Brazilian Butt Lift / Buttock Augmentation
Buttocks augmentation is a surgical procedure involving shaping of the buttocks. It is more common in certain cultures, but is gaining popularity in the U.S.
Buttocks augmentation with fat grafting is much more than adding volume to the gluteal region. In fact, reduction and reshaping of the surrounding tissue with liposuction is often the most important aspect of buttock augmentation. Excess fat in undesired areas around the buttocks is harvested with liposuction. The fat must be treated delicately, and concentrated in a sterile environment. This fat is transferred into the buttocks in a 3 dimensional method to achieve the desired shape.
The average cost of buttock augmentation with fat grafting is $4,077 according to 2014 statistics from the American Society of Plastic Surgeons. The total cost of buttock augmentation varies widely based on the size and number of fat donor areas treated with liposuction. The referenced fees above do not include anesthesia or operating room facility expenses and the patient can expect a total cost closer to the $6,000 – $9,000 range.
There is a lot of debate on the best method to harvest and transfer fat. There are both simple and very complicated methods that have been shown to work quite well. The key concepts are that the fat needs to be harvested gently with low volume suction and without injury to the delicate individual fat cells. The fat should be purified from the surrounding fluid by either gravity separation, centrifugation, washing, or a combination. The fat cells should have minimal exposure to the environment and grafted immediately for maximal survival. The optimal injection technique requires small linear threads of fat into the different layers of the tissue including fat and muscle. Too much fat grafted into a small area can lead to problems with irregularities, bumps and cysts.
Yes the fat that survives the transfer permanently belongs to the buttocks. This is not ALL of the fat that is transferred. The amount of fat that survives is in the range of 50-80%. This percentage varies based on the amount of fat transferred, the nature of the area grafted into and the technique used.
Bodies vary from culture to culture. On the whole, Brazilian women are often more blessed in the buttock region. There is also an exercise routine by the same name.
Aesthetic and cosmetic trends change from generation to generation. Sir Mix-a-lot was a little ahead of his time in 1992 with his single, “Baby Got Back”. At that time a flat, athletic buttock was more desirable by most. Fast forward 20+ years and we are now finding many women of various cultures want more curves and a fuller, rounder buttock. Since 2012 we have seen the number of BBL performed in the U.S. has increased in popularity by 10 – 20% per year.
Fat grafting has become the most widely used method of buttock augmentation but other options do exist. Buttock implants are similar to breast implants but have a much broader and flatter shape. They are typically placed through an incision within the gluteal crease and can be placed above, below, or within the muscle. They have a fairly high complication rate and Dr. Yates chooses not to do this procedure due to the complications.
There is some degree of buttock lifting with either fat grafting or buttock implants for buttock augmentation. For patients with more significant skin excess in the gluteal region a buttock lift or thigh lift is more valuable.
This is a fairly tough recovery as there should be very little pressure on the area for at least a week and preferably 4 weeks after the procedure. This includes sitting and lying on the back.
Before & After
Before and nearly a year after Brazilian butt lift (BBL). She had 3000 cc of fat removed from the abdomen and upper hips and 750 cc was grafted into each buttock. View More.