BBL Surgery (Brazilian Butt Lift)

Buttock augmentation, or gluteal augmentation, is used to improve the contour, size and/or shape of the buttocks. This is done through the use of buttock implants, fat grafting or sometimes a combination of the two.

Buttock implants are silicone-filled devices that are surgically placed deep within the tissues of the buttock. Buttock augmentation through the use of fat grafting involves the transfer of fat from one area of the body into the tissues of the buttocks. This technique is sometimes referred to as a Brazilian Butt Lift (BBL).

What buttock augmentation surgery can do:

Increase fullness, roundness and projection of your butt or buttocks
Improve the balance of your figure
Enhance your self-image and self-confidence
In addition to buttock augmentation procedures, a buttock lift can be accomplished by the surgical removal of soft tissue.

BBL with Vaser Liposuction
Brazilian Butt lift is a procedure based on removing fat from the body through liposuction and injecting it to the butt. Liposuction can be performed either with the traditional technique or Vaser Liposuction, which is a more advanced and new technology that enhances the BBL results. Being less traumatic on the tissue, Vaser Liposuction allows for a smoother surface on the buttocks after fat injection. Also, the liposuction areas are expected to get firmer as Vaser device spreads ultrasound waves to trigger skin renewal. Through Vaser BBL, it is possible to achieve more natural results with a shorter and easier recovery period.

Frequently Asked Questions

+ Am I a good candidate for BBL?
Anyone having a good general ad psychological health to be given general anaesthesia and willing to get their butts shaped can be a good candidate for BBL.

+ What are the steps of a buttock enhancement procedure ?
Buttock augmentation procedures
Buttock augmentation can be achieved through either the use of implants or through transferring your existing fat, or sometimes a combination of both. Your surgeon may choose between a variety of incision patterns and techniques.

The appropriate technique for you will be determined based on:

Butt 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

Buttock implant procedure

Step 1 – Anesthesia
Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you.

Step 2 – The incision
An incision will be made. The incision can be made toward the top of both sides of the upper buttocks, toward the bottom in both of the gluteal creases (the areas where your “cheeks” meet the top of the thighs), incisions between both cheeks (hidden in the crease) or with one incision placed down the center of the sacrum, or the crease between the buttocks. The length of the incision and scar is directly related to the affected areas.

Step 3 – Implant placement
A silicone implant specially made for the buttocks is inserted either in the muscle or above the gluteal muscle on each side.

The method for inserting and positioning implants depends on the type of implant, degree of enlargement desired, your body type and your surgeon’s recommendations.

Step 4 – Closing the incisions
Incisions are closed with layered sutures in the buttocks tissue and with sutures, skin adhesive or surgical tape to close the skin.

Step 5 – See the results
The results of buttock augmentation are immediately visible. Over time, post-surgical swelling will resolve and incision lines will fade. Satisfaction with your new image should continue to grow as you recover and realize the fulfillment of your goal for a fuller butt. Results of this surgery are permanent.

Fat transfer / Brazilian butt lift procedure

Step 1 – Anesthesia
Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you.

Step 2 – Liposuction
Liposuction is performed through small, inconspicuous incisions. First, diluted local anesthesia is administered 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 actually be injected into the buttocks.

Step 3 – 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 behind.

Step 4 – See the results
The results of buttock augmentation are immediately visible; however, you will not see your final results until 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 the 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 butt. 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.

+ Is Age Limit for Brazilian Butt Lift?
Brazilian Butt Lift can be made to people older than 18 years.

+ What should I expect during my buttock enhancement recovery ?
After your buttock enhancement procedure, dressings/bandages will be applied to the incisions. Small, thin tubes may be temporarily placed under the skin to drain any excess blood or fluid that may collect. You will be taken into a recovery area to be closely monitored, and may be permitted to go home after a few hours.

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.

Buttock augmentation with fat transfer
You will be asked to avoid prolonged sitting for about two weeks (some surgeons prefer longer). 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 will have to use a pillow or cushion placed behind the legs (hamstring muscles) to help raise the buttocks, avoiding pressure onto the fat grafts.

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.

+ When can I sit after the procedure?
It is very important to avoid sitting directly on your buttocks after your procedure. You will be given a medical compression garment for at least a month to protect your operated area, also special pillow or cushion should be placed under the back of thighs when sitting.

BBL Aftercare
The following instructions are general information to be followed before and after a Brazilian butt lift procedure.

Pre-Operation Instructions:
2 Weeks Before:
Stop taking any medications or any vitamin supplements containing aspirin, ibuprofen (e.g. Advil, Motrin, Aleve etc.). Tylenol is okay.
Stop using all herbal medicines and all diet pills as a precaution for complications about blood clotting, blood pressure heart rate and respiratory.
Avoid from all kinds of nicotine products. Nicotine slows the healing period down.
1 Week Before:
Stop drinking alcohol at least 1 week before your surgery.
Do not use any kind of medication without your doctor’s permission.
Night/Day of Surgery:
Do not drink or eat anything after midnight including water, chewing gum, etc.
Take a light shower in the morning of your surgery.
Prefer loose fitting clothing (button-top and pull on pants, zipped shirt, sweatpants etc.) that does not need to be put over your head.
Do not wear contact lenses, do not wear make-up in the day of your surgery.

Post-Operation Instructions:
Some amount of bruising and swelling can be normally expected after BBL. They will disappear over time.
Do not smoke for at least 1 week after your surgery.
Take all medications according to the instructions by your surgeon.
Avoid sitting directly on buttocks, lying flat while sleeping and any traumatic action for at least six weeks. Sleep on your sides or your stomach.
Wear your compression garment for at least 6 weeks after your surgery to reduce swelling, to minimize discomfort and help the skin recover faster.
Avoid any stretchy and high impact activities for at least 6 weeks.
Keep away from any activities that cause you pain or discomfort.
You may resume your activities and exercises after at least 6 weeks. You should begin slowly.
Sex is not recommended for at least 2 weeks after your BBL procedure.

Procedure time
1.5 to 3 hours

Hospital stay
1 night


Final results
3 to 9 months

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