Hi Shannon40 in Riceville, Thank you for your question regarding whether, after a lower body lift with an autologous hip and butt flap, it is possible to get a Brazilian butt lift or fat transfer later. The answer is "maybe". A successful BBL procedure requires three key steps. Each step is critical to the success of the BBL. 1) A BBL requires harvesting fat. If you do not have fat, a BBL will not be successful. Some patients have to gain weight for a successful BBL. The site where fat is liposuctioned or harvested is called the donor site. 2) The next step to a successful BBL is the harvesting of fat. If your plastic surgeon harvests your fat poorly, your BBL will be unsuccessful. Your fat should be harvested gently, strained of any impurities, and washed with antibiotics. Some plastic surgeons add PRP to maximize the establishment of blood circulation to the grafted fat. 3) A successful BBL also requires that the harvested fat be gently placed in the correct anatomic position. The new home of the grafted fat will be in the fatty layer of the buttock, not the muscle of the buttock. Injecting fat into the buttock muscles has been associated with increased chances of fat clots and blood clots that can prove fatal. The site where the fat is grafted is called the recipient site. If the recipient site is traumatized by prior surgeries, the grafted fat may not survive. Also, if the skin covering your buttock is tight or your buttock is small, it may be difficult to inject fat. The transferred fat may die due to pressure. However, in general, fat can be successfully transferred to an autologous hip and butt flap four to six months after the precedure. Your successful BBL will depend on how much fat you have and how much scar tissue you have in your buttocks. I hope that I have answered your question regarding whether, after a lower body lift with an autologous hip and butt flap, it is possible to get a Brazilian butt lift or fat transfer later. Sincerely, Dr. J. Timothy Katzen, PLastic Surgeon