Brazilian Butt Lift Revision w/ Stored Fat?

if you have a bbl and a few months later want you butt bigger can tha doctor store your fat then you can later go get more injected?

Doctor Answers 13

Do not store fat for buttock augmentation

I do not believe that stored fat provides the survivability and longevity of fresh fat cells. It is hard to believe that these fat cells can actually grow and thrive.  They may give more scarring and inflammation effect as an illusion for real augmentation.  This is especially a disadvantage in the buttock when you need such a large volume of fat.

If you want a second injection for more augmentation, all you have to do is gain a bit of weight between surgeries. Most likely the weight gain will go to your buttock first if the surgeon did a good thorough job and resculpted your entire body with liposuction the first time. Any weight and fat cells you grow in size can be used for transfer again if necessary so do not think of this as permanent weight gain.

Good luck. Always use fresh fat.

Beverly Hills Plastic Surgeon
4.0 out of 5 stars 96 reviews

Brazilian Butt Lift using stored frozen fat not best choice

If in fact your fat was removed and stored by protocol by a company specializing in this sophisticated process then yes it it possible, but not practical for the following reasons:

Fat Cells outside the body die over time. This is why Frozen Fat Transfer  is Possible but not in your best interest. First of all it must be done in absolute sterile conditions using a protocol and utilizing a company that specializes in stored fat.
Freezing fat is not a standard procedure and should be viewed as experimental. In short, is not in your best interest. The reason is that as a rule, the longer the fat is outside your body the more of a chance there is of fat cell death, infection from contamination, and less chance of survival. The best chance for maximum fat survival is immediate fat transfer. Even then there is incomplete survival.


Remember there is Zeltiq CoolScultpting which essentially cools fat in your body externally to make fat cells die early. It therefore doesn't make sense that cooling fat will also increase the survival of fat. See a board certified plastic surgeon with experience in this technique

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 119 reviews

Freezing Fat for a Future Fat Transfer

 It is possible to freeze the fat from the initial procedure but the fat must be used within 6 MONTHS from the time it was harvested.

Usha Rajagopal, MD
San Francisco Plastic Surgeon
5.0 out of 5 stars 31 reviews

Brazilian Butt Lift with Stored or Frozen Fat

I do not recommend that you undergo a revision Brazilian Butt Lift with stored or frozen fat.

Fat cell survival rates using fresh fat and the most ideal, atraumatic technique average only about 60-70%.

Freezing fat causes the cell membrane to burst, killing a majority of fat cells, and results in a significantly decreased fat cell survival rate.

Fat grafting or fat transfer (whether to the face, breast, butt, etc...) is very surgeon and technique-dependent. Results, which are greatly affected by the amount of fat cell survival, vary dramatically by surgeon and method of fat harvest, processing, and injection.  

While some surgeons will use stored or frozen fat for later injection, most plastic surgeons experienced with fat transfer and Brazilian Butt Lift surgery use only fresh, carefully processed fat to maximize fat graft survival and results.  Using improperly handled fat can result in increased complications such as fat necrosis (death), fat cysts, palpable lumps, and infection.  An increase in volume after transfer of stored or frozen fat is likely secondary to increased inflammation and scarring rather than actual survival of fat cells.

Jaime Perez, M.D.

Brazilian Butt Lift Specialist

Plastic Surgery Center of Tampa, Florida

Jaime Perez, MD
Tampa Plastic Surgeon
5.0 out of 5 stars 66 reviews

Frozen fat for fat grafting is viable

We freeze fat for future touch-ups for our fat grafting patients - we have re-grafted fat into faces, breasts and body and have noted no significant difference in post-grafting viability and volume. I would say that 'fresh' fat is better than frozen fat for large volume touch ups.

Only use fresh fat for a Brazilian butt lift

The Brazilian butt lift is a safe and effective technique that can improve the contour of your bottom and create a beautiful result. It is a combination of procedures that consists of aggressive liposuction of the abdomen hips and waist and lower back, separation and processing of the fat that has been collected, and strategic grafting to the gluteal area.

In our practice, we have performed this surgery on patients of all shapes and sizes and as a revision surgery as well. Keep in mind that the reason you may not be satisfied with the first result is that a portion of the fat cells transplanted may have melted away. If you are considering undergoing a second surgery, it is essential that you optimize your chances for success. To do this you must use the best quality fat which can only be fresh harvested fat. Your best bet is an honest conversation with your plastic surgeon and inform them of your aesthetic goals. In our practice, if the patient does not have enough fat to achieve their results we discuss with the patient if gaining weight will help them develop the tissue that they need for their surgery. For your best results, be sure that you're working with a board-certified plastic surgeon who is experienced in Brazilian butt lift, fat grafting, and liposuction.

Fat to be used same day of surgery for Brazilian Butt Lift.

We use the fat right away and do not freeze it.  Some surgerons may freeze it but we don't .

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 72 reviews

Brazilian Butt lift with stored fat

Nothing is as good as fresh fat, when it comes to fat transfer. It is possible to store fat, but I would not recommend it for butt augmentation. Clinical and scientific evidence does not support re-injecting fat for butt augmentation. I prefer to obtain all the fat needed and inject at the same time. It is better to do a good job the first time.

Stanley Okoro, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 134 reviews

Frozen Fat = Dead Fat

Using frozen fat will be a total waste of your time and money. When you freeze fat cells, the water in the cells expands and crystallizes, rupturing the cell membrane and killing the cell.
When we do fat grafting, essentially all of the cells we inject are alive and we expect 70-80% to remain alive. So if we injected 1000 cc, about 700-800 should survive. When you freeze fat only about 10% of the fat cells are alive after being thawed. Therefore if you have 1000cc of frozen fat injected only about 100cc of this fat is likely to be alive and if only 70-80% of these cells survive, you will be lucky to have about 70-80cc out of your 1000cc survive. Really not worth it. Not to mention the expected increased complications of injecting that much dead tissue into someone.

Using Refrigerated Stored Fat for Buttock Augmentation

It is one thing to freeze a good steak to thaw and enjoy later and another to store fat in a doctor's freezer and hope it would work as a graft. When we freeze tissues, the water inside the cells freezes and the cells are no longer capable of division and are essentially dead. When thawed and transferred months later into the buttock in large quantities, there is an extremely low likelihood (Medical doublespeak for nil / zip / nada) of graft survival. Besides being ineffective for this application, fat freezing touches upon several other issues. The Federal government regards doctors who freezes fat as operating as a TISSUE BANK. As such, they have to comply with complexregulations. If they choose not to do so, they open themselves to federal penalties to say nothing of litigation from plaintiff lawyers should there be any complications associated with the grafting of the frozen fat. Dr. Peter Aldea

Peter A. Aldea, MD
Memphis Plastic Surgeon
5.0 out of 5 stars 97 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.