able to deal with potential complications. Here are a couple of links:

What are some red flags?


Extremely discounted prices, doctor without hospital privileges, surgery done in medical office, no before and after photos, surgery done without anesthesiologist (or CRNA), no preoperative visit with the surgeon, “cosmetic surgeon,” just to name a few. Please be diligent and do your homework and if you are not completely comfortable, then you are probably not in the right place.


Can the surgery be done without general anesthesia?


Yes. It can be done without general anesthesia, but I strongly feel that the appropriate level of sedation is needed to keep patients comfortable and relaxed so that they do not move during the procedure. Movement may lead to complications. Therefore, I perform the procedure only with a trained anesthesia provider.


What is the recovery like?


After the 2.5 to 4 hour surgery, you should expect to have swelling that will improve over 1 – 2 weeks. Fluid is used to remove that fat, so it is not uncommon to have some drainage from the liposuction port sites. The skin also may become bruised. It is not uncommon to have some tingling and numbness of the lower back, this usually subsides over 1-2 months.

Most plastic surgeons require patients to wear a compression garment to aid in contouring and help with the swelling. It is important that the appropriate garment and size is selected, otherwise skin abrasions, burns, and loss of contour of the buttocks can occur. Also, most surgeons instruct patients not to sit of buttocks for a period of time in the immediate postop period (4-8 weeks).


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What are the risks?


At some point during your consultation or preoperative appointment, you will be asked to sign a consent form, make sure that your plastic surgeon discuss the risks with you. They may include some of the following:

  • Infection

  • Bleeding

  • Fluid collection (seroma)

  • Contour irregularities and asymmetries

  • Fat necrosis (fat cells die under the skin)

  • Poor scarring

  • Numbness

  • Skin loss

  • Anesthesia associated risks

  • Need for revision surgery

  • DVT (deep vein thrombosis), pulmonary embolism