What Are the Different Procedures to Perform the BBL and Which One Has the Best Results?

Also, is it best to lose weight prior to the procedure?

Doctor Answers 7

Fat transfer techniques and results

There are many fat grafting and preparation techniques that might have some effect on adipocytes graft survival. In other words, the fat grafting technique does not determine where the fat comes from but the survival of the fat once harvested and transplanted. Some of the factors that have been shown to play a role in fat survival include the harvesting technique and the fat preparation techniques. Some physicians advocate for different types of techniques, pressure setting during the fat removal with liposuction, and preparation techniques. Many of the recommendations are based on logic rather than real science. There is no question that minimizing trauma to the fat will improve its survival.

A study published in 2004, compared three different types of harvesting techniques and several preparation techniques. There are two main ways of removing fat either with syringe liposuction (manually applying pressure with a syringe to harvest the fat) versus routine liposuction with a liposuction machine. It was demonstrated that the fat survival was similar using either techniques to remove the fat. Moreover, minimal preparatory technique meaning not washing the fat with any product to remove the blood, oil, tumescent solution (epinephrine and lidocaine) has a better survival outcome that when the fat is washed with saline or centrifuge (spinning in a machine to remove non fatty tissue) to remove all the “non fat tissue”.

Houston Plastic Surgeon
4.5 out of 5 stars 599 reviews

Brazilian Butt Lift Techniques Vary... so look for Safety and Outcomes

Hi there-

There are many variations in technique among surgeons performing Brazilian Butt Lift surgery, and no strong research exists to indicate that one technical variation may be superior to another.

On the other hand, there is clearly a great deal to suggest that who does your surgery will have a profound effect on how safe the procedure is, and on the outcome you are likely to achieve.

The best way to choose a Brazilian Butt Lift surgeon is to first choose one Certified by The American Board of Plastic Surgery. Next, be sure the surgeon has a lot of experience doing the procedure- as more than most, it is very dependent on the surgeon's technique and skill. Finally, review photos of their work. 

Finally, be sure that your expectation are reasonable and fair... Even though I do a great many of these procedures, and have many happy patients, it is sometimes not possible to achieve the result a patient wants if their goals are not realistic. Keep it real, and you'll be pleased in the right hands.

Armando Soto, MD, FACS
Orlando Plastic Surgeon
4.8 out of 5 stars 159 reviews

Different procedures for BBL

Brazilian Butt Lift (BBL) is done with fat transfer to the buttocks. BUT, this is not enough. The surgeon needs to collect the fat gently from the areas above, below and lateral to the buttocks. You have to think in 3D like a sculptor, by subtracting volume in some areas and fiiling in other areas for the best results. If you loose weight prior to the procedure, it is OK. You are not loosing fat cells, they just get smaller. Similarly, if you put on weight after BBL, your buttocks will increase in size as well. Do not give in to gimmicks about the different procedures; laser lipo, water jet lipo, Vaser lipo, etc. The most important tool is your surgeon with experience in this procedure, who knows how to handle the tissues gently in harvesting, preparation and reinjection into the buttocks.

George Marosan, MD
Bellevue Plastic Surgeon
4.8 out of 5 stars 38 reviews

Brazilian butt lift and different types

The Brazilian butt lift is a liposuction and fat injection. There are different ways that surgeons do their liposuction, harvest their fat, separate the fat and injected the fat. In each surgeon's hands one way may work better than another for that particular surgeon.

It is probably more important that you find a surgeon that you can communicate with. The surgeon that understands what you want, can explain to you well what can be done and can achieve the result that you want.

Short of word-of-mouth referrals from previous patients whom you seen the results andlike the results, looking at the surgeons before-and-after photographs should give you an idea of what results you may have. If you don't like the results you see in the before-and-after photographs you probably won't like your results.

Wendell Perry, MD
Miami Plastic Surgeon
4.8 out of 5 stars 229 reviews

Brazilian butock lift uses your body's own fat

Buttock augmentation by way of fat transfer is one of the most reliable ways to augment the buttocks. The result is a natural looking and feeling buttock because it uses your own fat. Consult with a board certified plastic surgeon before surgery to determine if you have enough fat for the procedure.

This is generally preferred over implants due to the higher complications associated with silicone buttock implants.

William Bruno, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 376 reviews


There are many different techniques that can be used for the Brazilian Butt Lift.  The "Best One" is the one that the surgeon you choose gets the best results with.  Some surgeons can get Great results with any method.  Others may not. 
When "Shopping" for a surgeon, its best to consider what quality results they typically get, not what machine or technique they use.  Why go to a surgeon just because he/she uses what I tell you is the "Best Technique" if his/her results are not good.  You should choose a SURGEON, not a technique!  Let your surgeon choose the technique.  That is why we go through years of training.  

Daniel P. Markmann, MD
Baltimore Plastic Surgeon
4.9 out of 5 stars 114 reviews

Brazilian Butt Lift

The procedure has been standardized. Fat should be harvested very gently, cleaned and injected in a 3 dimential matrix.

Avoid the hype of using fancy equipment and new laser,hydro liposuction,

The most important is the experience of the suregon

Samir Shureih, MD
Baltimore Plastic Surgeon
4.2 out of 5 stars 7 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.