The Brazilian Butt Lift has gained huge popularity over the last several years as celebrities like Beyonce, Kim Kardashian, and Jennifer Lopez flaunt their derriere. In a “BBL”, or Gluteal Augmentation, liposuction is performed of the abdomen, lower back, and any other needed areas and then the fat is transferred to the buttock in order to increase the size and improve shape.
Why are BBLs performed?
This procedure is typically performed for one of two reasons: to increase size or to improve shape. Women (and men) of different ethnicities have different perceptions of beauty and what they find attractive. Therefore, every patient is going to have a different expectation of what they want their buttock to look like. Some may really want a larger backside, while others may want to get their booty small but improve the shape to what they think looks attractive. For a detailed description of the different “booty” shapes, check out Dr. Arslanian’s blog:
The ideal candidate for a BBL is one in good health without significant medical problems. They should be have reasonable expectations of outcome and understand the potential risks and complications that may occur. Patients that are very overweight with a BMI over 35, are not good candidates due to higher complication rates and less likelihood of a satisfactory outcome. Also, patients that have minimal body fat, may also not be candidates as their needs to be sufficient donor fat available to transfer to the buttock. Much of this depends on the individuals desires and expectations, and the best course of action if unsure is to discuss this with Dr. Arslanian in consultation.
During your consultation, you will meet with Dr. Arslanian and his staff and have the opportunity to discuss your individual situation as well as your concerns and aesthetic goals. Dr. Arslanian will will take a thorough history and perform a complete examination of your problem areas and buttock. Photos will be taken to help Dr. Arslanian point out certain things and explain his approach to gluteal augmentation. If you are deemed a good candidate, he will discuss the various options and make sure you are happy with your decision. He will also show you photos of other patients before and afters to give you a reasonable idea of expectations. After answering all your questions, you will then sit down with the surgical coordinator to discuss timing, pricing, and any other questions you might have.
Prior to surgery you will be given instructions on the day, time and location of your procedure. You will be given your prescriptions that Dr. Arslanian prescribes, and all of your paperwork including consent forms will be signed. In some cases you may need to obtain medical clearance from your physician or specialist, and possibly meet with the anesthesiologist and undergo additional lab work depending on your medical issues and personal situation.
The procedure will be performed as an outpatient in an accredited surgery center with a board certified anesthesiologist in the safest conditions possible. The surgery will be performed under general anesthesia. Pre-operative markings will typically be made the morning of surgery.
After you are asleep, Dr. Arslanian will start by making his sub centimeter incisions for the liposuction cannulas. SAFE liposuction will then be performed to harvest the fat. The fat will then be processed while Dr. Arslanian continues to contour and sculpt the waist and buttock region. Once that is complete, Dr. Arslanian will then prepare the fat and begin injecting into the buttock and surrounding areas in order to achieve the appropriate size and shape you are looking for. You will then be placed into a compression garment and awakened from general anesthesia and transferred to the recovery room.
You will go home the same day of surgery and rest. You will need to modify your sleeping and sitting positioning. You will not be able to sit directly on the fat grafted area for 4-6 weeks, although this will vary depending on your individual procedure. Patients will typically need a special donut pillow in order to sit down at a chair without putting pressure directly on the buttock. You will need to wear your compression garment for 6 weeks to minimize bruising and swelling. You will then transition over to a less compressive garment like “Spanx” for another 6 weeks. You can begin resuming normal activities after 2-3 weeks and should be fully recovered by about 6 weeks.
Patients can expect most of the swelling to be resolved by 3 months, but 10-15% of the swelling can persist to 6 or even 12 months. Fat graft retention can be somewhat variable, but on average 60% of the fat will survive. For this reason, Dr. Arslanian will typically “over-graft” in order to compensate for some of the fat loss over the next several months. In some patients, a touch up procedure may need to be performed in order to harvest more fat and add it to the buttock to achieve the desired size.
The cost of your procedure/treatment will vary depending on the extent of your individual case and whether you choose to add any additional procedures. We would be more than happy to give you a detailed customized quote when you schedule a consultation with Dr. Arslanian.