BBL with Hyacorp filler - should I find a provider that offers ultrasounds?

I have unfortunately had many patients come to me after having their high hopes for buttock/hip augmentation crushed by measly results from "fillers" such as Sculptra, Radiesse, Renuva and Juvederm/hyaluronic acid fillers, etc. Other than the fact that these are not FDA approved for buttock/hip injections, here are some critical points of awareness: 1) they all are temporary, lasting 6 months - 2 years at very most, 2) if done correctly dermal fillers are cost prohibitive for 99% of potential buttock/hip augmentation patients. In order to create a significant/noticeable result with a dermal filler, at least 200 mls of active product (not just “total ccs of fluid injected” of which often contains mostly saline) must be injected into each buttock cheek for a total of 400 mls. In the USA, at $800+ per ml of active ingredient, this equates to a minimum price of $320,000.00. Thus if your doctor is recommending to put in ONLY 20 or 40 mls of these fillers, you will pay $16,000-$32,000 and get an insignificant, minuscule result! (eg. like a “drop in the ocean” effect), 3) Do not let anybody tell you that the product is so special that it's going to magically grow over the following months or years...this just does not happen to any noticeable degree!, 4) dermal fillers, when injected in large quantities, have a relatively high infection rate, guaranteed tendency to migrate away from the original area they were injected into, and almost always stimulate a lot of inflammation with a subsequent and disastrous amount of scar tissue/hardening, and 5) the one very serious complication that can rarely ( less than 1%) happen is "embolism" in which some of the filler gets into the blood stream and travels up into the lungs, heart, and/or brain causing serious problems, including death. .

The only relatively safe, reliable, and permanent option for buttock and hip dip augmentation is with implants.

Hope this all helps you make a better informed decision and saves you a lot of your otherwise hard earned money.

Hi there,

I really appreciate how careful and thoughtful you’re being with your research — that’s one of the most important steps when considering any injectable procedure, especially something like a liquid BBL.

When it comes to safety, the use of ultrasound guidance is a major advantage. It allows the injector to visualize exactly where the filler is being placed, minimizing the risk of complications such as intravascular injection. Between a provider who performs the procedure with ultrasound versus one who does not, it’s much safer to choose someone who routinely uses ultrasound guidance and is well-trained in the technique.

Experience and expertise are just as essential — ideally, your injector should have specific training and experience in gluteal filler injections, as the anatomy in that area is complex. Whether it’s a dermatologist, plastic surgeon, or advanced nurse, the key is that they combine technical skill, anatomical knowledge, and ultrasound precision.

Your cautious approach is absolutely the right one — it shows that you’re prioritizing both safety and long-term aesthetic outcomes.