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Brazilian Butt Lift (BBL)

Do you desire dangerous curves? The Brazilian Butt Lift (BBL) may be your ideal procedure. The Brazilian Butt Lift contours the hips, flanks, and buttocks to create a more shapely figure and rounded, perkier backside. The BBL uses fat harvested from stubborn areas in your hips and stomach to naturally enhance your backside. The results are an immediate, natural feeling and improved appearance. It is a minimally invasive way to sculpt a well-proportioned backside that will leave you looking great in clothes and feeling self-confident.

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The Best Candidates

  • Have flattened buttocks and outer hips
  • Do not have a history of blood clotting problems such as DVT or PE
  • Have some extra fat in the hips, flanks, thighs, or abdomen
  • Want a natural means to achieve a round, perky backside
  • Are not taking blood thinner medications or using nicotine products
  • Are a healthy weight and free of significant medical conditions

The options

Buttocks augmentation with fat grafting (Brazilian Butt Lift) is increasingly becoming one of the most popular cosmetic surgical procedures in the United States. The buttocks can be augmented through fat grafting using your body’s own tissues with the side benefit of liposuction of some other areas where fat is stored. The other means for buttock augmentation is placement of silicone implants similar to breast implants. This procedure is an alternative that carries with it visible scars, a longer recovery, and potential for infection and rejection of the implant. At Restore SD Plastic Surgery, we believe that fat grafting is by far the better option and are pleased to offer Brazilian Butt Lift as one of our many body contouring procedures.

The Surgery

BBL is performed under general anesthesia in an accredited surgery center or hospital setting. The surgery usually takes 2-3 hours to perform and is an outpatient surgery so you are able to go home after you recover from anesthesia. During surgery, your Restore SD surgeon will harvest fat from your hips, flanks, thighs and abdomen using the SAFELipo™ technique. The fat is purified in a sterile processing device and injected with a small cannula (round tube) in multiple layers to beautifully sculpt and define the shape of the buttocks. The fat is a living graft and will establish its own blood supply and survive. Great strides have been made in fat grafting in the last decade and it is reasonable to expect that 60-75% of the grafted fat will survive and provide a robust and long-lasting improvement in your figure.

The Recovery

After surgery and recovering from anesthesia you will be able to go home with a responsible adult who can ideally spend the first few days of recovery with you. Some surgical pain is expected and you will be prescribed pain medication for use in the postoperative period. You will wear a compression garment for 4-6 weeks to ensure a smooth contour in the areas from which the fat was harvested. You will have some swelling and bruising after surgery and this generally subsides very quickly within the first weeks after surgery. You will need to stay off your shapely new backside for 10-14 days so make sure you have a comfy place set up for recovery. You will be seeing your Restore SD surgeon frequently for follow up and will be guided back to your usual activities based on your speed of recovery. Most complications come from getting too active too early. Please plan your surgical date to allow enough time for recovery and return to your more vigorous activities.

The Combined Procedures

Brazilian Butt Lift is one of the many body contouring procedures that we offer and it can frequently be combined with breast enhancement surgery, liposuction, or other body contouring procedures. Your Restore SD surgeon will partner with you to develop a comprehensive surgical plan that is designed to optimize your results and safety.


  • What happens at my Brazilian Butt Lift consultation?

    When you arrive at Restore SD Plastic Surgery to discuss a BBL, your Restore SD surgeon will perform a detailed examination as well as review your medical history and any medications you are taking. At your consultation, you will have photos taken with our Vectra 3D imaging system and discuss treatment areas and options while viewing your photos series. With our state of the art Canfield software, potential surgical results can be viewed and adjustments can be made, helping you to visualize possible outcomes.

  • Does all of the grafted fat survive?

    Although tremendous advances have been made in the field of structural fat grafting, not all of the grafted fat survives. Expertly harvested and carefully purified fat can yield graft survival in the range of 60-75%. This amount of fat survival is very predictable and you can expect to see some decrease in size after the swelling subsides and the non-viable fat is reabsorbed by your body. The final results of fat grafting can generally be seen after 4-6 months. Some patients return for a second round of fat grafting a year or two after their initial BBL to adjust their size and shape a bit more.

  • How do I choose a surgeon?

    It is important to ask if your surgeon is Board Certified by the American Board of Plastic Surgery. As Board Certified plastic surgeons at Restore SD, we have years of training and expertise in body contouring surgery that cannot be imitated by short courses and alternative certifications. Ensure that your surgeon is proficient in body contouring surgery and high-volume fat grafting in particular. The American Board of Plastic Surgery is one of 23 members of the American Board of Medical Specialties. These specialties represent the traditional core of fully trained specialists. Alternative boards have cropped up over the last several years to try to lend legitimacy to incompletely trained or poorly trained practitioners. Accept nothing less than a surgeon certified by the American Board of Plastic Surgery who preferably is a member of the American Society of Plastic Surgeons (ASPS) and American Society for Aesthetic Plastic Surgery (ASAPS).

  • Why should I come to Restore SD Plastic Surgery for my Brazilian Butt Lift?

    The surgeons at Restore SD Plastic Surgery have over a decade of experience with cosmetic and reconstructive fat grafting. Drs. Douglas and Gallus are both board certified by the American Board of Plastic Surgeons and active members of the American Society of Plastic Surgeons and the American Society for Aesthetic Plastic Surgery. In addition to being fully credentialed, we take the time to listen to your goals and partner with you to develop the best and safest surgical plan that will optimize your results and leave you looking and feeling your best. Our time in the Navy reconstructing war casualties yielded new and unique applications for fat grafting and use of lasers in tissue expansion. We have the expertise and vision to employ fat grafting to artistically sculpt and shape your figure into ideal proportion.

  • Why is Brazilian Butt Lift for me?

    Every individual has a unique shape and proportions. Looking good in that favorite pair of jeans or feeling a bit more self-confident are both great reasons to consider a Brazilian Butt Lift. At Restore SD Plastic Surgery, we want you to look and feel your best. Your Restore SD surgeon will partner with you to develop a comprehensive surgical plan that tailors the optimal result to your goals and desires.

  • How much time off work should I take after Brazilian Butt Lift surgery?

    Depending on your profession, you should expect to take 1-2 weeks off from work. You will not be able to drive while taking narcotic pain medication. You will need a ride home after having general anesthesia and have a friend or family member stay with you for the first night and a day or two if possible.

  • How do I minimize post-operative scarring after Brazilian Butt Lift surgery?

    The BBL is performed through multiple small incisions that are a cm or less in length and discreetly placed. Although these scars are small and well hidden, your Restore SD surgeons will educate you about scar management postoperatively. A surgical scar will take 9-12 months to fully mature. Your scar will go through changes during the healing process and your Restore SD team will help you manage this part of your recovery. This can consist of sun avoidance, scar massage, scar cream, and fractionated laser treatments.

  • What should I do to prepare for Brazilian Butt Lift surgery?

    If you have close friends or relatives who have had Brazilian Butt Lift surgery – start there! A personal story of their journey may guide you to questions to ask your surgeon and having someone with a shared experience is invaluable. Educate yourself by reading our procedure page and viewing our educational videos. Other sources of information include RealSelf and WebMd.

  • I am a smoker – can I have Brazilian Butt Lift surgery?

    At Restore SD Plastic surgery, we want to deliver safe, consistent, and reproducible results. Smoking tobacco or using any nicotine products has adverse effects on wound healing. Your risk of fat necrosis, infection, and prolonged incision healing are much higher if you use nicotine. We recommend a nicotine free period of 8 weeks prior to surgery and at a minimum 4 weeks post operatively. We have a simple urinary nicotine test that we complete in the office to help you on your journey to a safe and gratifying surgical experience with us.

  • I have Diabetes – what do I need to know about Brazilian Butt Lift surgery?

    If you have diabetes it is important to work with your medical team to keep an ideal HgA1C. Diabetes can increase your risk for prolonged wound healing and certain types of infections. Surgery can be safely performed but requires a coordinated effort from patients, surgeons, and medical doctors to attain outstanding results. There are some instances where your Restore SD surgeon may want to postpone surgery until your diabetes is under better control.

  • How soon can I travel after having Brazilian Butt Lift surgery?

    Having surgery means a commitment to an appropriate recovery. We recommend scheduling your surgery at a time that allows enough time to recover and gradually return to your normal activities. Flying, driving long distances, or leaving the immediate area are not recommended until you have been cleared by your surgeon. If you have specific travel needs or require advice for emergency travel soon after a procedure, please let us know and we will be glad to discuss the details with you.

Are You Ready to Restore Your Figure To a Shapely and Well-Proportioned You? Contact Us!

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8899 University Center Ln #200
San Diego, CA 92122


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