– Face
– Body
– Buttocks

Fat grafting can be performed anywhere on the body. Even though it sounds like a simple procedure to move fat from one body area to another, the process of fat grafting can be technically very difficult with unpredictable results.

The “Brazilian Butt Lift” refers to harvesting a patient’s body fat with liposuction and the fat is then processed and injected into the buttocks for enlargement. Fat grafting, however, is a procedure that has been performed on many areas of the body.

Click here for Before and After Patient images

The procedure to enlarge facial areas with fat is now routinely performed during Face and Neck Lifts. Temples that are sunken, hollows under the eyes, flat cheek bones, deep nasolabial creases, and even lips, are just a few of the areas that can benefit from fat grafts. Though not generally recommended for breast augmentation, fat grafts are used to correct deficient areas in breast reconstructions. Irregular areas on the body due to trauma are also treated with fat grafts. Fat grafts are occasionally required in the surgery to augment the vaginal labia.

Liposuction is utilized to harvest fat cells from multiple possible sites. The process of liposuction is very traumatic to the delicate fat cells and probably only a little more than 60-70% survive the process. After washing the fat cells to remove any blood and cellular remnants, the fat is then gently placed into syringes for injecting. The placement of the injected fat is spread around the area that is to be enlarged.

Following surgery, the augmented areas need to be treated very gently so that the fat cells are able to connect to adjacent blood vessels for survival. I recommend NO MOVEMENT, NO PRESSURE (such as sitting on your buttocks if they have been injected), and APPLICATION OF ICE PACKS to the areas for at least 3-4 days. Overall, if 60-70% of the initial volume is permanent, it will be an excellent result.


Buttocks augmentation using fat grafting to increase the size of your buttocks, is commonly referred to as a “Brazilian Butt Lift”. This procedure can:

  • Increase fullness, roundness and project your buttocks
  • Improve the balance of your figure
  • Enhance your self image and self confidence

Buttocks augmentation surgery is right for someone who may not like the shape of their buttocks or is looking to balance their body.


Buttocks augmentation is a very personal procedure and you should do it for yourself, not for someone else. It is a good option if:

  • You are physically healthy
  • You have realistic expectations
  • You are bothered by the feeling that your buttocks are too small
  • You are unhappy with the roundness or general shape of your buttocks
  • Your buttocks are asymmetrical


During your consultation, be prepared to discuss:

  • Why you want the surgery, your expectations, and the desired outcome
  • Medical condition, drug allergies, and previous medical treatments
  • Current medications, vitamins, herbal supplements, alcohol, tobacco, and drug use

Your plastic surgeon will also:

  • Evaluate your general health status and any pre-existing health conditions or risk factors
  • Take photographs
  • Discuss your options and recommend a course of treatment
  • Discuss likely outcomes of buttocks augmentation and any risks or potential complications

Buttocks augmentation surgery is usually performed in an outpatient center or a hospital under general anesthesia. Be sure to arrange for someone to drive you to and from surgery and to stay with you for at least the first night following surgery.

Be sure to ask your plastic surgeon questions. It’s very important to understand all aspects of your buttocks augmentation. It’s natural to feel some anxiety-whether it’s excitement for your anticipated new look or a bit of preoperative stress. Don’t be shy about discussing these feelings with your plastic surgeon.


Buttocks augmentation is achieved through the use of transferring your existing fat. Your surgeon may choose between a variety of incision patterns and techniques.

The appropriate technique for you will be determined based on:

  • Buttocks size and shape
  • The amount of fat you have on your body that is available for use through liposuction
  • Your goals and activity level
  • Skin quality and elasticity, as well as the amount of extra skin

Liposuction is performed through small, inconspicuous incisions. First, diluted local anesthesia is infused to reduce bleeding and trauma. A cannula (a thin, hollow tube) is inserted through the incisions to loosen excess fat using a controlled back and forth motion. The dislodged fat is then suctioned out of the body using a surgical vacuum or syringe attached to the cannula. In general, your surgeon will use liposuction to remove up to three times the amount of fat that will actually be injected into the buttocks.

The fat, tissue and blood that were removed through liposuction are then processed and the syringes are connected to a special cannula. Your surgeon will use this cannula to add fat to the buttocks through small injections in your buttocks where desired.

The results of buttocks augmentation are immediately visible. However, you will not see your final results until up to a year after the surgery, as it takes a while for the fat to “take”. The procedure offers natural looking and feeling results, but the projection of the buttocks may decrease over time.

Some of the initial volume you experience after your fat grafting procedure may fade as the fat is absorbed by your body (on average, patients will retain 60-80% of the transferred fat-in some cases more, in others less). Satisfaction with your new image should continue as you recover and realize the goal for fuller buttocks.


After surgery you will be taken into a recovery area to be closely monitored. You may be permitted to go home after a few hours, or stay overnight in the outpatient overnight facilities depending on the extent of your surgery. Be sure to arrange for someone to drive you home and to stay with you at least the first night when you leave the outpatient facility. Before leaving, you will be given specific instructions to include how to care for your buttocks and any areas that have had liposuction during surgery, medications to take orally for any pain, and to reduce the risk of infection.


You should wear your support garment “around the clock” following your surgery. You should avoid prolonged sitting for about two weeks, or-the longer the better. This is very important because prolonged sitting will damage the fat cells. You should try to sleep face down or on your side. When you do have to sit, you should place a pillow or a cushion behind your legs (hamstring muscles) to help raise your buttocks, avoiding pressure on the fat grafts.


It may take several months for the swelling to fully dissipate. As it does, your new contours and enhanced self-image should continue to develop. The results of your buttocks surgery are immediately visible. Over time, post-surgical swelling will resolve and incision lines will fade. Satisfaction with your new image should continue to grow as you recover from surgery. Incision lines are permanent, but will continue to fade over time. The final results of your buttocks augmentation will appear over the next few months as your buttocks shape and position continue to settle.

It can take up to a year to see your final results. Some of the fat that leads to the initial shape after surgery will be reabsorbed by your body. It is also important to keep in mind that this fat can behave like any other fat in your body. As you gain or lose weight, your results may change as the transferred fat can grow or shrink just as any other fat in your body.

The results of your buttocks augmentation surgery will be long lasting. Over time, your buttocks size and shape can continue to change due to aging and gravity.

You’ll be able to retain your new look longer if you:

– Maintain your weight
– Keep a healthy lifestyle