Great question! There is a lot of conflicting information online, indeed, and good Brazilian Butt lift results really are highly dependent on the surgical techniques employed during harvesting, processing, and reinjecting of the patient's fat. While this is a somewhat over-simplified short explanation, here are the basic surgical techniques I have employed for the last 15+ years with fantastic results: For harvesting, I use suction assisted tumescent liposuction using slender, 3mm cannulas with 1mm holes. The small cannula holes allow me to collect only the smallest fat particles, which make the best fat grafts. This step also contours the waist and hips, adding to the final results. The harvested fat is then carefully processed and purified by decanting and centrifugation. Only a fraction of the donor fat removed will actually qualify for re-injection. The purified fat is transferred to the buttocks by injecting small amounts (micro fat injections) into different areas and at various depths in the subcutaneous region, again, using very specific cannulas. Correct injection methods are essential to achieving smooth, uniform, natural looking results. Fat grafting is a highly technique-dependent procedure, and some surgeons are having more success than others. You can successfully research and compare! (See the web reference for 6 questions you can ask plastic surgeons during BBL consultations.) Best wishes!