Brazilian Butt Lift

Brazilian Butt Lift

About Brazilian Butt Lift

It’s important to feel happy and comfortable in your own body, and an attractive butt is part of that. You may have tried dieting or targeted exercise to enhance your buttocks, but in many cases, you can’t overcome genetics or aging factors to get the results you want. A Brazilian butt lift is an alternative that can address your contours by taking fat from other areas of the body and transferring it to your buttocks in order to improve their size and shape.

Your skeletal structure and the way that your body stores fat is determined by genetics and will affect the shape and proportion of your buttocks. While healthy eating and regular exercise can offer improvements, many patients remain dissatisfied with ‘flat’ buttocks. The surgery allows you to overcome your genetics by enhancing the curves of your lower body, reducing fat deposits elsewhere on the body (such as your hips, thighs, or stomach), and allowing your clothes to fit more comfortably and attractively.

This popular cosmetic procedure can improve your body’s proportions and aesthetic balance offering a more youthful, rounded shape. For more permanent solution than exercise can offer, Brazilian butt lift surgery by a registered, skilled cosmetic surgeon can deliver the results you’re looking for with specialized fat transfer techniques.


What is a Brazilian Butt Lift?

BBL surgery continues to grow in popularity as a low-risk surgery that produces natural-looking, long-lasting results. The surgery originated in Rio de Janeiro, and over 24,000 are performed every year in the United States.

Also known as a gluteoplasty, it’s a preferred method for reshaping the buttocks using fat transfer. Although it is possible to use implants for a butt lift, BBL surgery is usually the preferred option as it is less invasive, and offers more rounded, natural results. 

The surgery offers the dual benefits of removing fat from unwanted areas, such as the hips and stomach, or may provide contouring for the waist and love handles. The body fat is then repositioned to reshape the posterior, adding shape, contour, and lift to accentuate the buttocks’ curvature.

Because the procedure uses your body’s own fat stores as a filler, the results are long-lasting, often upwards of seven years.


The Advantages and Disadvantages of Brazilian Butt Lift Surgery



  • Natural-looking results as fat can be precisely injected
  • More roundness compared to silicone buttock implants
  • Addresses sagging and shapelessness associated with aging
  • Offers contouring for waist, thighs, stomach and other areas that can benefit from fat reduction
  • Addresses figure imbalances, so clothes fit more comfortably
  • Lowers risk of infection when the procedure is done correctly, and fat is injected just below the surface of the skin into the subcutaneous tissue
  • No potential for an allergic reaction or rejection by the body as the procedure uses your own body fat
  • Minimal scarring, usually in places that are easily hidden following the liposuction
  • Long-lasting results if weight is maintained
  • High satisfaction rating



  • Side effects may include infection, scarring, and pain
  • There may be lumps under the skin at both the donor and graft site
  • Possibility of infection in the treated areas
  • Potential deadly fat embolism in the heart or lungs
  • May not give the intended results as the injected fat can be broken down and absorbed by the body, around 40% of the injected fat will be naturally reabsorbed by the body
  • Improper surgical techniques increase the risk of the surgery
  • You need to have sufficient fat stores to be harvested and transplanted
  • Full recovery can take over a month
  • Revision surgery may be needed to correct lumps, dents, and slumping


These are the most frequently asked questions about buttocks enhancement in Clackamas, OR


How long does a Brazilian Butt Lift last?

With BBL, there are no foreign objects involved, unlike with butt augmentation using implants, making the surgery safer and longer-lasting. Your surgeon will walk through the steps you can take following the surgery to maximize the results and the best ways to maintain them for years to come.

It’s important to follow the after-surgery instructions carefully so that the area can heal completely, and there may be significant swelling for up to two months after the surgery. You can improve your chances of a positive outcome if you keep your weight constant.

Depending on the person, the results are generally long-lasting, but if your body reabsorbs the fat, the results may not be as noticeable, and it may take one or two procedures to achieve the results you want. The fat cells that remain four months after your surgery will stay permanently.

Over time, your buttocks will change as a result of the normal aging process, your diet, and any big swings in your weight (both gains and losses).


What happens during Brazilian butt lift surgery?

BBL surgery can take anywhere from two to four hours and will depend on the technique that your surgeon uses, and your desired goals. 

The operation will start with a review of your goals and expectations; you will then be marked while standing to show which areas will be harvested for fat, and where the fat will be added and before photographs will also be taken.

BBL surgery is performed under anesthesic for larger procedures. In some cases, if there is only a small amount of fat to be transferred, it may be done with a local anesthetic. 

The surgery begins with the cosmetic surgeon using liposuction to remove fat from areas of your body. The surgeon will inject epinephrine, saltwater, and lidocaine (which helps to reduce bleeding and bruising). The sites for fat extraction are usually your hips, stomach, or thighs. Small incisions are made into the skin, and a thin tube is used to remove fat from the body.

This fat is then purified in a process that extracts the healthiest cells for transfer and prepared in injections, read to be inserted into the buttocks. It may be done either with a vibrating cannula (a thin tube) or with a syringe. The procedure is completed as the surgeon injects the processed fat into areas of the buttocks. A skillful surgeon will ensure that specific areas are injected to create a rounded, full look. In most cases, they will make between 3 and 5 incisions for the fat transfers.

The fat will be injected into the tissue just below the surface of the skin, staying above the fascia. It will be layered to achieve the desired contours. After this is completed, a compression garment is applied to the treated areas to reduce breeding.


Who is a good candidate for a Brazilian Butt Lift?

Your surgeon will take a medical history and do a physical assessment to determine whether you are a good fit for the surgery. In general, you are a good candidate if you are a healthy weight, lead a healthy lifestyle (with regular exercise), and have a clean medical history. In addition, you will need to have sufficient fat stores elsewhere in your body for grafting. 

Most people who opt for a Brazilian butt lift do so because they don’t feel comfortable in their clothes or have noticed a loss in natural shape, which is usually due to the aging process or weight fluctuations. The name is slightly misleading in that the procedure does not include ‘lifting’ and will not address loose or sagging skin. 

A BBL might be an ideal option if you have lost a lot of weight and now have some sagging and drooping, or if you are at your normal weight but want to dramatically enhance the contours of your lower body. Additionally, if you are older with poor skin elasticity, liposuction may not be an option, but a BBL can offer some additional firmness and lift.


How much recovery time is needed?

You will need to have someone drive you home after the surgery, and they should stay with you for the following twenty-four hours. It is ideal if a caretaker is on hand for the first week, especially as you may be taking prescription pain medication and will be unable to drive. 

You can expect to experience moderate post-operative pain that feels similar to muscular soreness, especially when sitting. 

Recovery after surgery takes around six weeks. In the first two weeks, you will need to avoid sitting and will need to sleep either on your side or stomach. You should avoid sleeping on your back for at least two months and only sleep on your side if you are sure that you won’t roll over onto your back.

After a week or so, you will be able to start moving around comfortably, and you should be able to return to work after two weeks. You should only start exercising after eight weeks if you have been cleared by your surgeon.


Can you sit after BBL surgery?

Sitting must be avoided if you want to experience the full benefits of the surgery as pressure on the injected fat cells may cause them to relocate or die, which will affect the results. In order for the fat cells to survive, blood vessels need to grow into them to provide essential nutrients. Sitting can compress the area, preventing this from happening. Sitting (and lying on your back) therefore needs to be avoided for at least three weeks, and should only be done when necessary for the fourth week.

For driving and other activities, you will need to be cleared by your surgeon and may need to drive with a pillow for a few weeks.


When will the results be visible? 

This varies from person to person, and it can take anywhere from four to six months before you see the final results of the procedure. You’ll notice a lot of volume added immediately, but that will be due, in part, to swelling from surgery. You can also expect to lose around 40% of the transferred cells. Many patients, once they have seen the final results, will opt for revision surgery. This may be done to add more volume, although it can also improve any asymmetry, dents or bumps.

The volume gain that you can see after four to six months can be considered the permanent results of the BBL surgery.


Should you gain or lose weight before the procedure?

This depends on your current weight and your ideal healthy body weight. If you are overweight, you may need to lose some pounds before you can have the surgery. In most cases, it helps to be your ideal weight or a few pounds over so that there are sufficient fat deposits available to be transferred to the buttocks. Keep in mind, though, once you have had the surgery, you will need to maintain the same weight for the best results.


How much does the surgery cost?

The costs of the BBL procedure vary significantly across Clackamas, OR and will differ from client to client depending on the patient’s goals, and the cosmetic surgeon who performs the surgery. You can expect the procedure to cost between $5,000 and $8,000 for surgeon fees and make allowance for other costs, including anesthesia, aftercare, and a hospital stay.

It is essential to do your research beforehand and to choose a board-certified surgeon who specializes in BBL surgery. Your surgeon should be certified by the American Board of Plastic Surgery for tummy, buttocks, and breast surgery. Avoid discounted BBL surgery options at all costs as they are often offered by doctors who do not have sufficient training.

Insurance companies don’t cover the surgery as it is not deemed medically necessary, although many cosmetic surgeons offer payment plans or financing.


What are the risks?

BBL surgery is considered higher risk than most other plastic surgery procedures as it has one of the highest incidences of post-op complications, including dents, lumps, trenches, slumps, and irregular contours. But most of the cases are as a result of improper procedures. It is considered the safest way to alter the shape of your buttocks because it uses your own fat, rather than the introduction of other foreign materials. There is very little scarring, and in most cases, it won’t be noticeable.

There are also concerns about the growing number of deaths due to pulmonary fat embolism, where fat cells, entering the bloodstream, block the flow of blow to the lungs. In all cases that were investigated, embolisms occurred when fat was injected into the muscle. Further research has revealed that fat injections into the buttocks are considered safe if done correctly. This means delivery of the fat cells into the subcutaneous space (just below the skin) and not below the fascia or into the gluteal muscle.


What procedures can be done at the same time as a BBL?

A tummy tuck and breast augmentation are the most popular surgeries that can be combined (if all three are done together, this is referred to as a ‘mommy makeover’.) The benefits of combining the surgeries include a significant cost saving and a single recovery time. However, the recovery time is more challenging and may, therefore, not be recommended by your doctor.


Are there any alternatives to a Brazilian Butt Lift?

Buttocks augmentation surgery is growing in popularity, but BBL surgery isn’t the only option. Other popular alternatives include:

  • Silicone butt implants, this is a more invasive, higher risk surgery than a Brazilian butt lift, as it is more invasive and involves the use of silicone implants. There is a long-term risk of implant displacement where the implants move out of place, resulting in the need for further surgery.
  • Liposuction, this popular option will remove excess fat from the buttocks to create more roundness. The procedure is focused on the removal of fat; there is no fat transfer as with a Brazilian butt lift.
  • Butt lift or butt tuck, a butt lift (done from above), or a butt tuck (done from below) offers good results for patients who have lost a lot of weight and now have excess sagging skin. This skin is surgically removed to offer a smoother experience.
  • Sculptra butt lifts, where a dermal filler is used to plump the skin and restore a more youthful look for areas affected by volume loss due to aging. It’s most commonly used for facial wrinkles but is often used alongside a BBL to enhance the effect of the surgery.
  • Emsculpt, this non-surgical alternative uses electromagnetic energy to contract the muscles in your buttocks up to 20,000 times per minute for accelerated toning and firming.

There are some cases where silicone or hydrogel injections have been used for a butt lift. They are usually administered by non-board-certified doctors and do not deliver the same results (although they are significantly cheaper). They should be avoided because they have serious side effects and a higher risk of death.

It is important to choose a board-certified cosmetic surgeon in Clackamas, OR who specializes in buttocks augmentation surgery.

Top Brazilian Butt Lift specialists in Clackamas, OR