Brazilian Butt Lift Risks?

What are the risks of Brazilian butt lift? Are side effects common?

Doctor Answers 11

What are the risks of a Brazilian butt lift surgery

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Brazilian butt lift is a real surgery, and carries some inherent risks.  The most common risks include bruising, swelling, pain.  Other possible risks include contour irregularity, asymmetry, infection, loss of fat.  More rare risks include blood clot, embolism, and death.  It is important to make sure that you find a surgeon that is very experienced in this surgery.

Beverly Hills Plastic Surgeon
4.8 out of 5 stars 183 reviews

Risks of a Brazilian Butt Lift

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Like all surgeries, a Brazilian Butt lift has risks and possible complications. These include swelling, pain, bruising, unevenness, asymmetry, and the possible need for a revision surgery. For the best results be sure to spend a great deal of time planning the surgery with your surgeon. In our practice, we find it very helpful to use digital software that'll help transform the patient photographs so that they can get an idea of what they may look like after surgery. This software is an important educational tool so that the patient and surgeon both understand the patient's goals and what is realistically possible.

For more information on Brazilian butt lifts or butt augmentation, please schedule an iConsult or visit us online at the link below.

Risks of Brazilian Buttock Buttock Lift

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Risks can occur regardless of surgeon or technique. These include but are not limited to:

  • infection
  • hematoma
  • discomfort
  • asymmetry
  • undesirable effect on an associated muscles
  • overcorrection
  • under correction
  • pain
  • prolonged swelling
  • dimpling
  • fat necrosis
  • fibrosis
  • abscess formation
  • adverse medication reaction
  • allergic reaction
  • need for additional "touch up" injections
  • palpability
  • visibility
  • distortion with muscular contraction
  • need for secondary revisions
  • inability to guarantee a specific cosmetic result

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

Brazilian butt lift risks

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Generally speaking a Brazilian butt lift is a very safe procedure. The complications are not volume related. The most common complications are swelling and bruising which resolve over the first month. Also, you can expect to lose 30 to 50% of the fat injected. 

If the fat is not correctly injected some of it can die and you may feel lumps, this is called fatty necrosis. Fluid collections or seromas can occur if there is too much undermining. These complications depend on the surgeon's technique and can be completely avoided. 

The most dreaded complication is a fat embolism which occurs in less than .1% of the cases. This convocation can be completely avoided by your surgeon by not injecting into the muscle layer and using a large blunt cannula. #StayBeautiful @RealDrWorldWide

Brazilian Butt Lift Risks

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Thank you for your question. 

Buttock Enhancement Risks/Complications/Patient Safety

  • Bleeding
  • Infection
  • Contour irregularities requiring touch up surgery
  • Seroma formation
  • Not enough take of the grafts requiring repeat surgery

Dhaval M. Patel 

Double Board Certified 

Plastic Surgeon 

Hoffman Estates 




Dhaval M. Patel, MD
Hoffman Estates Plastic Surgeon
4.8 out of 5 stars 100 reviews

BBL Risks

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Any surgical procedure does come along with the potential for complications. When performing elective cosmetic surgery we try to control as many risks as possible to protect our patients, but some things are not under our direct control.  In order to go into a surgery properly prepared the patient needs to understand these risks. At every consult I go through a list of different possibilities, as I will outline below.

·      Bleeding - Excess bleeding at the time of surgery or after surgery can cause life-threatening situations or necessitate additional surgery to stop the bleeding. It also can spoil our results. To prevent excess bleeding we have patients stop any medications that thin the blood (and there are a lot of them) and minimize their activity in the early postoperative period. (i.e.: picking up something heavy post op can increase pressure in a wound and start something bleeding or tear stitches.)

·      Blood clots - Pulmonary emboli – blood clots in the legs that move to the heart or lungs can actually result in death! There are very specific risk factors for blood clots and we go through a check list with patients before surgery….if they have enough risks to be high risk, we have to take extra precautions such as using a short acting blood thinner (Lovenox and Heparin) around the time of surgery. This does increase the risk of bleeding, but can prevent death. We do not use that on everyone, but if the probability is high enough, it is worth the added bleeding risk to keep you healthy. Also, everyone gets compressive stockings or T.E.D. hose for surgery, and we get you up walking (to stimulate the circulation) and prevent clotting.

·      Infection - Infections can happen after any surgery. Bacteria are everywhere – on our skin, our clothes, up our noses and under fingernails. To prevent bacteria from getting into the wrong places we use very careful sterile technique in surgery. We also give everyone antibiotics at the beginning of surgery through the intravenous line, and then antibiotic pills for 24 hour after surgery. There are national recommendations about which antibiotics to use and for how long and we follow those with everyone.


·      Sensation changes - Any area that is operated on will swell and swelling can cause nerves to stop functioning or function poorly. Sometimes nerves even have to be cut in the course of the surgery. This results in numbness, which is usually temporary, but could in some cases remain permanently. Patients just need to be aware of this before surgery because there is no remedy if sensation or nerve function does not come back on its own. (Sometimes this is the price you pay for beauty!)


·      Poor wound healing/scarring - Wounds are closed nicely at the time of surgery, but if the stitches pop, the scar can widen or look bad. Thankfully the incisions for a BBL are very small, but there is still potential for scarring.


·      Contour irregularities - When we move fat from one area to another there is the potential to have some asymmetry either of the fullness or indentation of regions from one side to the other, or of irregularity of the smoothness of an area. We try to remove tissue evenly in the areas we suction, and inject fat in similar volumes from side to side and region to region, but not all of the fat survives. Things like excessive pressure from sitting too long, or lying on one side more than the other can kill fat cells and cause irregularities. Your surgeon will have very specific instructions on activity level, position to sleep in, and compression garments. Follow his/her instructions for the best results!


·      Fat embolism - There is potential for the fat that is injected to get into the blood stream and travel to other organs (lungs, brain, etc.) where it doesn’t belong and cause dire consequences. This is more likely to happen if fat is injected into muscle and very unlikely if it goes into fat. Talk to your surgeon about the technique he/she uses.


I know these sound like nasty/scary issues but if you go into surgery prepared and aware, complications are much less likely to occur or get out of hand.

Brazilian Butt Lift Risks?

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There are risks just like any surgery, infection, bleeding, contour deformities, seromas, etc. Seek a plastic surgeon who performs hundreds of these procedures, has great reviews and photos, and is an expert in this field.

Ron Hazani, MD, FACS
Beverly Hills General Surgeon
4.9 out of 5 stars 317 reviews


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Every surgery has its own related risks and complications. A Brazilian Butt Lift, which is essentially what you are asking about, is related to the following (although the risk of occurrence is rare):

Fluid Accumulation/Seroma
Skin Necrosis
Poor Wound Healing
Wound Dehiscence
Suture Granuloma
Skin Sensation
Skin Irregularities
Deep Vein Thrombosis and Pulmonary Complications
Unfavourable Scarring
Suboptimal Results

Risks of Brazilian buttock augmentation

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The risks of a Brazilian buttock lift are similar to the risks of liposuction.  Patients can develop contour irregularities (lumpy bumpy areas) in the areas where they had liposuction (abdomen, lower back) and can also have an irregular contour in the actual buttock.  There is a very small risk of bleeding and infection (the fat that gets transferred into the buttock can become infected).  This is minimized by mixing antibiotics into the fat prior to injection.  With any surgery, there is a risk of a blood clot developing in the lower extremities (DVT), this is quite low, about 1-2%, but is perhaps the most important risk to be aware of regarding any procedure.

Please consult with a board certified plastic surgeon for a more comprehensive explanation of the risks prior to surgery.

Best wishes,

Dr. Bruno

William Bruno, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 410 reviews

Brazilian side effects

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I am happy that you differentiated between risks and side effects. Risks are adverse events that may result from a procedure. Side effects are not necessarily adverse events, but may not always be optimal results. The optimal side effect is a symmetric, well shaped, smooth, enhanced buttocks. Other side effects that are less optimal include asymmetry in shape or size of the buttocks, lumps, bumps, depressions, scarring, loss of the injected fat and of course the discomfort of the surgery. Risks include bleeding, infection, blood clots, hematoma, nerve injury, and even death. Your surgeon should be able to discuss the risks and side effects at length with you. Good luck!

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.