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Buttock Enhancement- Brazilian Butt Lift

For men and women alike who want to enhance the shape and size of their buttocks, a fat transfer process is an alternate to surgical buttock implants. The term “Brazilian Butt Lift” was coined and pioneered by the renowned Brazilian Cosmetic Surgeon Ivo Pitanguy. 

The Brazilian Butt Lift (BBL) is a buttock enhancing procedure in that it increases the size and shape of the buttocks thereby giving the appearance that the buttocks have been “lifted”. With the passing of time in both woman and men there is a change in the shape of the buttocks.

Patients who seek out a procedure to attend to this change in shape or sagging are potential candidates for BBL. There are an number of aspects to the Brazilian Butt lift or fat transfer to the buttocks.

Firstly, fat must be procured from other areas of the body. This fat will be transferred to the buttocks for volume enhancement and reshaping of the buttocks. The advantage of this combined procedure is sculpting or re-shaping of other areas of the body when fat is removed.

In addition the areas above and below the buttocks must be reshaped so as to assist in the re-definition of the buttock shape and assistance with the “lifting” procedure

Fat is a significant component of the buttocks and therefore enhancing the buttocks with fat transfer is a great way to replicate the original buttock construct. In addition to achieving a natural appearance there are other benefits to buttock enhancement with fat grafting:

  • other areas of the body get reshaped or sculpted as a part of the required liposuction procedure that fat transfer must be combined with
  • the scars from fat transfer are much less small than those with surgical lifting procedures
  • fat transfer to the buttocks can address asymmetry of the two buttocks without the need for implants
  • the risks associated with implants are eliminated
  • there is enhancement of surrounding tissues such as skin when fat is transferred. This is a result of the stem cells located in the transferred fat. This is of great value in patients who have previous scarring from trauma or other causes.
  • Through the effects of stem cells there may be enhancement of the overlying skin

The limitations of buttock enhancement with fat transfer are defined by:

  • the amount of fat available from liposuction for transfer to the buttocks.
  • The appearance and condition of the existing buttocks. Consideration must be given to:
    • skin condition and stretch marks
    • amount of sagging and lifting required to achieve a satisfactory result
  • the existing shape of the buttocks relative to the thighs and the result desired by you the patient
  • the skills of the clinical team and procedures to ensure the greatest survival rate of transferred fat

At The Face and Body place we pride ourselves in a well-established and successful breast fat transfer service. Our team of clinical and support staff have refined the process to ensure levels of outcomes that meet patient requirements and expectations.

A consultation with our resident doctor at The Face and Body Place is critical in the evaluation of a patient as a candidate for buttock enhancement with fat transfer. At the time of consultation our doctor will assess you both with respect to your prior medical and surgical history as well as your current state of health. The consultation will require a detailed examination of the buttocks and your expectation for changes in the appearance of your buttocks as a result of the fat transfer procedure. Options will be discussed including surgical interventions.

It is important that your expectations are aligned with the capabilities of fat transfer and our team will ensure this.

As part of the Fat transfer procedure, you will have the opportunity to discuss at length the areas of the body that you are considering for liposuction and therefore harvesting of fat. This is one of the great benefits of the Brazilian Butt Lift or Buttock Fat transfer- you get liposuction too!

For example, you may want to reduce the fat content of your abdominal area or your thighs. Our resident doctor will guide you in the best possible way to achieve the body reshaping you want and at the same time procure the amount of fat needed for viable breast enhancement with Fat transfer. This is a critical point in the consultation process because a critical amount liposuction and therefore available fat is needed when considering Breast enhancement with Fat Transfer!

A critical aspect to consider is given that you as a patient have particular expectations of the procedure, then is it medically possible to achieve those outcomes. We at The Face and Body Place will give you a detailed understanding so that you can make an informed and realistic decision about Fat Transfer for you!

Our doctor will also guide you in treatments that can be combined with buttock fat transfer. These depend on the individual patient but can include for example:

  • skin treatments that combine fat transfer with laser or mechanical treatments to reduce or eliminate stretch marks and previous scars;
  • graft enhancing techniques using the components of stem cells in fat (Stromal Vascular Fraction) or blood (Platelet rich plasma)
  • attending to breast asymmetry
  • enhancement of other areas you might not have considered, with fat transfer

Any patient whose assessment poses risk factors will be advised against the treatment and alternate solutions sought. A couple of examples include pregnancy, patients with a history of liver disease or patients fitted with a pacemaker. Other clinical conditions are assessed individually and are discussed in consultation. If fat transfer is not right for you our doctor will guide you in alternate ways to achieve your desired goals.

    What Are the Side Effects / Risks Of The Treatment?

    Bruising, swelling and discomfort are some of the side effects of the treatment. We maintain very high standards of medical and nursing care paying careful attention to issues around sterility and cleanliness. Our standards of care reduce the possibility of infection and other risks to the bare minimum. At the time of your consultation and then again at the pre-operative assessment our doctor and other medical professionals will review these side effects and risks with you in detail.

    Post- operative care is a vital part of the success of breast fat transfer and our clinical team will guide you extensively on how to take care of the treated area.

    What Is the Typical Course Of Treatment?

    After the initial consultation process and once you have decided to proceed with the fat transfer treatment, our team of medical professionals will arrange a pre- operative consultation for you. At this appointment you will meet with our doctor and nurse to prepare you for the treatment. 

    This pre-operative assessment includes an in- depth conversation around preparation for the procedure, the actual procedure itself and the after care. We take body measurements (if you are doing liposuction) and photographs of the areas to be treated and answer any questions that you may have at the time. All the necessary administrative and patient consent forms are completed. Our staff will also provide you with a prescription for pre- and post-procedure medications such as antibiotics and pain medication which you will bring with you on the day of the procedure.

    Our staff will explain how you should prepare for the procedure and the logistics around your arriving at our facility on the appointed day. Our procedure is performed in a dedicated operating room that is part of an operating complex at a day clinic.

    We will explain all that will take place during the procedure as well as in the recovery period afterward. In addition, we will educate you on how to take care of yourself at home and as you return to you daily life.

    It is important that we answer any questions or concerns you may have. Our follow-up process is essential part of the service we offer and critical to ensuring your non- eventful recovery from liposuction.

    What Can You / Can’t You Expect from The Treatment?

    Buttock enhancement with Fat transfer is an incredible opportunity to revitalize and lift your buttocks! Critical to the success of the treatment is an agreement between you the patient and our doctor on the desired outcomes and expectations. Since breast fat transfer is combined with liposuction, the liposuction treatment whilst a critical part of the procedure, can also be undertaken to redefine those areas of the body that are of concern to you the patient. Nearly all of the fat that is removed from areas of the body will be used immediately thereafter for breast enhancement as part of a fat grafting procedure.

    We will explain the recovery process to you in detail and guide you as to how to return to daily living. You will also be advised on the importance of post-surgical care of the buttocks. This will include post- procedure dressing and support garments as well as how best to sit or lie on the treated area.

    Immediate body responses to fat removal include bruising and swelling and occur to variable degrees in different patients. In addition, there will be limited tenderness as well as swelling in the buttock area. This will resolve over a short period of time and will be eased by the wearing of post- surgical garments.

    The areas that undergo liposuction will also be supported by post- procedure garments which you will wear for up to 4 weeks.

    At The Face and Body Place we understand the importance of returning to daily living and therefore use these post- procedure standards to ensure a speedy and uneventful recovery. Our medical team will guide you in the amount of time you need to take off from work if needed.

    Recovery from breast fat transfer varies from patient to patient. Each patient will respond to the procedure and heal in their own way. We will guide you in this through our monthly post- operative assessment process. Once the recovery has occurred and the necessary healing has taken place there will be a visible improvement in the treated area.

    What if I am not based in Johannesburg?

    A consultation with our resident doctor is critical in the evaluation of a patient as a candidate for Fat Transfer. If you are unable to come to our offices for an onsite consultation with our doctor, we can also arrange for a virtual consultation (Zoom, Skype, WhatsApp or by telephone). Virtual consultations are available no matter how far away or close you may live.

    For Out of Town or international consultations, we are able to advise you on whether or not you are a candidate for liposuction, and if so, we will be able to assist you with all the necessary requirements and costs involved. Furthermore, our administrative team will be able to guide you on your travel and accommodation requirements.

    What does Fat transfer cost me?

    At the time of our initial consultation we will provide you with a detailed quotation that includes all the anticipated costs. These include:

    • the procedure itself and the work performed by our doctor;
    • operating facility costs;
    • services provided by our anaesthetist:
    • ancillary costs such as post procedure garments

    In addition, there will be laboratory tests to be done and prescriptions for medications.

    Medical Aid

    Fat transfer is a cosmetic procedure not paid for by medical insurance however where laboratory tests are ordered, or prescriptions written by our doctor these will usually be covered. In rare cases where the procedure is undertaken for post-traumatic or birth defect conditions, certain insurance services may be willing to assist you.

    Fat Transfer is a cosmetic procedure not paid for by medical insurance however where laboratory tests are ordered, or prescriptions written by our doctor these will usually be covered.

    Our administrative team can also assist with financing options if these are required. Click here for Financing Options through MediFin Finance.

    Treatment Results


    Suitability, effectiveness of certain treatments and aesthetic results will vary from patients to patients. All photos of before and after are actual patients of The Face and Body Place unless stated otherwise. We do not give indication, promises or guarantees to all our readers or website and social media visitors that they could reasonably expect for themselves identical or equivalent or similar results to those portrayed in the “Before and After” photographs. Suitability, Effectiveness and aesthetic results may and can vary from one patient to another.

    Enquire about this treatment

    Page Disclaimer:
    The information and advice published or made available through the website is not intended to replace the services of a physician or health care professional acting under a physician’s supervision, nor does it constitute a doctor-patient relationship. Each individual’s treatment and/or results may vary based upon the circumstances, the patient’s specific situation, as well as the health care provider’s medical judgement and only after further discussion of the patient’s specific situation, goals, risks and benefits and other relevant medical discussion. Testimonials made by any person(s) on this site are not intended to substitute for this discussion or evaluation or as a guarantee as to outcomes. Examples of treatment outcomes in this website are not intended to convey any warranty, either express or implied, as to outcomes, promises or benefits from treatment. Whether to accept any treatment of a patient should be assessed by the patient as to the risks and benefits of such procedures and only after consultation with a health care professional.

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