Curvy and voluminous body contours have long been associated with attractiveness and fertility. A slim waist combined with full, lifted buttocks is often considered a key feature of femininity, particularly in Latin American aesthetics. To achieve an ideal hourglass figure, women frequently opt for 360-degree liposuction, fat transfer to the buttocks, and breast augmentation surgery as a combined procedure.
What is a Brazilian Butt Lift (BBL)?
BBL (Brazilian Butt Lift) is a cosmetic surgery procedure that enhances the volume of the buttocks using the patient’s own fat. This technique not only increases fullness but also helps create a rounder, more contoured appearance.
Who is a Good Candidate for BBL Surgery?
Some women may naturally have flat or underdeveloped buttocks due to genetics. Other factors, such as weight fluctuations, aging, prolonged sitting, and a sedentary lifestyle, can lead to volume loss in the gluteal muscles and soft tissues. As a result, the buttocks may appear flat, saggy, or undefined. BBL surgery is an excellent option for individuals seeking a fuller, lifted, and more shapely appearance.
Benefits of BBL Surgery
✅ Enhances body curves by increasing buttock volume
✅ Eliminates the issue of loose-fitting skirts or pants at the waist
✅ Boosts self-confidence and improves body image
Are There Natural Ways to Enlarge the Buttocks?
The gluteal region consists of 10 different muscle groups responsible for walking, sitting, standing, and maintaining body balance. Strength training, especially squats, can help develop these muscles, making the buttocks appear firmer and fuller. However, results take time and may not be as dramatic as a BBL procedure.
Techniques for Increasing Buttock Volume
Fat Transfer via 360° Liposuction (BBL)
If the patient has enough excess fat in the abdomen, waist, or back, liposuction can be used to harvest and transfer it to the buttocks. This technique, known as liposculpture, not only removes fat but also sculpts the body for a more proportionate shape.
👉 For slimmer patients with low body fat, fat transfer alone may not be sufficient. In such cases, buttock implants (silicone implants) or injectable fillers may be considered.
BBL for Slim Patients: Alternative Methods
For individuals with minimal body fat, two synthetic options can be used:
✅ Injectable Fillers: The most commonly used material is Aquafilling. However, this filler has potential drawbacks, such as migration, sagging, and an increased risk of infection. Dr. Burhan Özalp does not perform butt augmentation with Aquafilling due to its high complication rate.
✅ Buttock Implants (Silicone Prosthesis): Similar to breast implants, buttock silicone implants provide a long-lasting augmentation alternative.
Fat Transfer BBL Surgery: Key Considerations
BBL surgery uses the patient’s own fat, as fat from another person would be rejected by the body. Fat is typically extracted from the abdomen, waist, and back through 360-degree liposuction. The collected fat is then purified and evenly injected into the buttocks.
✅ If the abdomen lacks enough fat, the upper thighs are the next preferred donor area.
✅ If both the abdomen and thighs lack fat, alternative areas can be considered.
⏳ BBL surgery takes approximately 3-4 hours, and an overnight hospital stay is generally recommended.
Post-Surgery Recovery & Fat Retention
✔️ For the first 7-10 days, sleeping on the stomach is advised.
✔️ Using a BBL pillow for at least 3 weeks is essential.
✔️ Sitting on hard surfaces for prolonged periods should be avoided for 3 weeks to prevent fat loss.
On average, 40-50% of the transferred fat remains permanently. Factors affecting fat retention include smoking, diet, lifestyle, and surgical technique. Initial swelling may make the buttocks appear larger, but final results become visible within 3 months. If excessive fat loss occurs, minor asymmetry or hardening may develop.
Buttock Implants vs. BBL Surgery: Which is Better?
For patients with insufficient body fat, silicone implants can provide a fuller look.
✅ Advantages of Buttock Implants:
✔️ Available in various sizes to achieve desired volume
✔️ No need for additional fat removal procedures
✔️ Shorter surgery time
🚨 Disadvantages of Buttock Implants:
❌ Risk of implant displacement, sagging, or rupture over time
❌ Long-term pressure from sitting may make the implant noticeable
❌ Higher complication rate compared to breast implants
Combination BBL Surgery (Fat Transfer + Implants)
In some cases, BBL surgery is combined with buttock implants for an optimal outcome. While implants create projection, fat transfer adds volume to areas where implants cannot. This hybrid approach is ideal for women with wide pelvic bones who require additional volume at the sides.
Conclusion: Is BBL the Right Choice for You?
BBL is an excellent option for achieving fuller, rounder, and lifted buttocks while simultaneously contouring the waist and back. This procedure offers one of the most natural enhancement methods, using the patient’s own fat for long-lasting results.
To maintain results, proper post-operative care, a balanced diet, and regular physical activity are crucial.
If you’re unsure whether BBL or implants are the better option for you, consulting a qualified plastic surgeon will help determine the best approach.