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Brazilian Butt Lift – BBL

Brazilian Butt Lift (BBL) or Buttock Augmentation (Fat Transfer)

This popular surgical procedure improves the shape and projection of the buttock area.  Extreme cases of very large and round butts (Kim Kardashian, Kylie Jenner, Cardi B, Nicki Minaj) made it popular.  Now it’s become a surgical tool for many patients to achieve a better overall figure.

This surgery requires general anesthesia.  Liposuction of the low back, love handles, saddlebag and/or posterior thigh begins to shape your curves.  The fat is then injected into the buttock itself, adding either posterior projection or lateral (hip-dip) filling.  This combination gives patients the shape they desire.    

This procedure can create a very large full, round buttocks, or can simply provide a nice curve to an otherwise flat butt.

Surgery is 1.5 to 2.5 hours, and may be combined with full Lipo 360, or even a tummy tuck/mommy makeover procedure.  Most cases are outpatient, though some combined procedures require an overnight stay at the hospital.  Recovery is similar to liposuction, but you take additional measures to offload your buttock by sitting on special pillows.

Buttock Augmentation with Implants

Buttock implants are an option for those without enough fat.  These implants are significantly different than breast implants.  They are silicone but are firm and shaped.  They are placed through a moderate length incision in the buttock crease (gluteal cleft), also under anesthesia.

These are a great short term option.  However, I have seen patients with long term problems including migration, seroma, extrusion and infection, all of which required removal.

Because of this, the buttock implant does not have much of a role in my practice, but can be considered.

Risks of Brazilian Butt Lift

In addition to the usual risks associated with surgery and anesthesia, risks associated with fat transfer include the following:

  • Asymmetry
  • Poor aesthetic result
  • Bumps or hard spots
  • Fat Necrosis
  • Numbness in skin sensation
  • Need for revisional surgery

Safety of Buttock Augmentation

There has been press about the dangers of buttock augmentation.  Indeed it has proven to be one of the riskier elective surgeries that is performed in plastic surgery.

To LIMIT the risk, I follow the recommendations of the American Society of Plastic Surgeons.  This has maintained safety in my practice for my patients.  Patient safety is paramount and will not be compromised.

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