What are the different possible Brazilian Butt Lift techniques? Which is best out of all?

Several doctors say the results of a BBL depend on the doctors technique. However, those of us in the community, who are not plastic surgeons, may not be familiar with the different possible BBL techniques and may not know which techniques we should look for in a doctor. What techniques are best for handling the fat so that more fat stays in the buttock and does not re-absorb as much? Also, what qualifies one technique as being better than another technique? Is this a general consensus amongdocs

Doctor Answers 5

BBL techniques

Thank you for your question. There are three ways to enhance the buttock region: -Buttock implants.-Fat grafting.-Flaps. The “Brazilian Butt Lift” is merely fat grafting. The flaps may be used during a buttock lift procedure. The difference between these procedures will be the extent of scaring. If you have poor skin quality and a droopy buttock, then a buttock lift may be needed. Some patients may desire more fullness over the buttock area and in this particular case, we could transfer the removed fat to the buttock. During fat transfers, the fat is placed deeply in the muscle in several different layers to create a smooth augmentation without irregularities. Sometimes, the doctor performs liposuction in order to further enhance the shape of the buttocks. The use of fat grafting has revolutionized Buttock enhancement. It is simpler to perform, with a usual operative time of 1.5 hours. It has minimal pain and discomfort postoperatively, and requires minimal recuperation. The fat is injected through two very small incisions and is carefully layered through tunnels throughout the buttocks. In 30 to 35% of the patients a repeat fat grafting is necessary because of significant absorption of fat. However, it is unlikely that further fat grafting beyond the second treatment will be necessary. An important consideration for buttock fat grafting is the availability of extra fat in different parts of the body. While fat is usually in abundance, there are patients in whom there is no extra fat available. After performing the same procedure on the other buttock, the doctor makes sure the buttocks are symmetrical and natural looking. Best of luck!
Dhaval M. Patel 
Double board certified
Plastic surgeon
Hoffman Estates 

Hoffman Estates Plastic Surgeon
4.8 out of 5 stars 93 reviews

What are the different possible Brazilian Butt Lift techniques? Which is best out of all?

Hi and thanks for your question. Don't be confused a BBL simply implies the transfer of fat from one area of the body to the buttock region. Whether the surgeon chooses to use very samll cannulas and small amounts transferred at the time is not as important. All surgeons will utilize different techniques to obatin the fat and subsequently transfer.

The key is............ does the surgeon have a keen sense of aesthetics? Can he/she create a shapely, attractive buttock or are they just technicians that wind up with large unshapely behinds? The same holds true for the liposuction portion of the procedure. Understand that liposuction whether SAL, PAL or UAL ( not including LAL because the fat obtained through this technique will not be useful) is not that technically challenging. However, the keen aesthetic eye will determine the eventual work of art.

Always seek out the opinion of a surgeon certified by the American Board of Plastic Surgery with years of experience in liposuction and fat transfers. Furthermore request to see before and after photos of previous patients by that doctor....not a clinic or surgery center. Do your homework......research and verify the doctor's credentials. Have they had problems with the Board of Medicine, disciplinary or otherwise. Any law suits?

How about the center, clinic or facility? Are they accredited by a national organization or do they just have State approval. Understand that at the current time, there are three nationally recognized organizations responsible for the highest levels of patient safety, AAAASF, AAACH and JCHO. You owe it to yourself to position yourself for the best possible results but under the most stringent safety regulations, If you have kids, even more so.

How about anesthesia? Will you have a medical doctor certified by the American Board of Anesthesiology or a certified nurse anesthetist (CRNA)? Understand that there is no substitute for research. Cosmetic surgery, no matter how simple it may be to the patients, are invasive procedures and as such carry certain risks and complications.

In our office we use TouchMD which is a web based program in which patients have the ability to load their picture unto the program. We accomodate patinets from as far away as California. I then evaluate them and can actually draw on the picture to show a potential patient where the incisions would be located and how the procedure is to be realized. It's all done to comply with HIPPA which is the federal law that protects the patient's medical information. Look them up.

Give yourself the highest percentage of a sucssesful operation. Good luck

Jose Perez-Gurri, MD, FACS
Miami Plastic Surgeon
4.9 out of 5 stars 233 reviews

BBL techniques

Overall BBL is the same technique if using the patients own fat for the augmentation. You liposuction and sculpt the area around the buttock to make it less spread out, which already makes the buttock seem fuller, and then inject the fat with narrow cannulas at different levels and in different planes so that the fat transferred gets blood supply and lives.

Look on line, do reviews, maybe see a few surgeons before you make your decision. Good luck.

Rick Rosen, MD
Norwalk Plastic Surgeon
5.0 out of 5 stars 22 reviews

BBL techniques

No two surgeons really operate the same way. Everyone modifies techniques for their comfort and from their experience. Best to find a surgeon that you like and has good results.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

What are the different possible Brazilian Butt Lift techniques? Which is best out of all?

     Although there are certainly technical aspects to the surgery, this is difficult to evaluate as a patient.  I would look for a surgeon with many before and after pictures that you like and who has great reviews with pictures that you like.  There will not be a consensus among plastic surgeons on what may be best, because the results for the procedure are so variable. 

Kenneth Hughes, MD

Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 496 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.