Brazilian Butt Lift Vs Implants?

Hello, I am 5'2 , 23years, 48Kg. I have a butt augmentation scheduled for September 9th, though I would like to get a second opinion as to which option will be best for me. I do not have a preference as to which procedure it is, but would like to get as close as possible to the results I wish for. Also I am looking for something that is long term. Thank you so much for your time.

Doctor Answers 10

Right option depends on physical assessment of your concern

Buttock augmentation is a procedure that enhances the size/shape of your buttocks by an implant or substance, but it does not specify what type of implant or substance is used. It can be your own fat, silicone, or by injections of some type of material (however most of these materials available at the moment require further research to prove their safety and effectiveness).

A Brazilian Butt Lift is a procedure that uses your fat to enhance your buttocks. The fat is taken from somewhere else on your body (such as the hips, stomach and thighs) then placed into your buttocks. As a result, you'll experience not just an enhancement of your buttocks, but also a leaner contour in the area from which the fat was taken.

If you have enough fat to shape and form your buttocks desirably, then a Brazilian Butt Lift is what you should look into. However, please talk to a plastic surgeon to make sure the procedure can achieve the results you want. Good luck!

Toronto Plastic Surgeon
5.0 out of 5 stars 179 reviews

Brazilian Butt Lift vs Implants?

Basically both Brazilian Butt lift and implants are methods of giving volume to the buttocks.

With the Brazilian Butt lift usually involves liposuction of the portion on top of the buttocks where it creates a nice concavity and nice thin waistline and the fat injected to the buttocks.  Maybe then the volume change in the buttocks is not that dramatic, but with the change in the upper portion of the buttocks and liposuction usually gives a nice change and there is no foreign body.                                                                             With the implant, we have to place a foreign body in the buttocks and usually in many cases increases the chance of developing complications.  For that reason, most plastic surgeons prefer not to perform the buttock implant procedure, but there are certain plastic surgeons, they have great deal of experience with this procedure, and they do perform this procedure safely.  It is important if one is considering implant, should find a surgeon who routinely does buttock implants.

S. Ozan Sozer, MD
El Paso Plastic Surgeon
4.9 out of 5 stars 195 reviews

Buttock augmentation

In order for you to be a good candidate for a BBL, you need enough excess fat elsewhere for transfer.  Remember, he BBL procedure involves harvest fat from areas of your body where there is excess fat and injecting that fat carefully into the central zone of your buttock. In addition, it involves liposculpting the buttock to facilitate a more rounded look. The common donor sites for this procedure is your posterior waist/flanks, lateral thighs, back, waist, and anterior tummy.   If you don't have enough excess fat in other areas, you may need to opt for gluteal augmentation with an implant. Please visit with a board certified plastic surgeon to learn more about your options.

C. Bob Basu, MD, FACS
Houston Plastic Surgeon
4.7 out of 5 stars 211 reviews

Implants are your only option

Thank you for your photos.  You have very little fat for transfer.  Your best option to get close to your results would be to have implants placed. Best wishes.

Dr. ES

Buttock augmentation

Based on your current weight/height, you are likely a candidate only for a gluteal implant right now. Should you choose to gain some weight prior to your procedure, you may then become a candidate for a fat transfer buttock augmentation (Brazilian buttock lift). Gluteal implants are indicated in thin patients, however, can sometimes look unnatural. Please discuss your options in detail with your plastic surgeon prior to your September surgery date.

Best wishes,


William Bruno, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 377 reviews

Brazilian Butt Lift Vs Implants?

Dear Taya,

thank you for your photos and question.  With the photo you gave for the goal, you would need much more fat than you have to transfer.  Gaining fat, in my opinion is not a good option, because you will gain fat in areas that you do not want, and then when you drop weight to get, say your arms, leaner, you will lose the fat in the butt that was transferred as well.  In your case, an implant will be best.  You could do a little liposuction in the mid section as well if you like, but you will not harvest nearly enough fat for a meaningful augmentation.

Best wishes,

Pablo Prichard, MD

Pablo Prichard, MD
Phoenix Plastic Surgeon
5.0 out of 5 stars 48 reviews

Buttock Enhancement

Buttock enhancement can be either by fat transfer, The Brazilian Buttock Lift, or by using implants. Both approaches are very successful. Based on the pictures posted there is not enough fat to transfer for a good buttock enhancement. Therefore the only viable option for you would be buttock implants. Choosing the right surgeon and the right size implant and proper placement of the implant is of paramount importance for the success of the surgery.

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

BBL versus Buttock Implants

Well based on your photos, hopefully you are scheduled for buttock implants because you do not have near enough fat for the Brazilian butt lift technique.  

Allow me to share with you some information that you may not hear elsewhere. There are only two proven safe and relatively effective methods for Buttock Augmentation and Hip Augmentation: 1) Autologous Fat Transfer (using your own fat, transferring from one area of the body to the other) and 2) Buttock/Hip Implants (semi-solid silicone rubber implants that cannot rupture &/or leak). Both are very good options so what it comes down to, like any surgery, is proper patient selection. Indeed because at least 50+ % of the fat transferred will melt away within a year, most patients are not good candidates because they lack an adequate amount of fat to harvest. Another tip is that if you gain weight for the procedure, the fat that you lose first when you go back down to your baseline weight after surgery is in fact that fat that you originally gained and transferred into your don't fall victim to this recommendation.  Although using your own fat is relatively safe, the one serious complication that can rarely (< 1%) happen is "fat embolism" in which some of the fat gets into the blood stream and travels up into the lungs, heart, and/or brain causing serious problems. This complication is more likely to happen with the larger amount of fat being transferred. This can also happen when using fillers like PMMA and hyaluronic acids. Also fillers, when injected in large quantities, have a relatively high tendency to migrate away from the original area they were placed and tend to stimulate a lot of inflammation and subsequent scar tissue/hardening.

Thus buttock/hip implants become a very good, safe, and long term reliable option for most patients seeking buttock augmentation (at least in my practice). I prefer to insert the buttock implants through a single 2 ½ inch long incision over the tailbone (concealed within the crevice between the buttock cheeks) and the hip implants through a ~ 1 inch incision just below the beltline above the hip region. The buttock implant should always be placed under or within the gluteus maximus muscle. In this position, the implant is less palpable, less visible, and does not sag or shift/migrate over time unlike implants placed on top of the muscle. Therefore it is extremely important to seek consultation with a board certified plastic surgeon who specializes in this procedure. And in this case too, at least in my surgical practice, the infection rate is minimized to ~5%. Glad to help… 

Ryan Stanton, MD
Beverly Hills Plastic Surgeon
4.8 out of 5 stars 118 reviews

Brazilian Butt Lift vs Implants

Brazilian butt lift (fat transfer to the buttock) is the best procedure to enhance your buttock 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. This is an amazing procedure because it allows your surgeon to tailor your results to your individual needs and desires!

In your particular situation you are a perfect candidate for a Brazilian butt lift as it will shape your waist and enhance your buttock. The implants will not improve your waist.

The amount of fat needed depends on the shape and needs of each individual patient, however in general at least 500cc per buttock need to be placed to see a significant difference. On average patients typically receive around 800cc per buttock side for a total of 1600cc of fat transfer. However just like a breast augmentation the amount of fat needed various from patient to patients. Also the sculpting done with the liposuction is a big part of the procedure to improve the overall shape.

If a patient has a BMI of 22 they typically will have enough fat for the Brazilian butt lift. If they are smaller than this then they will need to consider doing an augmentation with implants.

Some patients have both the fat transfer and implants as this helps improve the overall shape and give them more augmentation than would be possible with either procedure alone.

It is important that you discuss your buttock augmentation options with a board certified plastic surgeon.

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

Go for the implants

Thank you for the photos. With the expectations about enlargement and stability that you are looking for, I'd say you'll do better with butt implants. But you should consult a board certified plastic surgeon for a through consultation, to better define the pros and cons of each procedure with you, to assist you in making the best decision.

Good luck!

Rafael E. Estevez Hernandez, MD
Dominican Republic Plastic Surgeon
4.9 out of 5 stars 37 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.