Brazilian Butt Lift 101: What to Expect From the Procedure
- Dr. Jose Soler-Baillo
- Jun 26
- 8 min read
Why Brazilian Butt Lift Has Become So Popular

A brazilian butt lift is a cosmetic surgery that transfers fat from areas like your belly or thighs to your buttocks, creating a fuller, rounder shape. This procedure has exploded in popularity, with over 21,000 BBL procedures performed in the United States in 2020 alone.
Quick BBL Overview:
What it is: Fat transfer from donor areas to buttocks
Procedure time: 2-3 hours under general anesthesia
Recovery: 2-8 weeks with sitting restrictions
Results: Semi-permanent, lasting years with stable weight
Cost: Average $4,800 surgeon fee (plus facility costs)
Safety: 1 in 15,000 mortality rate when done by board-certified surgeons
The appeal is clear - you get two benefits in one procedure. The liposuction removes unwanted fat from problem areas while the fat grafting creates natural-looking curves. Unlike implants, a BBL uses your own tissue, so results look and feel completely natural.
The procedure does carry serious risks if not performed correctly. Improved safety techniques now bring mortality rates down to about 1 in 15,000 - similar to a tummy tuck.
As Dr. Jose Soler-Baillo, M.D. M.S, a board-certified plastic surgeon practicing in South Florida since 2001, I've specialized in advanced brazilian butt lift techniques using stem-cell improved fat transfers. My experience with extensive body sculpting has taught me that proper technique and patient safety must always come first.

Understanding the Brazilian Butt Lift
A brazilian butt lift is essentially sophisticated fat redistribution - moving fat from places you don't want it to places you do. This procedure uses "autologous fat grafting," meaning we use your own fat tissue, which eliminates rejection risks.
We carefully remove fat through liposuction from areas like your tummy, love handles, or thighs. Then we purify that fat and strategically inject it into your buttocks to create that coveted hourglass figure.
The fat cells that successfully establish blood supply become permanent residents, responding to weight changes just like other fat cells in your body.
What Is a Brazilian Butt Lift?
A brazilian butt lift starts with liposuction to harvest fat from excess areas - commonly the abdomen, flanks, lower back, or thighs. The harvested fat goes through careful purification, removing blood, oil, and damaged cells.
During injection, we typically transfer 300-500 cc of purified fat to each buttock. The fat gets injected in multiple layers and strategic locations for natural-looking results.
The beauty of this approach is dual benefit - liposuction contours your waist while fat grafting improves your curves.
Brazilian Butt Lift vs. Buttock Implants
The brazilian butt lift approach uses your own tissue with no foreign materials, creating natural look and feel plus body contouring benefits. Scarring is minimal - just tiny liposuction incisions.
However, BBL requires sufficient donor fat and experiences natural fat resorption (20-40%).
Buttock implants offer predictable volume increases and work for thin patients lacking donor fat. Sitting restrictions are shorter.
But implants have higher complication rates - about 31% compared to 7% for BBL procedures - plus ongoing risks of displacement or rupture.
In my practice, about 90% of patients are better candidates for brazilian butt lift due to more natural results with fewer long-term complications.
Origins of the Term "Brazilian Butt Lift"
The brazilian butt lift isn't actually Brazilian, and nothing gets "lifted"! The term became popular after a 1996 TV show episode featuring the procedure.
The technique was pioneered by Brazilian surgeon Dr. Ivo Pitanguy in the 1960s, but modern safety protocols result from decades of worldwide improvements.
The "lift" name is misleading - we're adding volume through fat grafting, not lifting sagging tissue.
Candidate, Benefits & Risks
A brazilian butt lift isn't right for everyone. You need adequate fat to donate - most successful patients have BMI between 22-30 with good fat distribution in donor areas like abdomen, flanks, or thighs.
Good skin tone, non-smoking status, and stable weight for six months are essential. Realistic expectations matter most - BBL creates beautiful, natural curves but won't transform you into someone else entirely.
Very thin patients with minimal body fat might be disappointed with achievable results and should consider implants as an alternative.
Benefits of a Brazilian Butt Lift
The brazilian butt lift popularity stems from its two-for-one benefit. You get body sculpting in multiple areas - liposuction creates a "snatched waist" while fat grafting provides fuller buttocks, reshaping your entire silhouette.
Results look and feel completely natural using your own tissue. Your curves move naturally, feel soft, and age with your body. Scarring is minimal - tiny liposuction incisions fade to nearly invisible lines.
Once transferred fat establishes blood supply, those cells become permanent residents responding to weight changes like other body fat.
Research shows brazilian butt lift has much lower complication rates than implants - 7% versus 31%.
Risks & How to Minimize Them
Brazilian butt lift carries serious risks including fat embolism (when fat enters bloodstream), infection, bleeding, poor healing, asymmetry, and fat necrosis.
Proper technique dramatically reduces risks. We follow strict safety protocols - all fat injected above muscle layer using large cannulas (≥4mm diameter) with careful angulation.
Ultrasound guidance confirms proper placement when available. Choosing a board-certified plastic surgeon with specific BBL training is critical - the technique requires extensive anatomical knowledge.
Scientific research on safety improvements shows following these protocols significantly reduced complication rates.

Procedure Step-By-Step & Safety Protocols
Your brazilian butt lift takes 2-3 hours under general anesthesia in an accredited facility. The process follows carefully planned steps for optimal safety and results.

Pre-operative preparation includes medical history, examination, lab tests, and surgical markings while standing. Liposuction phase harvests fat from predetermined donor sites using specialized cannulas. Fat processing purifies harvested fat, removing blood and damaged cells. Strategic injection places purified fat in multiple buttock layers using planned techniques.
Day-Of-Surgery Timeline
7:00 AM arrival - check-in, nursing assessment, anesthesiologist consultation, final markings, IV placement.
9:00 AM - noon surgery - anesthesia induction, 2-3 hour procedure, recovery room monitoring.
Noon - 4:00 PM post-op care - pain management, mobility assessment, discharge planning. Most patients go home same day.
Safe Brazilian Butt Lift Technique
Our safety commitment follows current guidelines, dropping mortality rates from 1 in 3,000 to 1 in 15,000.
Subcutaneous plane injection - all fat placed above gluteal muscle, never into or below muscle. Large cannulas (≥4mm) with blunt tips reduce vessel injury risk. External ultrasound monitoring confirms proper tissue placement. Proper cannula angulation keeps everything in safe zones.
Complete team training in BBL safety protocols plus full emergency preparedness ensure optimal outcomes. These improvements represent years of research collaboration among plastic surgeons worldwide.
Recovery Timeline & Long-Term Results
Recovery requires patience as newly transplanted fat cells establish blood supply. The sitting restriction catches many patients off guard, but it's crucial for protecting results
Initial discomfort and swelling last 1-2 weeks, followed by gradual activity return over 6-8 weeks. Final results appear at 3-6 months with 60-80% long-term fat retention. Some fat loss is normal - we expect 20-40% natural reabsorption during first months.

Weeks 0-2: Protecting the Graft
First two weeks are critical for fat cell survival. Sleep on stomach or sides only - back sleeping compromises new blood vessels. No sitting directly on buttocks - use special pillows distributing weight to thighs. Light walking encouraged for circulation.
Compression garments control swelling and support healing. Pain management with prescribed medication keeps discomfort manageable. High-protein diet (1g per kg body weight daily) provides healing building blocks and maximizes fat survival.
Weeks 3-8: Gradual Return
Work return possible for desk jobs with special cushions. Driving resumes around 2-3 weeks. Exercise gradually returns with upper body workouts and walking. Sitting restrictions relax but short periods only with cushioning.
Swelling and bruising fade, revealing glimpses of new contours.
Beyond 3 Months: Final Shape
Three months marks major milestone - most swelling resolved, true results visible. All restrictions lift - normal sitting, sleeping, exercising. Results look natural and proportionate.
Weight stability crucial for maintaining results. Regular follow-ups monitor progress. Lifestyle maintenance requires only normal healthy habits.
Cost, Surgeon Selection & Alternatives
Brazilian butt lift costs vary by location, surgeon experience, and facility fees.
Average Cost Breakdown:
Surgeon's fee: $4,800
Anesthesia fee: $1,000-$1,500
Facility fee: $1,200-$2,000
Garments/medications: $200-$500
Total: $7,200-$8,800
South Florida costs may be higher due to experienced surgeons and high demand. Insurance doesn't cover elective cosmetic surgery, but financing options are available.
For detailed pricing information, visit our Brazilian Butt Lift Cost page.

Choosing a Qualified Brazilian Butt Lift Surgeon
Selecting the right surgeon is crucial given potential risks.
Essential Qualifications:
Board certification by American Board of Plastic Surgery
Specific BBL training and experience
Hospital privileges and accredited facilities
Comprehensive emergency protocols
Key Questions:
How many BBL procedures performed?
Can I see before-after photos of similar patients?
What's your complication rate?
What safety protocols do you follow?
Avoid: Unusually low pricing, non-board certified practitioners, non-accredited facilities, downplaying risks.
Our Brazilian Butt Lift Near Me guide helps South Florida patients find qualified practitioners.
Non-Surgical & Hybrid Options
Sculptra Butt Lift: Injectable stimulating collagen production for modest, temporary volume (1-2 years).
Emsculpt: Electromagnetic muscle stimulation for lifting and toning with modest results.
Exercise Programs: Targeted glute development provides natural improvement within genetic limits.
Hybrid Approaches: Some combine surgical BBL with non-surgical treatments for optimal results.
Frequently Asked Questions about Brazilian Butt Lift
How much transferred fat survives long-term in a Brazilian Butt Lift?
60-80% of transferred fat typically survives long-term, meaning your body naturally reabsorbs 20-40% during first months. We plan for this - it's normal, not a complication.
Factors affecting survival: Good circulation and healthy lifestyle improve rates. Smoking is terrible for survival. Proper surgical technique, gentle fat handling, and correct injection layers matter enormously. Post-operative care - following sitting restrictions, wearing compression garments, maintaining stable weight - helps maximize survival.
The surviving fat cells become permanent residents responding to weight changes like other body fat.
When can I sit comfortably after a Brazilian Butt Lift?
First two weeks: no sitting directly on buttocks. Use special BBL pillows keeping pressure off grafted areas. Weeks 3-8: gradual sitting introduction for short periods with cushioning. Week 8: most resume normal sitting, though some need extra time.
These restrictions protect delicate blood supply establishment in newly transferred fat cells. Planning ahead with BBL pillows and standing desk setups makes recovery manageable.
Is a second Brazilian Butt Lift ever necessary?
About one-third choose second procedures, usually wanting additional volume rather than needing correction. Common reasons: wanting more fullness after seeing initial results, experiencing higher fat resorption than expected, correcting minor asymmetries, or addressing weight changes.
Wait 6-12 months between surgeries for complete healing. Most patients are thrilled with single procedure results when having realistic expectations and working with experienced surgeons.
Conclusion
The brazilian butt lift offers unique comprehensive body contouring - removing unwanted fat while creating coveted curves in a single procedure. When performed correctly, results look natural and last years with proper care.
Your safety must always come first. Dramatic safety improvements result from surgeons following strict protocols and proper techniques. Board certification represents specialized training and commitment to highest care standards.
Dr. Jose Soler-Baillo, M.D. has served South Florida patients since 2001, bringing decades of advanced body contouring experience to Miami, Fort Lauderdale, Hollywood, Coral Gables, Pinecrest, South Miami, and Hialeah.
The happiest patients share common traits: realistic expectations, qualified surgeons, following post-operative instructions, and maintaining results through healthy choices.
Explore our Before and After Gallery to see natural-looking improvements proper technique achieves.
When ready, Book a Consultation to discuss your goals. We'll evaluate candidacy, explain expectations, and create a personalized plan prioritizing safety and aesthetic goals.
Your dream curves are within reach - let's achieve them the right way.
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