Brazilian Butt Lift

Brazilian Butt Lift (BBL) is buttock augmentation surgery using fat grafting to increase the size of your buttocks.

This procedure can:

  • Increase fullness, roundness and projection of your buttocks
  • Improve the balance of your figure by narrowing your waist
  • Enhance your self-image and self-confidence

BBL is right for someone who does not like the shape of their buttock or is looking to balance their body.

It is a good option if:

  • You are physically healthy
  • You have realistic expectations
  • You are bothered by the feeling that your buttock is too small
  • You are unhappy with the roundness or general shape of your buttock
  • Your buttock is asymmetrical

BBL may be appropriate for you depending on:

  • Buttock size and shape
  • The amount of fat you have on your body that is available for use through liposuction
  • Your goals and activity level
  • Skin quality and elasticity as well as the amount of extra skin

If you decide that you are interested in exploring a BBL procedure, the first step is consultation, preparing for surgery, and clearly understanding the risks of the procedure.

Consultation and Preparing for Surgery

During your consultation for BBL surgery be prepared to discuss:

  • Why you want the surgery, your expectations, and the desired outcome
  • Medical conditions, drug allergies, and previous medical treatments
  • Current medications, vitamins, herbal supplements, alcohol, tobacco, and drug use

Your plastic surgeon will also:

  • Evaluate your general health status and any pre-existing health conditions or risk factors
  • Take photographs
  • Discuss your options and recommend a course of treatment
  • Discuss likely outcomes of buttock augmentation and any risks or potential complication

Prior to BBL surgery, you may be asked to:

  • Get a blood test
  • Take certain medications or adjust your current medications
  • Stop smoking
  • Avoid taking aspirin and certain anti-inflammatory drugs as they can increase bleeding

Be sure to ask your plastic surgeon questions. It’s very important to understand all aspects of your surgery. It’s natural to feel some anxiety, whether it’s excitement for your anticipated new look or a bit of preoperative stress. Don’t be shy about discussing these feelings with your plastic surgeon.

Contact:
Jaclyn Shields – Senior Cosmetic Coordinator
jaclyn.shields@uthsc.edu
901-866-8525

The Procedure

Medications are administered for your comfort during the surgical procedures. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you. No matter which type of buttock augmentation procedure you have, anesthesia will be used to ensure your comfort during the procedure. Be sure to arrange for someone to drive you to and from surgery and to stay with you for at least the first night following surgery.

Step 1 – Liposuction

Liposuction is performed through small, inconspicuous incisions. First, diluted local anesthesia is infused to reduce bleeding and trauma. Then a thin hollow tube, or cannula, is inserted through the incisions to loosen excess fat using a controlled back and forth motion. The dislodged fat is then suctioned out of the body using a surgical vacuum or syringe attached to the cannula. In general, your surgeon may liposuction up to three times the amount of fat than what will be injected into the buttocks.

Step 2 – Fat injection

The fat, tissue and blood that were removed through liposuction are then processed. The syringes are then connected to a special cannula. Your surgeon will use this cannula to add the fat to the buttocks through small injections all over your buttocks.

Step 3 – See the results

The results of buttock augmentation are immediately visible; however, you will not see your final results for months until up to a year after the surgery, as it takes a while for the fat to “take.” This procedure offers natural looking and feeling results, but the projection of the buttocks may decrease over time. Some of the initial volume you experience after your fat grafting procedure will fade as the fat is absorbed by your body (on average patients will retain 60-80% of the transferred fat, in some cases more, in others less). Satisfaction with your new image should continue to grow as you recover and realize the fulfillment of your goal for a fuller buttock. As you gain or lose weight, your results may change as the transferred fat can grow or shrink just as any other fat in your body.

Risks and Safety

The decision to undergo BBL is extremely personal. You must decide if the benefits will achieve your goals and if the risks and potential complications are acceptable. You will be asked to sign consent forms to ensure that you fully understand the procedure risks and potential complications. 

BBL risks include:

  • Excessive loss of blood
  • Blood clots
  • Bruising
  • Deep vein thrombosis, cardiac and pulmonary complications
  • Possibility of revisional surgery
  • Numbness and pain
  • Fat embolism, injection of fat into the bloodstream that causes inflammation in the lungs
  • Infection
  • Fluid shifts and lidocaine toxicity
  • Complications of liposuction
  • Complications of anesthesia
  • Swelling and bruising
  • Asymmetry
  • Possible need for a revision surgery at a later date
  • Fatty tissue found deep in the skin might die (fat necrosis)
  • Anesthesia risks
  • Oil cyst
  • Hematoma
  • Stretch marks
  • Cellulite

These risks and others will be fully discussed prior to your consent. It is important that you address all your questions directly with your plastic surgeon.

Recovery After Surgery

After BBL surgery you will be taken into a recovery area to be closely monitored. You may be permitted to go home after a few hours. Before leaving, you will be given specific instructions that may include how to care for your buttocks and any areas that may have been liposuctioned following surgery, medications to apply or take orally to aid healing and reduce the risk of infection, and when to follow-up with your plastic surgeon.

You will be instructed to wear a support garment “around the clock” following your surgery. Your surgeon will tell you how long you need to wear the garment and if there are any other garments that you may have to wear during your recovery.

You will be asked to avoid prolonged sitting for about two weeks (this may be longer in some instances). This is very important because prolonged sitting will damage the fat.

You will also be encouraged to sleep face down or on your side. When you do have to sit, you should use a pillow or cushion placed behind the legs (hamstring muscles) to help raise the buttock avoiding pressure onto the fat grafts.

You will also be provided with a support garment that will apply even compression to the areas that were treated with liposuction. In addition, small temporary drains may be placed in existing incisions beneath the skin to remove any excess blood or fluid.

You will be given specific instructions that may include how to care for the surgical site and drains, medications to apply or take orally to aid healing and reduce the potential for infection, specific concerns to look for at the surgical site or in your general health, and when to follow up with your plastic surgeon.

Your surgeon may encourage you to seek a lymphatic massage from a licensed massage therapist. You can generally resume exercise after six to eight weeks.

Be sure to ask your plastic surgeon specific questions about what you can expect during your individual recovery period:

  • Where will I be taken after my surgery is complete?
  • What medication will I be given or prescribed after surgery?
  • Will I have dressings/bandages after surgery?
  • How long will I wear the compression garment?
  • Are stitches removed? When?
  • When can I resume normal activity and exercise?
  • When do I return for follow-up care?

It may take several months for the swelling to fully dissipate. As it does, your new contours and enhanced self-image should continue to develop.

Following your physician’s instructions is key to the success of your surgery. It’s important that the surgical incisions are not subjected to excessive force, swelling, abrasion, or motion during the time of healing. Your doctor will give you specific instructions on how to care for yourself.

Results

Your BBL results are immediately visible. Over time, post-surgical swelling will resolve. Satisfaction with your new image should continue to grow as you recover from surgery. Incision lines are permanent, but will continue to fade over time. The final results of your buttock augmentation with implants will appear over the next few months as your implant, buttock shape and position continue to settle.

It can take up to a year to see your full results. Some of the fat that leads to the initial shape after surgery will be reabsorbed by your body. It is also important to keep in mind that this fat can behave like any other fat in your body. As you gain or lose weight, your results may change as the transferred fat can grow or shrink just as any other fat in your body.

The results of your BBL surgery will be long lasting. Over time, your buttock size and shape can continue to change due to aging and gravity. You’ll be able to retain your new look longer if you:

  • Maintain your weight
  • Keep a healthy lifestyle

Cost

Cost is always a consideration in elective surgery. The surgeons at University Clinical Health will discuss your specific case with you during your initial consultation.

Cost may include:

  • Surgeon’s fee
  • Hospital or surgical facility costs
  • Anesthesia fees
  • Medical tests
  • Post-surgery garments
  • Prescriptions for medication
  • Any special pillows that may be required for your recovery
  • Implant fees

Most health insurance does not cover cosmetic surgery or its complications.

Your satisfaction involves more than a fee:

When choosing a plastic surgeon, remember that the surgeon’s experience and your comfort with him or her is just as important as the final cost of the surgery.

Plastic surgery involves many choices. The first and most important is selecting a member of the American Society of Plastic Surgeons (ASPS) you can trust. ASPS member surgeons meet rigorous standards:

  • Board certification by the American Board of Plastic Surgery® (ABPS) or in Canada by The Royal College of Physicians and Surgeons of Canada®
  • Complete at least six years of surgical training following medical school with a minimum of three years of plastic surgery residency training
  • Pass comprehensive oral and written exams
  • Graduate from an accredited medical school
  • Complete continuing medical education, including patient safety each year
  • Perform surgery in accredited, state-licensed, or Medicare-certified surgical facilities

Do not be confused by other official sounding boards and certifications.

The ABPS is recognized by the American Board of Medical Specialties (ABMS), which has approved medical specialty boards since 1934. There is no ABMS recognized certifying board with “cosmetic surgery” in its name. By choosing a member of The American Society of Plastic Surgeons, you can be assured that you are choosing a qualified, highly trained plastic surgeon.

For detailed cost information, contact the Cosmetic Patient Care Coordinator Jaclyn Shields at Jaclyn.shields@uthsc.edu or 901-866-8525.

This procedural information is intended strictly for educational purposes. It is not intended to make any representations or warranties about the outcome of any procedure. It is not a substitute for a thorough, in-person consultation with a board-certified plastic surgeon.

Contact:
Jaclyn Shields – Senior Cosmetic Coordinator
jaclyn.shields@uthsc.edu
901-866-8525