What to expect after a Brazilian Butt Lift - Q&A with Dr Adam

In the first part of this series, Dr Adam provided answers to some of the more common questions he gets from people considering having a Brazilian Butt Lift. In this, the concluding blog in the series, we ask Dr Adam to answer the most common questions he gets from people who have had the procedure. 

What short term side-effects can I expect from my Butt Lift?

It is important to point out to people that if performed by an experienced surgeon in an accredited day surgery or hospital, the Brazilian Butt Lift has both a high success rate and low complication rates. That said, like all surgery, it does have potential risks - both in terms of the procedure and to your health overall. 

Generally, once you have had your procedure, you will have few side effects. However, the ones which people report more often include:

  • Bruising
  • Swelling
  • Discomfort
  • Irregular contour
  • asymmetry
  • And where post-op instructions are not followed, there can be infection and damage or loss of implanted fat cells

At Illuminate we provide all patients with comprehensive post-operative care and instructions to help minimise discomfort, reduce the chance of side effects and to maxmise your results. 

Why does my butt look larger than expected after my procedure?

There are two simple answers for this. The first is that we allow for a degree of fat cell loss, thus we insert slightly more fat than you need, to ensure the final result is what you wanted after some of the cells die and are absorbed by the body. 

The other aspect is that during surgery, you are putting some small stresses on your body. Your body will respond by supplying the area with more blood flow. This increase in blood will cause you to experience swelling which will make the results of the procedure look larger than you may expect.

However, we assure you this is both normal and that it will pass.

When I will I see the optimal result from my BBL?

We tell all clients that optimal results will be seen anywhere between 3-6 months after surgery. At this point, we would expect that in excess of 70% of the transferred fat will have survived. 

After my BBL Surgery, how long before I can sit again?

The part many clients tell us is "the hardest" is that we recommend you do not sit on your backside for three weeks (3 weeks). This protects the cells we have injected.

After the three weeks, we recommend you buy a special pillow which you use under your thigh's when sitting to help protect your bottom for a further short period. 

What other restrictions are there after surgery?

  • You can return to work after 5 days
  •  You Can start swimming after 2 weeks
  •  We encourage normal walking as part of a daily routine as soon as you can tolerate it
  • There is to be no Gym attendance for 4 weeks
  • Once back at the gym, go easy on yourself to ensure optimal results. We recommend no intense gym workouts (weights or high impact cardio) for 6 weeks
  • To ensure your body recovers as quickly as possible, we recommend you wear a compression garment for a total of 6 weeks (full time for the first 3 weeks and then next 10-12 hours/day over the next 3 weeks )
  • Make sure you take all medications as prescribed
  • It may seem unnecessary, but we highly recommend that you attend regular lymphatic massages

If are noticing anything out of the ordinary, or have any other questions, we encourage you to get in touch using the details we have previously supplied you. 

Understanding the Brazilian Butt Lift - Q&A with Dr Adam

In this blog - the first in our two part series on the Brazilian But Lift - we ask Dr Adam about the procedure itself and the questions people have before they book in. In the second blog in this series we ask questions people have after the procedure, helping to shed light on what you can expect. 


Here's a cool fact - The American Society of Plastic Surgeons (ASPS) recently released statistics on the top cosmetic surgery procedures of 2015.

What we found really interesting is the increased focus on bottom enhancement surgery - with statistics showing that in 2015, butt implants was the fastest growing category for plastic surgery. Diving deeper, the research found that buttock augmentation with fat grafting (or the Brazilian Butt Lift) and buttock lifts are still the most popular buttock enhancement surgery performed. In fact, there was a more than 200% increase in BBL procedures in the last 2 years

"Overall, there was a buttock procedure every 30 minutes of every day, on average,"  

the organization said in a press release.

With these figures in mind (slight pun intended) we thought we would ask Dr Adam to explain the Brazilain Butt Lift in more detail.


What is Brazilian Butt lift or the BBL?

Quite simply, the exotic sounding Brazilian butt lift is a buttock augmentation procedure. It has many other names which people may have heard of, such as a Bum enlargement, buttock augmentation, but shaping or a Butt Lift. 

What is involved in a BBL?

A BBL procedure is a relatively simple procedure which is done in four parts. I specialise in BBL as it is the newest and now more common buttock enhancement procedure. 

Part 1 - Brazilian Butt Lift Consultation

We meet with our clients prior to any surgery to determine what shape they want, how big they can go and, to identify where on their body we will harvest unwanted fat. This fat not only provides the lift and shape for their buttocks, but the removal of it from elsewhere means they get a more toned and sculpted look overall. 

Part 2 - Fat Harvesting

The patient comes to our Fully Accredited Day Surgery and is prepared for the procedure. I will mark up their body to confirm the areas we are removing fat from and then will use the latest technique in fat removal - VASER Liposuction - to remove the fat and store it for later use. I use only a low pressure to ensure we minimise damage to the cells, helping to improve the rate of success when implanted

Part 3 -  High Quality Fat Selection

We "purify" the fat, using a selection procedure whereby we identify the healthiest looking fat cells so that we nject only "High quality fat" into your bottom.

Part 4 - Transfer of Fat

The last part - but the part patients come in for - is the injection “transfer “of the selected fat back into the buttock.

I make very small (5 mm) skin incisions and then using a specialised fat transfer cannula, insert the fat in a way to sculpt and shape your buttocks to achieve your desired bottom shape.

What do you use to make the buttocks larger?

In the past cosmetic surgeons used artificial implants to enhance a backside. This is now being replaced by procedures such as the Brazilian butt lift which uses a patients own high quality fat to achieve the shape they want. 

What are the benefits of a BBL?

The exciting part of a Butt Lift is there are multiple benefits:

  • We work with you to identify where you have unwanted, stubborn fat which you want removed. What many people do not realise is that often the fat they want to remove is due to genetics and over their lifetime they will struggle to lose that fat alone. We take this unwanted fat and make good use of it in your bottom.
    Common areas which we use for fat harvesting include the hips, back, flanks (love handles) and abdomen. Other areas of Liposuction less commonly performed will be the thighs, arms and other areas of the body.
  • A Brazilian But Lift is the safest form of buttock augmentation. 
    At illuminate, we all recognise that surgical procedures carry their own risk. I have been safely performing this procedure for many years now and can assure people that the BBL is a relatively safe procedure* if done by an expert person and in safe operating environment. I emphasise the phrase "Safe operating environment" because there are stories of some people being treated in a clinic, not an accredited Day surgery or Hospital.
    When it comes to cosmetic surgery, make sure you ask about all the details of the surgical setup and credentials and safety records.
  • The procedure offers quick, almost immediate results. Due to the transfer, you will see results the first time you stand up. There is some swelling which goes away with proper care and rest, so within no time at all, patients are out and about showing off their new curves. 
  • As there are no foreign implants, you get a completely natural look and feel to your new body
  • There are no obvious scars. I take great pride in my work and make small, almost in-detectable incisions when performing this work. With the right treatment, these cuts will almost completely disappear. 
    It is worth pointing out as well that implants require larger incisions and are foreign objects in your body. Not only will you have larger scars which can be harder to hide, but there is a higher chance of rejection by your body, or infection. 
  • There is very little chance of allergies or rejection as we are using your own body fat
  • Results are long lasting. Roughly speaking, more than 70% of the fat transferred will survive long term. I provide patients with a care program post the operation which increases immediate success.
    However, it is worth noting, if people use procedures which are sub-optimal, then there can be negative effects on the fat cells which cause them to die off in greater volume.

Who is a good candidate for BBL?

As with all surgery, there are risks. To be considered a good candidate we recommend patients

  • Be in good health. Any patient with underlying heart, lung, neurological conditions or diabetes may not be a good candidate for safety reasons. 
  • Be as physically fit as possible. This means that you need to be close to your ideal body weight and have enough fat which we can harvest.
  • Have good general skin elasticity. If there is no elasticity to the skin, it is harder to insert the fat to the buttocks as it is less able to be shaped. 

How much fat is needed for BBL?

You may be surprised to know, this is one of the most common questions we are asked.

Every person and every body is different thus we would need to have a consultation with you to see what will suit your body frame best. However, as a "rule of thumb" between 500-700 ml each side is the average amount we inject.

Where required - and only after consultation - a larger amount of fat transfer may be considered.

How much does Brazilian butt lift cost?

I need to see each and every patient to understand their circumstances. Generally speaking, prices start at approximately $6,000 (Please note as this is a blog, this figure may not be correct at the time you read it).  

This is subject to a multitude of factors including how many areas of liposuction are required and how much fat we need to inject. For more accurate pricing, please check our dedicated Brazilian Butt Lift Page.