How Safe is Brazilian Butt Lift?

I would like a bigger butt, but don't want the dangerous injections or implants! I have a bit of a pooch in front and figured I can just put that in my rear end. But I want to know,  how safe is Brazilian Butt Lift?

Doctor Answers 15

Safe Butt A

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Brazilian butt lift (fat transfer to the buttock) is the best option in my opinion because it enables your plastic surgeon to transform your entire shape. Liposuction is performed over several areas depending on the individual patient needs, but typically of the flanks, abdomen, back and thighs.

The benefit of the Brazilian butt lift is that it lets your surgeon use your own body tissue to augment your buttock. This avoids the need for any foreign material or implants.

I would recommend that you see a board certified plastic surgeon that performs a significant amount of these procedures so they can help guide you to the surgery that will be best for you.

I hope this helps.

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.

Safe procedure, but here are the complications...

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Although the Brazilian butt lift is generally considered a safe procedure, complications can occasionally occur.The vast majority of complications are related to the liposuction portion of the procedure and can usually be managed with additional liposuction.
Areas of concern include bleeding, infection, anesthesia problems, fat necrosis and decreased sensation.
Complications can be minimized by consulting a board certified plastic surgeon with experience performing this procedure.The procedure is associated with high satisfaction rates and improved quality of life.

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BBL Safety

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The brazilian butt lift is a very safe procedure in the hands of a surgeon who is experienced with this procedure. Just like any other plastic surgery procedure, if you go to someone who is inexperienced, the complication rates might be higher. When a surgeon becomes experienced with a particular procedure, he or she learns the pitfalls and how to avoid them. The use of fat makes infection a very rare complication as long as good surgical technique is practiced. Other complications include but are not limited to bleeding, scarring, asymmetry, irregularities of the skin, fat necrosis (non-viable fat), and seroma (accumulation of fluid). The surgeon should review all of the complications with you during your consultation. Please call a board-certified plastic surgeon for a consultation. 

Moises Salama, MD
Miami Plastic Surgeon
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Brazilian Butt Lift Safe?

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Everyone wants a high, round, full, and sexy behind. However, because of age, genetics, pregnancy, weight loss, or weight gain, many women and men are left with a flat, square, or saggy derrière. The important part is to go about it the safe way. In order to acheive the best results you should consult with a board certified plastic surgeon who is an expert at this particular procedure and you will be extrememely happy with the post operative results!

Jaime Perez, MD
Tampa Plastic Surgeon
4.8 out of 5 stars 81 reviews

Brazilian Butt Lift

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The Brazilian Butt Lift. is generally safe. However, patient selection and thorough understamdomg of the patient;'s objectives.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 56 reviews

Safety of Brazilian Butt Lift

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A brazilian butt lift involves fat inijection and liposuction and the risks are the same for a patient considering liposuction alone. There are risks of anesthesia or very rarely infection. Generally, a brazilian butt lift is routinely performed safely with no complications. The anesthetic risk is extremely small in a healthy patient.

Ankit Desai, MD
Jacksonville Plastic Surgeon

Safety of Brazilian Butt Lift surgery

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Any and all surgical procedures carry a certain amount of risk. The patient undergoing elective surgery must be completely healthy. We require a complete history and examination by your Family Physician and complete blood work prio to surgery to make sure you are at low risk. The facility where surgery is performed must be certified. Our facility is fully certified by AAAASF.

  • The surgeon should be Board certified PS.
  • Your anesthesia provider should be an MD anesthesiologist Board certified. Our anesthesiologist is an MD boarded in Anesthesia.
  • Nurse anesthesist need supervision by the operating Physician.
  • Inspite of all precautions all surgeries carry a certain risk, including death. You weigh the pros and cons and decide if surgery is for you.

Samir Shureih, MD
Baltimore Plastic Surgeon

Safety of Brazilian Butt Lift

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This procedure, like any, has risks that your doctor will discuss with you. However, this procedure is considered a lower risk procedure and is a very well tolerated. The most important aspect is that the fat is injected in small amounts, evenly distributed, and that a smooth contour is obtained.

Dean Fardo, MD
Atlanta Plastic Surgeon
4.7 out of 5 stars 15 reviews

Is Brazilian Butt Lifting Safe?

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Hi there-

For healthy patients, the Brazilian Butt Lift procedure is very low risk- meaning that the most common problems are very minor in nature and usually take care of themselves over time, like swelling and bruising. The vast majority of patients enjoy a very smooth and predictable recovery period, and this procedure has one of the highest levels of patient satisfaction of anything I do.

Having said that, the full list of complications would include (but not necessarily be limited to): bleeding, infection, unfavorable scarring, asymmetry, fat necrosis (firm lumps or loss of volume), prolonged pain, adverse affects on the muscles involved, changes or loss of sensation, fat embolism, failure to achieve your desired result, and the possible need for revisions, including at additional expense.

Before undergoing any surgical procedure, it is very important to consider the risks carefully, but also to put them into perspective. You should understand that the probability of an adverse outcome or complication will go up if you are not in good health or are otherwise not a good candidate for the surgery, or if you make poor choices of surgeon, facility, anesthesia provider, etc.

Only an experienced BBL surgeon will be able to help you, as an individual, understand your risks and the probabilities particular to you.

With a little homework and careful planning, healthy patients can be confident that the Brazilian Butt Lift is a safe and effective option for achieving their desired buttock shape and volume.

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.