Have you heard of the B'More Butt lift? I'm getting a consultation with two different surgeons in the next two weeks. (photo)

Question

I am going in for a TT consultation and inner thigh lipo, but also would like some butt augmentation. I understand with the BBL you have to avoid sitting on your bottom and the recovery is long. Is the B'More Butt Lift a good alternative? I'm wondering if any other doctors perform this type of procedure outside of Baltimore.

Ryan A. Stanton, MD · Answer

Regarding buttock augmentation, let me start off by saying that I currently see at least 1 - 2 patients per week that failed "brazilian buttock lift" (i.e. the fat melted away after 10 - 12 months) and are now seeking a more reliable and permanent option (i.e. buttock implants). Allow me to share with you some information that you may not hear elsewhere. There are only two proven safe and relatively effective methods for Buttock Augmentation and Hip Augmentation: 1) Autologous Fat Transfer (using your own fat, transferring from one area of the body to the other) and 2) Buttock/Hip Implants (semi-solid silicone rubber implants that cannot rupture &/or leak). Both are options but 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. Another tip is that if you purposely gain weight (i.e. fat) for the procedure, the fat you lose first as you get back to your baseline weight is that very same fat that was transferred into your buttock...so don't fall victim to this recommendation.  Although using your own fat is relatively safe, the one serious complication that can rarely (< 1%) happen is "fat embolism" in which some of the fat gets into the blood stream and travels up into the lungs, heart, and/or brain causing serious problems. This complication is more likely to happen with the larger amount of fat being transferred. This is even more likely to happen when using fillers like PMMA and hyaluronic acids. Also fillers, when injected in large quantities, have a relatively high tendency to migrate away from the original area they were placed and tend to stimulate a lot of inflammation and a subsequent disastrous amount of scar tissue/hardening.Thus buttock/hip implants become a very good, safe, and long term reliable option for most patients seeking buttock augmentation (at least in my practice). I prefer to insert the buttock implants through a 1 1/2 inch long incision along the inner curve of each upper buttock cheek at the level of the tailbone, similar to two opposing parentheses ")(" (concealed within the crevice between the buttock cheeks) and the hip implants through a ~ 1 inch incision just below the beltline above the hip region. The buttock 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 or shift/migrate 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 (in fact both implants and fat transfer so that s/he is not bias). And in this case too, at least in my surgical practice, the infection rate is minimized to <2% (much lower than and contrary to popular belief by many other surgeons not experienced in buttock implants).Depending upon the amount of your current fat reserves and their distribution, you may or may not be a reasonable candidate for fat transfer.  If you are wanting to utilize the fat to further augment your buttock in addition to implants, then I caution you against this.  The reason being that the fat needs to be placed into the buttock muscles for optimal survival, however, this is exactly where the implant needs to reside and thus risks infection and/or death of the fat.  Because of this risk, I frequently avoid fat grafting into a buttock that has an implant.  Bottom line, I recommend consulting with a board certified plastic surgeon specialist in buttock augmentation (BOTH implants and fat transfer) to determine what option is best for you.  Glad to help.

Matthew G. Stanwix, MD, FACS · Answer

Thank you for the questions and congratulations on your decision for surgery. You have a great shape of your body that is perfect for a bbl or liposuction only approach. Having trained up at Johns Hopkins and perfecting fat transfer up there prior to coming to Richmond, I know all about the bmore butt lift. It's simply liposuction alone to define the buttock shape. It does not increase volume whatsoever. As an expert in fat transfer, performing it numerous times each day, I always discuss this option as well as all variations of fat transfer to butt (BBL). You are already having lipo of your thighs, you should consider directed lipo of the areas around the buttock and transfer to the butt at least if you want a better result. There is really no more downtime to it. You need to discuss your wishes with a plastic surgeon who performs fat transfer all the time.best wishes

Reps B. Sundin, MD · Answer

These days alot of surgeons rename an operation some fancy trademark name in order to make it seem like they invented or do something no other surgeon can do.   This is justa marketing trick,  eg  lifestyle lift.   The b'more buttlift is nothing more than using regular liposuction to shape the buttocks and back without fat grafting this giving the illusion of a bigger butt.  This had been being performed long before the bbl became mainstream as a technique.   Please see photo link below for a patient who had lipo without fast graft.  I offer free consults at my Tysons corner and richmond office locations.   Call 703-740-8333 to schedule of you would like to discuss your options further

Ayman Hakki, MD · Answer

It's a catch phrase, and a good one at that. See both surgeons, and more. Make sure the surgeon is board certified in plastic surgery, operates at a certified facility and has done a ton of Brazilian but lifts. Don't shy away from asking; "how many BBls have you performed last year?" Don't settle for vague answers. You're on the right track, keep searching until you find someone you are comfortable with, and make sure you also like his staff. Expectations are key. All surgeries carry risks and the real risk of this operation is not getting the result you want. So choose your surgeon carefully, and good luck.

Have you heard of the B'More Butt lift? I'm getting a consultation with two different surgeons in the next two weeks. (photo)

Answers (4)

Answer: B 'more But Lift.

Answer: B 'more But Lift.

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Everything you need to know about Butt Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.

Have you heard of the B'More Butt lift? I'm getting a consultation with two different surgeons in the next two weeks. (photo)

Answers (4)

Answer: B 'more But Lift.

Answer: B 'more But Lift.

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Recommended reading

Everything you need to know about Butt Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.