The Brazilian Butt Lift (BBL) is one of the most talked-about cosmetic surgeries today, with patients seeking more rounded and enhanced curves. Whether you’re considering the procedure or just curious, it’s important to understand what it involves. As a highly experienced plastic surgeon, I’ve had many patients inquire about this surgery, and there are several key things everyone should know before moving forward.

What is a Brazilian Butt Lift?

A Brazilian Butt Lift is a surgical procedure that enhances the size and shape of the buttocks using the patient’s own fat. This fat is typically taken from areas like the abdomen, thighs, or flanks through liposuction, purified, and then injected into the buttocks to create a fuller, more contoured appearance.

Unlike traditional implants, a BBL uses autologous fat, meaning there’s no foreign material involved. This aspect appeals to many patients looking for a more natural alternative to buttock implants.

1. It’s Not Just About the Buttocks: Liposuction Is Key

One of the primary misconceptions about BBL surgery is that it only involves fat transfer to the buttocks. In reality, the first step of the procedure involves liposuction, which is equally important. Liposuction allows for fat removal from areas where you may have unwanted deposits, such as the abdomen, flanks, or thighs.

Many patients find that the added benefit of body contouring through liposuction is one of the biggest appeals of the procedure. You are not just getting fuller buttocks, but also a more contoured and defined overall shape.

2. Recovery Can Be Challenging

Post-operative recovery from a Brazilian Butt Lift can be one of the more difficult aspects of the surgery. Since the fat needs to be preserved in the buttocks, patients must avoid sitting directly on their buttocks for at least two to four weeks. Special BBL pillows or techniques for lying down can help during this time, but it still requires commitment.

Additionally, swelling and bruising are common in both the liposuction and fat transfer areas. These will subside over the course of a few weeks to a couple of months, and you will gradually see the final results after that.

Tips for a Smooth Recovery

• Avoid sitting or lying on your back; use a BBL pillow when necessary.

• Wear compression garments to reduce swelling in the liposuctioned areas.

• Follow your surgeon’s aftercare advice meticulously to ensure the best results.

3. Fat Survival Is a Critical Factor

One crucial aspect to understand is that not all of the transferred fat will survive. Typically, about 60% to 80% of the fat survives in the long term, while the rest is naturally absorbed by the body. Because of this, surgeons often transfer a slightly larger volume of fat than is required to account for this absorption.

It’s important to follow your post-operative instructions closely to give your fat graft the best chance of survival. This includes proper care, diet, and hydration during the recovery period.

Factors That Affect Fat Survival

• Smoking: Patients who smoke are at higher risk of losing more fat, as smoking affects circulation and healing.

• Weight fluctuations: Gaining or losing significant weight after your BBL can affect your results.

• Pressure: Avoiding direct pressure on the buttocks for the recommended time is essential for preserving the fat.

4. BBL is a Long-Lasting Solution, But Results Vary

One of the reasons BBL is popular is that it offers long-lasting results. Once the fat cells have survived and integrated into the buttock tissue, they will remain there permanently. However, it’s essential to maintain a stable weight because significant weight loss or gain can affect the overall results.

5. It’s Not Without Risks

While the BBL can produce stunning results, it’s also one of the riskier cosmetic procedures if not performed by an experienced, plastic surgeon. The risk primarily arises from the fat transfer process. If the fat is injected too deep into the muscle, it can enter the bloodstream and cause a fat embolism, which can be life-threatening. In the UK, Mr Nassab helped BAAPS develop some guidelines for performing safe BBL. This involved advice to inject only in the superficial tissues and not deep into muscle. It is also recommended that when injecting fat, ultrasound guidance should be used to make you are in the right plane.

6. BBL Results Depend on Your Body Type

Not everyone is a good candidate for a Brazilian Butt Lift. The surgery requires a sufficient amount of excess fat to harvest for the fat transfer. Therefore, patients who are very thin or have low body fat may not have enough fat available to achieve the desired result. The Skinny BBL uses the small amount of fat from slim patients to give a mild enhancement of volume.

7. Scarring is Minimal but Inevitable

Many patients worry about scarring after cosmetic surgery, but with a BBL, the good news is that scarring is typically minimal. The liposuction scars are small (often less than a centimetre) and are strategically placed in less noticeable areas. The fat transfer does not require large incisions, so there are no additional scars on the buttocks.

Over time, with proper aftercare, the scars usually fade to become barely visible. However, factors like skin type, genetics, and sun exposure can influence how scars heal.

Tips to Minimise Scarring

• Use silicone gel or sheets to reduce the appearance of scars.

• Avoid sun exposure or use high-SPF sunblock on scars for at least a year.

• Follow your surgeon’s instructions on scar care products and massage techniques.

8. The Cost of a Brazilian Butt Lift

BBL costs can vary significantly depending on the location, the surgeon’s experience, and the complexity of the procedure. BBL in Turkey can be significantly cheaper than the UK but you may not know the surgeon performing the procedure, facilities being used, or technique. A Brazilian Butt Lift in the UK with Mr Nassab starts from £11,500. It’s important to remember that this cost usually includes the surgeon’s fees, anaesthesia, facility fees, and post-operative care.

Be cautious of clinics offering the procedure at unusually low prices, as this could be a red flag for less experienced surgeons or clinics cutting corners on safety protocols.

Finance Options BBL

Many clinics offer financing plans to make the procedure more affordable. Be sure to ask about payment options during your consultation.

Conclusion: Is a BBL Right for You?

A Brazilian Butt Lift can deliver stunning, long-lasting results if performed by an experienced and qualified surgeon. It’s essential to do your research, prepare for a challenging recovery, and have realistic expectations about what the surgery can achieve. Many patients are thrilled with their results, not just because of fuller buttocks, but also due to the body contouring that comes with liposuction.

If you’re considering a BBL, book a consultation with Mr Nassab consultant plastic surgeon to discuss your options and determine whether this is the right procedure for your body type and goals.

FAQ Section

Q: How long does a Brazilian Butt Lift last?

A: The results of a BBL can be long-lasting as long as you maintain a stable weight. However, the fat transferred to your buttocks behaves like any other fat in your body and will expand or shrink if you gain or lose weight.

Q: Can I sit after a BBL?

A: You will need to avoid sitting directly on your buttocks for about two to four weeks to ensure that the fat grafts survive. Special pillows and lying on your stomach can help during recovery.

Q: Is the BBL procedure painful?

A: There is some discomfort during the recovery process, particularly from the liposuction areas. Pain is typically managed with prescribed medications, and most patients feel much better after the first week.

Q: Can thin people get a BBL?

A: If you are very slim, you might not have enough fat for a traditional BBL. We can discuss options, such as skinny BBL or a combination of procedures to achieve your desired look.