How do you get a lift in a Brazilian butt lift?

I get this question asked often, “How do I get a lift in the Brazilian butt lift?”. The patient will then push her own buttock up to help me understand what she wants. They ask me, “Can you do it?” I have answered this so often, it is time to write about it here on our blog.

How do I get a lift in the Brazilian Butt Lift?

The Brazilian butt lift is a type of Butt augmentation performed with your own fat injections. As a matter of fact, in this procedure the butt is physically lifted very little, if at all. But after a Brazilian Butt Lift, the buttock definitely looks perky, and definitely looks lifted!

How does this happen?

It’s all about how the eye perceives shapes. When you look at the back of a typical woman what you think is the butt is really a combination of two separate fat pockets:

  1. the buttock itself, and sitting right above it
  2. the flank, or “muffin top” fat pocket

The combination of the two fat volumes creates a visual unit. It is longer than it is wide so the butt appears to be droopy or sagging. From the side it appears there is no shelf but a long slope that makes the buttock look like it is hanging. If you eliminate that extra fat pocket above the buttock there are a lot of perception changes that result.

Brazilian butt lift before & after back view

A collage of photos (back view) of a patient before and after a Brazilian butt lift procedure.

As you see in this first picture above, the butt on the left (preoperative view) looks like a long droopy oval. On the right (postoperative view) you see the perky bubble butt, because the flank fat pad, or muffin top, has been eliminated and you are seeing the rounded, shorter buttock contrasted against a narrow waist.

So instead of having two fat pats joining to form a long rectangle or oval, you get a rounded buttock contrasted against a narrow waist. This is an improvement in the waist to hip ratio which is also an important esthetic marker.

Brazilian butt lift before & after side view

A collage of photos (side view) of a patient before and after a Brazilian butt lift procedure.

And on this side view photo above, the arrow shows that the apparent length of the buttock on the left is much longer than the buttock on the right! So the buttock looks shorter and rounder, not long and droopy. Furthermore, when the patient looks at the slope of her back and butt (before) it looks almost like a straight line, so the patient thinks she has little or no butt. This is because the flank fat pad is hiding the buttock shelf from her view.

The Brazilian butt Lift works so well because by eliminating the fat above the buttock it creates a shelf. By just adding a little fat at the buttock there is a radical change in the slope from her lower back to shelf.

If you look closely at the bottom of the butt, you can also see the butt has not been lifted at all. There is no lift, but there is a real dramatic change and the butt is perkier, rounder, and prettier, a bubble butt, as if by magic. Maybe it should called the Brazilian magical butt instead of the Brazilian butt lift?! Then again, what’s in a name?

By Dr. Ricardo L. Rodriguez MD Board Certified Plastic Surgeon Cosmeticsurg Baltimore, Maryland Ricardo L. Rodriguez on American Society of Plastic Surgeons.

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38 thoughts on “How do you get a lift in a Brazilian butt lift?”

  • irina dyner says:

    Hello, would I be a candidate for Brazilian Butt Lift if I am 57 yo in good health, my height 5'0 and weight 100 lbs? I have a very small butt and also skin is hanging underneath of my butt...Thank you!
    • Dr. Ricardo L Rodriguez says:

      Irina: My record low weight person for a BBL is a woman who weighed 95 pounds. She was very happy with her result because it changed her proportions. I would need to see pictures of you and see where the little fat that you have is distributed. If you are interested contact us at and we can set up a virtual consult to see if you are a good candidate. We'd love to hear from you!
  • Druscilla says:

    I had a BBL done in 2014 was not happy with the results would like to get a touch-up BBL or a B-More Butt Lift.
    • Dr. Ricardo L Rodriguez says:

      Druscilla: We'd love to help you. If you already had a BBL you may do OK with just a B'More. In any case, let's talk and see what is best for you. Contact Leeza at or Kelly at
    • Dr. Ricardo L Rodriguez says:

      April: Kelly at has pricing information. She will be more than happy to help you!
    • Dr. Ricardo L Rodriguez says:

      Shay, I really don't believe this will affect your scoliosis either way. I will let Kelly know of your interest and you can ask her more questions, she'd be very happy to help you.
    • Dr. Ricardo L Rodriguez says:

      Dee: You are in luck. BBL does not have large incisions so Keloids are not a problem. The incisions are small enough that even if you Keloid they can be treated easily with a steroid shot. Contact Kelly at, we'd love to help you!
    • Dr. Ricardo L Rodriguez says:

      Marielo: Kelly at will be more than happy to help you with pricing information. I will give her the details so she can answer your questions. Hope to hear from you soon!
  • Joann says:

    I would like to know more info about transfering fat from the front to the back. I want a nice well shaped butt. It looks like sponge bob square pants please help. I'm in Fort Laudeerdale! I want atleast 750cc
  • Joy Brown says:

    I would like to know more info about transfering fat from the front to the back. I want a nice well shaped butt. It looks like sponge bob square pants please help. I'm in Florida! I want atleast 750cc
    • Dr. Ricardo L Rodriguez says:

      Joy: Oh, Joy, that was funny! Sponge Bob Squarepants! Seriously, the reason you look like that is probably because the fat in your lower back and love handle area is making everything look square. Patients like you are usually very good candidates for Brazilian Butt Lift. As to how much we can put in, that depends a lot. For example, how much fat you have to spare, how much of good quality fat we can get after processing, etc. But for sure we can give you a very nice figure with a perky well rounded buttock! I'll let Kelly at know of your interest so we can set up a virtual consult.
  • Jane Minus says:

    How old is too old to have a brazilian butt lift I am 65 years old hate how my clothes fit since everything has gone south.
    • Dr. Ricardo L Rodriguez says:

      Ms Minus: You are not too old if you are in good health! If you check out the website RealSelf this link it is the story of a 62 yo who underwent the procedure. I will have Kelly at contact you for more info. We'd love to help you out.
    • Dr. Ricardo L Rodriguez says:

      Monica: I will have Kelly contact you. Her email is Read this post to learn more about the processing of fat.
    • Dr. Ricardo L Rodriguez says:

      Will forward the email again! Sorry for the delay, our patient coordinator was out last week and will not be in until wednesday
    • Dr. Ricardo L Rodriguez says:

      Nicole, Kelly should contact you. Her email address is We're looking forward to hearing from you!
    • Dr. Ricardo L Rodriguez says:

      Nicole: Kelly at will be getting in contact with you, she handles all the financials. Thanks for the inquiry!
  • Katelin says:

    I'm 5'5 and aprox 115lbs, am I a candidate for bbl? I have been told I do not have enough fat. Is this true? Thanks!
    • Dr. Ricardo L Rodriguez says:

      Katelin: Brazilian But lift is as much about change of proportions as it is about adding fat to the buttocks. You have enough fat to change the way your body is shaped. We have done several patients who are slender, and there are always changes. furthermore, if you gain weight the changes are more pronounced. The best way to gage the kind of result you might expect would be to arrange for a virtual consultation where I can look at pictures and evaluate your specific case. Contact Kelly at, she'll be happy to help out.
    • Dr. Ricardo L Rodriguez says:

      Nicole: Contact Kelly at she usually handles this information. In the meantime read this and this posts about my way of doing it and the why's.
  • AB says:

    Dr. Rodriguez, Another question I had is; I'm assuming that after the consult generally the scheduled procedure will be made within a limited/reasonable amount of time so, I'm wondering, is there any preparations that you would suggest/recommend prior to having surgery (lipo/fat transfer)? I'm a police officer and in relatively good health but anything that I would need to aid with a good outcome with surgery/recovery is always an added bonus. Thank you for ur time AB
    • Dr. Ricardo L Rodriguez says:

      AB: Just stay in good shape. Being in good shape is the best preparation for surgery. Your heart and lungs, as well as your muscles come back from surgery much quicker when you are in shape. Start today!
  • AB says:

    Thank you for ur response. It was helpful. Hopefully it wasn't a stupid question. It was just I had observed different surgeons photos of their work and saw actual incision areas (lower stomach area, upper torso area, small of the back etc) and hadn't seen any on ur patients photos. I will be getting in contact with Kelly in the near future to at least set up a an in person consult with you. Maybe some time in the future u could incorporate on ur website, photos with the different markings of your incision sites on ur models and or a computer generated body for viewers who may be wondering the same thing I was. Thanks again. Have a gd day.
  • AB says:

    Gd morning; I stumbled across ur website and began reading about the procedures you perform along with viewing the results of some of those procedures. I must say that thru the photos the results looks great. I'm also pleased with the fact of how you have thoroughly explained what's done in ur practice and with how you perform ur procedures - so the education was good. I am considering lipo/ butt lift myself or the Baltimore lift (as u call it). I just wanted to ask, where are the incisions done? I have not seen any photos on ur website that shows any evidence that there was an entry point for lipo and or the fat injections. I am an African American female and I have some concerns with having such noticeable scars.
    • Dr. Ricardo L Rodriguez says:

      AB: The scars are pinpoint. Remember, all I need is a hole small enough for a 3 millimeter cannula to get in. Even with that, I hide the scars in several areas such as the fold of the breast, inside the belly button, in the mons pubis, which is not seen even on a string bikini, in the fold between the buttocks and the fold below the buttocks. The only place where the small scars are "out in the open" is in the back, and in those cases I place them where people usually wear their bra straps. So, you are right to worry about scars, but I have done hundreds of african american patients but I have not had any issues with scars because they are very small and in unobtrusive places. IF you are interested, and it looks like you are from what you say, contact Kelly at she'd love to help you!
  • Mischa says:

    these comparison pictures look really misleading. it's not so much the "muffin fat" making her butt look like the "droopy elongated oval" (she doesn't even HAVE muffin fat, that is normal hip structure), but the fact her underwear is hiked up to literally her waist and the other is wearing underwear normally. if you cover the underwear of both with your finger they look the same. false advertising at finest
    • Dr. Ricardo L Rodriguez says:

      The patient changed several dress sizes, she is very happy, and has referred several other patients. The results are what they are, and if they are not convincing to you, they were not meant to mislead. Others have disagreed with you, made an appointment, had the surgery and been very happy. Still others will agree with you and never make an appointment, but that's why we put it up on the internet, for discussion!