Fat Injections in Lower Buttocks to Round out Brazilian Butt Lift Results?

I had a brazilian butt lift (fat injections to my butt) about 2 1/2 mos ago. Most of the fat was injected in the upper region of my butt cheeks. My waist and lower back were lipo'ed as well so there is improvement in projection but it slopes down in the lower third region.

Can more fat at a touch up or addtional procedure be injected directly in the middle and lower regions to get a more rounded bubble butt look without sagginess devloping? I had about 360ccs in each cheek. I am 5'9 and weighed in at 161lbs the day of my surgery.

Doctor Answers 10

Fat injections in lower buttocks can be done

Yes. Most definitely. You can have additional fat injected into your buttocks. I have had a couple of patients who were so happy with their results that they came back a year or two later and had it done a second time to get an even larger, more dramatic enhancement.

The timing of when is best to have it repeated is a great question.
If you think you might be happy with the size of your buttocks in general if the top area wasn't so prominent, then you should probably wait at least 6 months, as this area will definitely decrease in size for about the first 3 months, then the remaining fat will likely settle down, or (I hate to use this word) "droop" within your buttocks, causing less fullness up high and more fullness slightly lower. This can take 6 months to a year. Again, I'm not saying that your buttocks is going to droop, just the fullness will likely a little lower in a year.

If you are hoping to be even larger all over, having this procedure repeated earlier would likely provide an even Greater percentage of the fat to survive due to the increased vascularity during the first few months after your first surgery. There really in no "Correct" time to have this repeated if that's what you are looking for.

Baltimore Plastic Surgeon
4.9 out of 5 stars 114 reviews

Repeat fat injections buttocks

You can always have more fat injected as long as you have an area to take fat. It is always a little more difficult to take fat from the same areas again. Also I would want you to wait longer after the first surgery before doing more treatments(6 months). I would talk to your surgeon and be very specific about where you want the fat injected.

William Alan Dulin, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 13 reviews

Brazilian Butt Lift results can be improved through repeat grafting if desired

Hi there-

As long as you have remaining areas of donor fat available, there should be no reason you cannot have more fat grafted to perfect the outcome.

I would visit with your Board Certified Plastic Surgeon for a consultation and review of your options.

Armando Soto, MD, FACS
Orlando Plastic Surgeon
4.8 out of 5 stars 160 reviews

Touch up Brazilian Butt Lift

You probably still have some areas of fat to harvest.

That fat can be injected into the areas of the buttock that you desire.

Computer immaging before the procedure will make you and your surgeon undestand where exactly you want the fat.

Samir Shureih, MD
Baltimore Plastic Surgeon
4.2 out of 5 stars 7 reviews

Fat Injections To The Lower Buttocks?

Thank you for your question! You can absolutely add more fat to your lower buttocks, there is no limit as to how many BBLS you can have.  Best of luck!

Dr Dhaval Patel
Double Board Certified
Plastic Surgeon
Hoffman Estates
Oak Brook

Dhaval M. Patel, MD
Hoffman Estates Plastic Surgeon
4.8 out of 5 stars 93 reviews

You may want to wait 3-6 months before a secondary procedure...

It’s not unusual for Brazilian butt lift patients to request additional fat injections following their original procedure.The vast majority of these patients are happy with their results but want even more rounding and projection of the buttocks.
When this situation arises additional fat grafting can be undertaken as long as sufficient donor sites are present.We generally recommend waiting 3 to 6 months before proceeding with secondary procedures.At this point, the surviving fat cells have re-established blood supply and the soft tissue swelling has usually resolved.Under these circumstances aesthetic judgements can be made more effectively.
If you’re considering secondary fat grafting it’s important to consult your plastic surgeon.Your plastic surgeon should be able to determine whether or not this represents a viable option for you.

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
4.9 out of 5 stars 194 reviews

Fat graft touch up procedures are common

For any region of the body, face, breasts, buttocks- fat grafting procedures are often enhanced by additional 'touch up' injections to improve contour and volume. 

Scott C. Sattler, MD, FACS
Seattle Plastic Surgeon
4.8 out of 5 stars 65 reviews

Fine tuning with fat grafting to butt works very well

Thank you for the great question. In our practice, we have seen many patients that have received implants, liposuction or fat grafting in other clinics and would like additional reshaping performed. If the patient has sufficient fat, they are excellent candidates for fat harvesting and further fat grafting. This works extremely well. In these patients, we find it very useful to take their photographs and with our software, morph their photographs so that they can get an understanding of what it could look like after their surgery. Using these software, also allows us to help strategically plan their surgery.

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

Pat Pazmino, MD, FACS
Miami Plastic Surgeon
4.7 out of 5 stars 108 reviews

Braziilan Butt lift touch-up

Touch-ups to fat injections to the buttocks certainly is possible.   Of course it depends upon the availability of donor sites.  I do not see it as a problem.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Buttock Fat Grafting Revision

This is a good question. Occasionally patients will need a second session of fat transfer to achieve the results that they desire. Unlike an implant, there is a set limit to the amount of fat that can be placed in the in buttock or breast at any one time.

As long as you have more fat that can be liposuctioned and used for the fat transfer your buttock can be improved. Many patients receive upwards of 800cc per cheek for their augmentation so it is not unreasonable to transfer fat a second time to your buttock.

When considering this procedure it is very important that you have your procedure performed by a board certified plastic surgeon. You also want a surgeon that performs this procedure frequently as they can give you a realistic idea of what to expect and help you achieve the results that you desire.

Good Luck!

Johnny Franco, MD, FACS
Austin Plastic Surgeon
4.9 out of 5 stars 123 reviews

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.