Where is the Fat Injected During a Brazilian Butt Lift?

The fat that is injected during the Brazilian butt lift is done in multiple layers. There are two main areas where the fat is injected during this procedure. The fat is either injected in the subcutaneous tissue or the muscle. For best results, the fat needs to be injected in multiple passes in the subcutaneous tissue and muscle. Theoretically, the fat that is injected in the gluteous muscle has a better chance of survival because the muscle has a better blood supply improving the take of the fat.


There are also some surgical implications of injecting the fat in the muscle and the subcutaneous tissue. Typically, more projection of the butt is accomplished if the fat is  injected in the subcutaneous tissue but its chance of survival is less because the subcutaneous layer has a lower blood supply. Typically,  I inject fat in both layers and in multiple passes. 

The best place to place the fat (by medical studies) is in the muscle.  Fat is attempted to be placed in the muscle but most of the fat is above the muscle.  This works well.  The potential upside of placement in the muscle is better "take" of the fat.

Dr. ES

Everywhere, that's the answer. The whole revolution in the field of fat grafting started when Sid Coleman realized that fat injected as a bolus into a space didn't survive. He wondered if injecting beads of pearls not a glob would work...it did. I had done fat injections for years before Dr. Coleman gave a talk at Suburban Hospital in 2003. I had had only temporary success. Since then fat transfer has become my # 1 procedure. Consult a local board certified plastic surgeon who has done a ton of these. I layer the fat in every plane and space; muscles, fascias and all connective tissues get a small (but long) cylinder of fat. Success and failure to take is very technique dependent, that's why you must do your homework. A fat survival rate bellow fifty percent is not OK.