I Have No Fat for Me to Do Brazilian Butt Lift What Other Options Do I Have?

How can I get body to be like this?

Doctor Answers 6

Buttock lift without fat

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A consultation would be best to discuss options for you.  Surgery may be possible if you put on weight prior to fat grafting, or an implant may be another surgical consideration.  If neither of these are appealing options, then I would consider Sculptra for buttock augmentation.  You can build collagen to help fill and lift the buttock with the use of Sculptra.  I would take several sessions and you will see a gradual lift and volumizing of the buttock tissues.

Options for a Butt Enhancement ...

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Without having photos it is very difficult to advise you whether you are a candidate for a Brazilian butt lift or not. There is another effective option for butt enhancement which is a buttock implant made of silicone.  The Implant will be inserted sub-muscularly to create a natural, enhanced look.  The best thing to do would be to consult with a board certified plastic surgeon to find out whether or not you are a candidate for a Brazilian Butt Lift.

Not Enough Fat for the Brazilian Butt Lift?

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Unfortunately, without a picture of your figure, or at minimum your height and weight, there is no way to know what is possible. As far as the Brazilian Butt Lift, there are many different techniques used.  Some
surgeons report fat survival rates of 20-50%.  Other surgeons expect at minimum 70-80-% fat survival.  I have seen some patients of mine who I would estimate have close to 100% fat survival. I have seen these patients in follow up several years after their surgery with little to no change in their size.   
In my experience, the thinner you are, the worse the results are with Butt Implants because you  have less soft tissue to cover them, even when placed in or under the muscle.  Also, when considering the Brazilian Butt Lift, the thinner you are, the less fat there is to transfer.    But!! 
The thinner you are, the more dramatic the results are even with a small amount of fat injection.  Think about it this way.... Adding 300 or 400cc of fat to someone with a big butt (Natural volume of 1500cc) will be a drop in the bucket and you will see little change. 
Adding 300 or 400cc of fat to someone with a small buttocks (natural volume of 500cc) the more dramatic the improvement will be. 

I have also seen many women who think, or who have been told that they don't have enough fat to have the Brazilian Butt Lift, yet, they still have plenty of fat and get beautiful results.

Be sure to consult Board Certified Plastic Surgeons with significant experience with these procedures.

Options for buttock augmentation

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Occasionally I will see a patient that does not have sufficient fat stores to provide enough fat for a brazilian buttock augmentation.  However, these patients may gain weight and this fat can be harvested.  However, before you go on an eating binge, I suggest you see a board certified plastic surgeon familiar with this type of surgery for a consultation as this is the best way to determine the procedure that may help you reach your goals.

Buttock Augmentation Options

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Currently the only two safe and effective methods for Buttock Augmentation are Autologous Fat Transfer (transfer of your own fat to the buttocks) and Buttock Implants (semi-solid soft silicone rubber implants).  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.  Thus buttock implants become a very good, safe, and long term reliable option for most patients seeking buttock augmentation (at least in my practice).  The 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 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.  Best of luck...RAS

Ryan A. Stanton, MD
Beverly Hills Plastic Surgeon
4.8 out of 5 stars 127 reviews


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Depending on your body and expectations there are several options.  From what you are saying it is very likely that the best option for you will be subfascially placed cohesive silicone implants.  You may also be a candidate for fat transfer.  A large amount of fat can usually be harvested from the circumferential thighs, even on thin people.  The best thing to do would be to come in for a consultation and have your body type and expectations reviewed by a plastic surgeon.  I use a waterjet system for harvesting that is very effective in even skinny models that I treat.  I hope this helps!


All the best,


Rian A. Maercks M.D.

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.