BBL (Brazilian Butt Lift)

I have been doing Brazilian Butt Lifts (BBL) or fat transfer to the buttocks for over 20 years. I do more than 150 of them every year, so I have learned a few things that may help you if it is a procedure you are considering. I will start by saying that the great majority of my patients are very happy with the results, and that every single one has an improvement in the size and shape of the buttocks.

The Brazilian Butt Lift, or “BBL”, has been quite popular over the last few years. I did my first liposuction with fat transfer as a medical student in 1989. It was amazing to think that you could move fat from one part of the body and have it survive and live elsewhere.

When I compare my results to those seen in the Plastic Surgery journals, I feel they exceed nearly all in effectiveness and fat take. That makes me confident I am doing it well. So why are some people not thrilled? I blame social media.

The problems with BBL occurred seem to have come from fat being injected into and below the muscles. When I do a BBL, I am always above the muscle in the subcutaneous plane. Also, I always stay away from the lower inner area of the buttocks where the major blood vessels are.

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