Thank you for your question regarding if fat can be transferred to the buttocks during a lower body lift. The traditional position to put fat in the buttock is in the fatty layer of the buttock. This is just underneath the skin and above the muscle. In the past, plastic surgeons injected fat into the buttock muscle. Mainly gluteus Maximus muscle unfortunately by placing fat into the muscle. This can lead to catastrophic and fatal consequences this is why the Brazilian butt lift (BBL) was sometimes touted as the most dangerous plastic surgery procedure. Since the discovery that the positioning of fat in the muscle can be fatal, almost all plastic surgeons have abandoned this practice. Therefore, most plastic surgeons no longer inject fat into the gluteus Maximus muscle. The problem with a lower body lift is where to place the fat. If the fat is placed in the appropriate fatty level, it may be difficult to close the buttock, jeopardizing the blood supply and leading to wound breakdown. Therefore, in my opinion, it is not a good idea to transfer fat. Instead, I would do the lower body lift first, and approximately four to six months later, I would proceed with the fat transfer. If you are staging your procedures, you can get fat from the inner thighs or arms and transfer it to your buttocks.
