Over the last few years, the buttocks have received more press coverage than ever before. People of all ages and body types are having the Brazilian Butt Lift procedure. It helps patients with flat, sagging, asymmetrical, small (disproportionate) bottoms, or to improve shape after weight loss. This surgical procedure uses your own fat, so it is the most natural way to augment your buttocks.
This surgery was traditionally done with implants, but the medical evidence shows us that the complication rate for implant surgery to the bottom is in the order of 15-20% (see my textbook on ‘Evidence Based Cosmetic Surgery’ for the full analysis). I believe that is unacceptably high and therefore do not offer buttock implants to my patients. Instead I recommend buttock enhancement by fat grafting – termed a Brazilian Butt Lift. This is actually a combination of reducing volume from certain areas by liposuction (such as the flanks and the small of the back) and volume augmentation of other areas (by fat grafting). About one third of the grafted fat is reabsorbed by your body – the rest is retained permanently, and gains or loses weight exactly as it would have done at its original site.
Surgery is performed under general anaesthesia and lasts 2-3 hours. Many patients choose to stay one night in the hospital although you could go home on the day of surgery if you prefer. I then follow you up in the outpatient clinic one week later.
You’ll most likely need to take 2 weeks off work as you need to avoid sitting for the first two weeks. You can resume light exercise in 4-6 weeks.
Anaesthetic: General Anaesthetic
Hospital stay: 0-1 nights
Surgery time: 2-3 hours
Time off work: 2 weeks
Reasonably mobile: 1 day
Washing: Keep dressings dry until one week review
Sleeping: On your front or sides
Full recovery: Wounds are healed in one week, full results in 3 months
Garments/support cushion: I recommend a compression garment for the fat donor site, and avoiding too much pressure over your grafted bottom
Driving: Short trips from 2 weeks
Exercise: 4-6 weeks
Analgesia (pain relief) - Ibuprofen and paracetamol can be taken
BBL Cushions are available which help you manag the period during which you can’t sit down normally – offloading the weight of sitting onto your thighs.
Surgical skin tapes should be left in place for 2 weeks
The hospital or surgeon should be contacted if you develop a temperature
The hospital or surgeon should also be contacted immediately in rare cases of bleeding or
Patients should take care not to over-exert themselves in the first few weeks and to keep
pressure off the wounds