Butt Augmentation with patient's own fat, on this 170 pound female, with 700 cc's into left butt cheek and 750 cc's into right butt cheek.

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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.

My butt is too flat! I want round, prominent, and perky buttocks.

-a patient from Washington D.C.

The surgical procedure uses your own fat, so it is the most natural way to augment your buttocks. Over the last few years, the buttocks have received more press coverage than ever before. People of all ages and body types are having the Brazilian Butt Lift procedure.

What concerns does the Brazilian Butt Lift address?

Candidates for the procedure include both women and men who have these symptoms:

  • flat buttocks
  • sagging buttocks
  • asymmetrical buttocks
  • small (disproportionate) buttocks
  • massive weight loss which has changed the buttock's shape

How is the Brazilian Butt Lift performed?

Brazilian Butt Lift with Fat InjectionsThe 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.

I have been using the same technique for over 10 years, but I have refined my processing so that you get the purest and most viable fat possible reinjected into your buttocks. This helps ensure the longest lasting result. My technique involves fat extraction with liposuction, processing of the fat, and micro reinjection of fat droplets.

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. Liposuction with thin cannulas is best I first remove fat from selected areas of your body using slender, 3mm cannulas with 1mm holes. The small cannula holes allow me to collect only the smallest fat particles. I believe that small fat particles make the best fat grafts. Likewise, I do NOT use use the thicker, 5mm cannulas to remove fat as they can compromise the fat graft results and give poor results. This is based on research from Dr. Kotaro Yoshimura, a world-wide fat grafting authority, which I have detailed in my blog post here.

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

centrifuged fat from liposuctionAfter 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 25% 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. In order to get enough qualified fat, I must liposuction at least two areas of your body, and preferably three areas.

Re-Injection of Fat into the Buttocks

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

The average amount of fat that I inject into each buttocks cheek is 580cc. However, patients who have a generous fat distribution before surgery can expect to get up to 1000cc of fat for each cheek. Read more about the average fat injections amounts of my Brazilian Butt Lift patients in my blog post.

The Importance of Surgical Technique

You can watch as I explain the details of my technique and the complex series of steps involved in this YouTube video right here (or click here to see the same video in our plastic surgery videos section).

I perform Brazilian Butt lifts several times each month and have been doing so for over a decade. I have years of experience with various butt lifting and fat transfer techniques and am uniquely qualified in this area of expertise.

Because the success of this procedure is so highly dependent on the surgical techniques, I recently wrote a post about asking the right questions during consults. Use the information you can get from asking these six questions to help pick the best surgeon for your brazilian butt lift procedure.

While a prominent butt is usually the goal in the patient's mind, it's really not just about getting the biggest butt possible. I wrote this blog post more than 7 years ago and I believe it still holds true: The Brazilian Butt Lift is not just about big butts!

The type of Anesthesia used

Compared to General Anesthesia, IV sedation is a better choice for most patients undergoing a Brazilian butt lift. This anesthesia nearly eliminates the pulmonary risks that are associated with General Anesthesia. To learn all about why I prefer the use of monitored IV-sedation anesthesia instead of General Anesthesia, see my blog post about the types of anesthesia used in cosmetic surgery.

Other Techniques for Augmenting the Buttocks

The buttocks can also be augmented with butt implants (instead of using your own fat). However, I believe the Brazilian Butt Lift technique is far superior to implants. In fact, I use only natural fat grafting and no longer use butt implants because they have a higher complication rate and the results are not as good.

What are the pre-operative requirements?

In my surgery center, we require patients to get a medical clearance 2 weeks prior to surgery. An H&P (history and physical) and a CBC blood test are the minimum requirements if you are a healthy adult. You should stop smoking 4 weeks prior to surgery, as well as stop aspirin products 1 week before surgery. On the evening before surgery, you may not eat or drink anything after midnight.

What is the post-op recovery time?

Following your plastic surgeon's post-operative instructions is crucial for ensuring fat cell survival following your Brazilian butt lift. 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 three weeks
  • no driving for three weeks
  • minimum 2 weeks off from work , if you do not have to sit in 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 up to three weeks. 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.

If you live out of town, you'll need to plan to stay in Baltimore a minimum of 7 days. When possible, my staff will provide courtesy transportation to and from our office throughout your stay. Our office will also provide courtesy transport from the BWI airport or Baltimore train station to your hotel. To read more about accommodations for out of town patients, please read our out of town patient section.

What are the risks and possible complications?

As with any surgery, there are risks and complications associated with the Brazilian butt lift. There are less risks associated when using your own fat to augment your buttocks over using implants to augment your buttocks, which is why I prefer to (and almost exclusively) use fat transfers over implants. Possible complications include, but are not limited to:

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

Common Concerns with Fat Transfers to the Buttocks

The two most common questions I get are: 'how long does the fat graft last?' and 'what happens when I lose weight?'.

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. Please read Dr. Rodriguez's personal blog about why fat injections are permanent when done correctly. The brazilian butt lift result is highly dependent upon the experience of the surgeon. Surgeons who are not using correct purification or injection methods will not obtain long lasting results. Be sure that your surgeon is experienced in this procedure!

What happens to my new buttock if I lose weight?

Patients often ask if they will lose the affect of the Brazilian butt lift if they lose weight. In this video, I discuss a specific patient case where a 5'2", 135-lb woman lost 12 pounds (nearly 10% of her body weight) following her Brazilian butt lift procedure.

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.

How much does a Brazilian Butt Lift cost?

We are currently offering special promotion on Dr. Rodriguez's surgical fee and have extended the promotion through September 30, 2015. Total cost of the Brazilian Butt Lift is $13,900. Total cost includes Dr. Rodriguez's surgical fee, OR fee, Anesthesia fee (Board Certified physician) and 2 post operative garments.

This is an amazing price for one of the top Plastic Surgeons who has been performing this procedure for well over 10 years! Please call the office at 410-494-8100 or email us here. Special promotion applies to procedures completed by September 30, 2015

If you are price-shopping this procedure...

Please be sure to confirm how many areas of liposuction will be performed and what the cost of the surgery covers. Our fee includes three areas of liposuction. The total cost includes the physician's fee, anesthesia, operating room costs, and all post operative office visits.

Another consideration when comparing surgeons, be sure to get an estimate of how much fat will be removed and how much will be re-injected into each buttock cheek. In addition, find out what percentage of your surgeon's patients must have a follow up 'touch up' procedure. If the surgeon has a high revision rate, it is not a good sign. In my surgery center, I use a very special fat injection technique which ensures long lasting results, so you should not have to return for any additional injections. My touch up rate is below 1% because my fat grafts last!!

Many patients finance all or part of their procedure. Please see our financing section for more information or call the office at 410-494-8100 and ask for Kelly, or use the Contact Us form.

Can the procedure be done quicker or cheaper?

There are other surgeons performing "fat injection to the buttocks" for a lower cost, but be sure to ask them if their results are permanent or what percentage of their patients require a second 'touch up' procedure.

When the technique is done too quickly (with too much fat injected at one time) or incorrectly, the fat grafts do not get the adequate blood supply required for a permanent 'take'. In this case, chances are that some of the fat grafting will NOT last. Be sure to compare apples to apples.

Before and After Brazilian Butt Lift Photos

brazilian butt lift gallery bannerTake a look at our before and after Brazilian butt lift gallery to see how my extensive experience and fat grafting techniques work to give my patients the look they are after. From subtle changes to dramatic results, the Brazilian butt lift really is a resculpting of the entire profile. Please note that all of the patients in our gallery have given written consent for us to feature their photos here on our site. We are very grateful for their participation in patient education!

Set Up a Consultation

Contact UsThe Brazilian butt lift method results in the most natural and sensual look for the buttock area. You not only get a more shapely buttock, but the area liposuctioned is now much leaner, giving your profile a more sensuous look. The combination of liposuction and fat injections produces the most attractive and natural profile.

Feel free to Contact Us to discuss your individual needs so that we can answer any additional questions you may have about the brazilian butt lift. Or simply call our office at 410-494-8100 and ask for Kelly.

Virtual Consultation with Dr. Ricardo Rodriguez

You may also schedule a Virtual Consult which is conducted either by phone or by Skype. You'll need to send photographs of yourself and tell us about your general health history. I'll review the photos and discuss the surgery with you to help determine if you're a good candidate for the Brazilian Butt Lift procedure. The phone consult does not substitute for the regular consult, but it will pre-qualify you for the surgery, which is especially helpful for our out-of-town patients. Learn more about preparing for and scheduling a virtual consult here.

Famous Buttocks on Pinterest

It is said that Jennifer Lopez has done for the rear end what Pamela Anderson has done for the front end. Just for fun, we have pinned some well known buttocks on our Famous Buttocks Pinterest Board. Check it out, and repin if you like!

doctor's signatureUpdated August 12, 2015
Ricardo L Rodriguez
Board Certified Plastic Surgery