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In 2014 I had a Brazilian Butt Lift with Dr. Aslani in Spain.

In 2014 I had a Brazilian Butt Lift with Dr. Aslani in Spain.

I have been extremely disappointed with my results and was concerned that my 6-months worth of ‘glass is half full’ ramblings contained within this overly positive journal misrepresented my honest results, and more importantly the skill of my surgeon. I worried that if fellow RealSelf members only read the first 90% of my writings below they would assume I was over the moon with the results (a fallacy I kept repeating to myself) and worse, that it might encourage others to book surgery with this particular clinic. There are reasons why I was overly positive about Dr. Aslani and the Cirumed clinic, some of them innocent and some of them I’m not too proud of, but I will get to that. The understanding team at RealSelf have been kind enough to allow me to replace my original post with this text, in a hope I will better represent my story.

Self-denial is a very powerful tool and for the longest time I convinced myself and anyone who would listen that things were going to ‘drop’, ‘fluff’ or there must still be swelling on my back or my tummy preventing the full results from being seen. I was told I should be patient, I was told by the doctor and clinic staff that my results would continue to change. Even with swelling, the results were mediocre to begin with but I continued to have blind faith in a doctor and clinic who had been so kind to me. As my results looked less and less impressive, my common sense was put to one side and in it’s place, a panicked gratitude. We had built a relationship after all. The day after surgery, the doctor asked me to put a review on RealSelf. He explained to me that many people left his clinic looking ‘a million dollars’ but never followed up with photos or feedback. That although he disliked internet and social media, he begrudgingly accepted
he needed to represent these amazing results more, and could I put something on RealSelf? I said I had planned to, and charmed by his honesty, I was eager to help him. We had built a relationship after all…

Glorious ‘before and after’ pictures on websites and friendly staff can charm you and before you know it, you have paid your deposit for surgery. In my case, being based in the UK and convinced I had found one of the only competent BBL surgeons in Europe, in Spain was what lulled me into a false sense of confidence with this clinic. What I should of relied on was not cleverly lit photos or small-talk with staff, but the hundreds of truthful and honest reviews on RealSelf. If looking at someones results in a good, honest amateur photo impresses you, and they say it’s of them 12 months post-op, call their surgeon now! But if they’re still swollen, or using fancy camera angles, or pushing their behind out to make it look bigger, then move on. What’s worse is, at the time there was very little reviews for Dr. Aslani here. But as they say, ignorance is bliss.

I invested over a year into this journal. Charting my recovery and results with glee. But not being entirely honest with myself, and I’m ashamed to say, with you, the people who would read it. For the first few months I convinced myself that the swelling in my buttocks was fat, it wasn’t. My excitement was misplaced. (If only the fat had been).

After my 5 month update, it FINALLY dawned on me. I wasn’t being truthful and I started to feel more and more uncomfortable with my writings here. Although Dr. Aslani had done a fantastic job with the aggressive lipo to my flanks, and moderate lipo to my stomach, now that the swelling had gone - my buttocks were the exact same size as before. Exactly the same.

But here I was on RealSelf, still trying to stay positive, still feeling indebted to the doctor. And once they had thanked me for my glowing review online, I suddenly felt stuck in a habit of continually praising them in fear of loosing that support. After the 3-month mark, I was offered a most generous invitation for a second round. He told me if I waited 6 months and still wanted “more” he would be happy to operate again. I knew deep down I was unhappy with my results, but did that matter now the doctor was granting me a second chance? He liked me. It was an incredible opportunity. So do I want to jeopardise that relationship with them, the rapport, the support, the second round… All for the sake of some silly online review? So was I dishonest on RealSelf when I knew I was really unhappy with my results? I don’t honestly know how to answer that. I think I was somewhat in denial. I was given legitimate reasons as to why the doctor felt he could
only put a certain amount of fat into my buttocks, tight skin apparently. But over time, more and more Cirumed patients have given their honest reviews on this site and suddenly I realised that it wasn’t just ‘me’ but that perhaps the procedure at this particular clinic, with this particular doctor wasn’t all that good. Unless of course we all have "tight skin". He hadn’t touched my back fat at all the first time. If I had a Round 2 with him, would he waste that remaining virgin back fat too? You can’t keep having BBLs. Fat or thin, you only have so many virgin fat cells.

As the months passed, more Cirumed patients appeared on RealSelf sharing their lack-lustre results. Conservative amounts of fat transferred to the buttocks, wide boxish shape to the hips and generally unimpressive, flaccid results. The only patient who has had good results is someone who has had two rounds, and started off with a large rump, and in fairness still pushes her butt out in the photos to make it look bigger. There was a pattern and I realised that perhaps my glowing review for Dr. Aslani on This site was in some small way helping continue that pattern. I didn’t want to be an advertisement for something I had no faith in. This doctor performs glorified body-sculpting, NOT BBL. I can’t explain the impressive photos on his website, but the photos shared on RealSelf from fellow Cirumed patients speak for themselves – however cruel this might come across – all our results are unimpressive.

So here I am. Trying to explain. The lovely people at the RealSelf office have been kind enough to let me change my first post. But if you continue to read on you will get an insight into how I was lying to myself, and ashamed as I am to admit it, to you all too.

Back in 2013, Cirumed held a party in London to try and drum up trade. Although I was working that night and unable to attend (two jobs for one year to save the money!) they were kind enough to still enter my name into the raffle. And would you believe it? Having never won anything in my life… I was sent an email telling me I had won a few hundred Euros worth of Cirumed vouchers! This meant my procedure was considerably cheaper than it otherwise would have been. Both the Dr, and his wonderful PA Jenny made me feel very special and to top it all off, I was offered the insanely generous offer regarding a Round 2 if I wanted one. My relationship with the clinic from the get-go has felt extremely friendly and I didn’t want to spoil that with a bad review – or come across as ungrateful for the kindness, gifts and support shared with me. So I kept lying to myself when all the while unhappy with my results, hoping they would change. It’s complicated and
doesn’t paint me in a particularly honest light. But this is the truth and I’m not prepared, anymore, to be an advertisement for a clinic that seems to consistently deliver sub-standard results.

I’m nervous they’ll read this. I’m nervous other Cirumed patients will think I am insulting their results. All I ask is… If you are making a decision based on geography, build up the courage to travel where ever the hell the best results you have seen are. The fact someone is close to you shouldn’t even factor in. An 8 hour flight? Alone in a foreign country? Just DO IT. Find the courage and set yourself apart from the disappointed people like me. And if the decision is based on money… the difference of a few thousand, is not much if you are already faced with saving thousands in the first place! Working two jobs and saving up was not easy, and I regret not investing that money with a surgeon with a better visual track record on RealSelf. Photos taken a year after surgery are rare but worth their weight in gold. If you can find someone coherent and who shares honest pictures on RealSelf, that is the only voice you should put your faith into.
RealSelf exists for good reason, use it!

Years ago, I first started reading about ‘micro-fat augmentation’ as BBL was called then, and got excited. When I discovered RealSelf, I saw ‘Brazilian Butt Lift’ photos and was always astounded by amateur photos from Salama and Jimerson patients in particular. Amateur photos that looked even more stunning than what featured on these two doctors’ official sites. I refuse to loose that excitement and promised myself that if I had to work two jobs a day for TWO more years I would do it, to fulfil my big booty dream.

RealSelf is an amazing tool. Not only for research and making friendships. But for transparency.

To the people who have followed my journey, one golden girl in particular. Thank you. I wish you everything your heart desires and that we’ll all continue to be unapologetic about our dreams.

You can follow the next step in my journey here:
http://www.realself.com/review/miami-fl-brazilian-butt-lift-revision-bbl-dr-salama-male-patientThis review has been edited at the request of the reviewer 09/16/15

31 Year Old Male Brazilian Butt Lift - Spain, ES (4 week update)

I'm posting my Week 4 post-op photos, alongside their 'before' counterparts which I had taken for the clinic when I first contacted them.

I'm actually in week 5 now. Just a week shy of the important 6 weeks mark. Even though my life has been extremely uneventful, time has gone by VERY quickly. I have no idea how, or why, but it is very exciting to feel progress being made so fast. 6 weeks marks half of the 12 week recovery period. 6 weeks means I can stop wearing the compression gear at night. And as the weeks rush by, I feel more able to exercise, which makes me happy too.

From what Dr Aslani, his assistant Jenny and nurse Alvaro told me, you continue to see substantial changes as the months go by. I have repeatedly read on this site too, that abdominal lipo swelling takes months to go down. This makes me very excited - as to be perfectly honest, right now - my waist is tiny, my stomach is very flat and at 5 weeks, I can't for the life of me see any swelling. It excites me to think that in 2 months time, potentially, the results will be even more delicious. It confuses me how that will be possible! I had a big belly, I had large love handles, all gone, and when I'm undressed, there doesn't seem to be any sagging skin, any odd imperfections - I am confused as to how my stomach, waist and back could possibly get any better for me! And yet I am told it's guaranteed it will...

Although I do miss the buttock size that the swelling gave me, deswelling is an inevitability one just has to accept. Dr Aslani told me he put the most fat he could into my buttocks. There is nothing stopping you from have BBL a second time, but I want to dedicate myself to staying trim and pert, so bulking up on fat cells again is just not going to happen. I'm happy. Sure, I won't lie, in my mind I had envisioned a more dramatic outcome - but again, with such fantastical results being on the cards, it's hard for the human brain to pin-point exactly how 'fantastical' the results will actually be. I mean, how do you measure and contain a 'fantasy'? Haha, I'm getting a bit philosophical now.

My buttocks are certainly a lot more round and wide, and full than before. I suspect there might be some body-dysmorphia at play too... I will explain:

Before the operation, I would say to myself 'I wish each buttock was a handful'. And I would reach around and place my hand over a cheek. My hand fit around the cheek. Now 5 weeks on, I see there is some deswelling, and I feel a bit sad and deflated (nice pun there!) and so, ungrateful little fool I am, I caught myself yesterday saying 'I wish each buttock was a handful' and I reached round, and cupped a buttock. My butt cheek easily filled my hand, with some cheek left over...
So it's UNDENIABLE my butt is bigger. It's my theory, that if it's something you have given a lot of thought and a lot of your 'fantasy' to... Your sense of perspective will be slightly skewed. The reality is, my butt is a lot bigger now - but sadly, I can't see "a lot bigger" but I know it's happened! The reality of the dozens of pairs of trousers I've had to give away to Cancer Research tell me that my butt is bigger! I suppose my biggest gripe is, the projection is not wildy different than what I had before, and although my figure looks CRAZY naked, in trousers, doesn't stick out in the way I had hoped it would - my critisism of BBL surgery, one which I've seen a few times on this site - the upper fullness to the buttocks are hugely different than before. That 'shelf look'. I suppose we have to be realistic about the nature of fat, where and how it wants to sit on your frame. They aren't implants after all. I will try over the next year to increase the size of the glute muscle under the fat, and again, there is a chance my lower back and waist may look smaller in a couple of months. Am I still happy? YES. Was it worth the money? YES. Is it life changing? YES.

My final thought - a note for guys having BBL -
We want to keep a certain level of body fat, to keep the butt plump after BBL, you paid all that money, you had that fat injected, you don't want to loose it, right? The problem can be, if you don't keep your body fat percentage down to a certain level, you will develop male breast fat. Which I have!
However much I build my chest with weights, the fat is not going to shift, unless my muscle mass gains are incredible and the size of the pectorals overshadow the layer of fat over them (which is unrealistic for me) I will have to trim down. And I will do that begrudgingly, as I really wanted to maintain the size of my ass. 'Spot Reduction' is a MYTH. You can not loose weight in one place without loosing weight everywhere else... So it comforts me somewhat, that even though my ass might shrink, proportionally, it will still be the beautiful shape Dr Aslani created.

Ideally, if a man is going to have a BBL, I feel he should have chest lipo 6 months down the line.
I'm not sure I will be able to to afford this, or perhaps maybe even need this.
So, my plan of action is to gain more muscle on my ass by doing wide-stance barbell squats, continue to build the size of my ass with muscle, so if my weight drops a little to get rid of the man boobs (!) I can compensate this way!

Again - I am loving my shape. And the size of the buttocks and the flatness of belly aside - my new proportions are what are astounding. Whether I can or loose weight... I have such a lovely over-all proportion.

Ahhhh... So the joys of being a woman... if you have fat on your chest... you enjoy bigger breasts! If a man has fat on his chest, he might as well join a circus. Haha, so on that note - I will go and do some more press-ups. Thank you all for reading and rest assured, I shall post more photos at the 3-month mark.

P.S 4 week update

For those of you who read my long tedious updates ... A correction:
I had meant to say "my critisism of BBL surgery, one which I've seen a few times on this site - the upper fullness to the buttocks are NOT hugely different than before. Sadly not the 'shelf look'. I suppose we have to be realistic about the nature of fat, where and how it wants to sit on your frame. They aren't implants after all."

I should learn to proof-read before I post!

Provider Review

Plastic Surgeon
Edif. Panorama, Marbella, Málaga
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Overall rating
Doctor's bedside manner
Answered my questions
After care follow-up
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Phone or email responsiveness
Staff professionalism & courtesy
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Sadly, the results just aren't there. Wasted money, and worst of all, wasted fat reserves. If you are considering this clinic because like me you are in Europe and do not have the courage to travel across the Atlantic, please find the courage and don't waste your money. A lovely doctor, and a lovely team but I would class what I had in Spain as glorified body-sculpting, NOT a Brazilian Butt Lift in the sense that we have all researched and what we understand 'BBL' to be. I'm not the first to criticise Dr. Aslani's conservative style, and although I was given legitimate reasons as to why I couldn't have more fat put into my buttocks (tight skin) and offered a very generous deal on a second round (wonderful man), however I can't defend the clinic anymore with 'rose-tinted glasses' and continue to lead people on with my over-enthusiastic review. I can't ignore the amount of fellow Cirumed patients on RealSelf that have shared their pathetic results. It wasn't just 'me' after all. Small amounts of fat transpanted and flacid results. Whether it's the surgeon's lack of skill, or perhaps European law doesn't allow the amounts of fat you can inject across the Atlantic, something is not 'right' with this clinic and the RealSelf results do not match their websites results. I can't continue to pretend and be an advertisement for something I do not have faith in. Here I am more than a year later, and when the little swelling I had finally went down, I realised I had lost my valuable virgin fat reserves and that my buttocks were the same exact size as before, sadly my bank balance wasn't.