Manish H. Shah MD, FACS

Fellowship Trained Rhinoplasty Specialist

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Brazilian Butt Lift (BBL)

Brazilian Butt Lift in Denver, CO

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The Brazilian butt lift is a cosmetic procedure that has become increasingly popular as more people want a rounder, fuller butt. Through liposuction, a patient’s fat is removed from the abdomen and hips and then purified and re-injected into the buttocks, resulting in smoother, better contoured glutes. Denver plastic surgeon, Dr. Manish Shah, performs this surgery on patients who desire a shapelier butt with more natural results. In order to get this surgery, a patient must have suitable skin elasticity since the skin will be stretched to accommodate fat injections. The patient must also have enough body fat to safely extract, otherwise butt augmentation with implants is recommended. Dr. Shah has a very busy buttocks enhancement practice in which he performs Brazilian butt lift surgery, butt implant surgery, and hybrid BBL/implant surgery procedures. At Shah Aesthetic Surgery, we pride ourselves on creating natural results that enhance body shape and self-esteem.

Surgical Technique

The body will first be evaluated to make sure that the patient is a good candidate for the Brazilian butt lift procedure. You will also be assessed as to which areas will have their extra fat removed by liposuction. Depending on the amount of fat necessary to fill the buttocks area, multiple donor sites on the body may be considered. After liposuction has been performed, a closed sterile system is used which ensures the fat tissue is never exposed to the air. This keeps it safe and purified for re-injection into the buttocks. Dr. Shah uses antibiotic wash that sterilizes the tissue and separates the healthy fat from any tissue that may not survive the transfer process. We then re-inject the fat little by little to make sure that the layering is done properly, effectively, and that the results are smooth and shapely.

During/After Surgery

This surgery is considered an outpatient procedure and general anesthesia is usually used. In some cases, IV sedation will be used. This depends on how extensive the liposuction and fat transfer process is deemed to be. The surgery lasts an average of 4 hours depending on the number of donor sites and fat layering needed. After surgery, a compression garment is worn to help with the swelling and also assist in the contouring of the buttocks. We also prescribe a Fat Graft Diet regime to help enhance the fat transfer results. Patients are advised not to put weight on the butt area for 6 weeks following surgery. Sitting or laying down must be done with the weight mostly on the thighs. Final results, after the swelling and bruising has subsided, usually can be seen within 6-8 weeks.

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Brazilian Butt Lift FAQs

Will I have Lumpy Butt Cheeks?

When done correctly, the result of a Brazilian butt lift should look and feel natural. It is very important for those who are considering this procedure to find a plastic surgeon with a good background and extensive experience with this type of surgery. The results will be affected by the quality of the fat to be re-injected, and the procedure by which it is injected.

Natural or Synthetic?

Many patients opt for fat transfer to the buttocks because they feel it is more safe and natural. For some, they are simply not comfortable with implants or a foreign device placed in their buttocks. When choosing whether to go natural or with implants, it’s important to understand the pros and cons to each. The one disadvantage of fat transfers is that the injected fat maybe naturally be reabsorbed into the body over time, which means that a secondary surgery could become necessary later on in order to maintain maximum results. Implants are a permanent solution so patients will need to consider the long-term effects of surgery carefully.

Multiple Donor Sites?

Multiple donor sites for the fat grafting may include the lower back, abdomen, love handles, arms, and the thighs. Liposuction done in these areas usually also helps contour the surrounding areas of the buttocks, which results in a gorgeous silhouette.

What If I Gain Weight?

The ideal candidates for this procedure are those who are at or very close to their goal weight. Both significant weight gain or loss will compromise the results of the surgery. Patients who have had this procedure should stick to a healthy lifestyle with proper diet and exercise. Dr. Shah recommends a Fat Graft Diet to maximize the results of BBL surgery.

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*Individual results are not guaranteed and may vary from person to person. Images may contain models.