BBL TODAY-Brazilian Butt Lift & More

Brazlian Butt LiftBrazilian Butt Lift, or BBL, is the name that’s been used for years now, for a procedure that takes a patient’s excess body fat, and inserts it into the buttocks.  That’s the basic description.

Why ‘Brazilian’ ? Because, plastic surgeons in Brazil pioneered and popularized the technique.

Is a Lift always involved?  A true Lift of the buttocks may involve an additional procedure, which would include surgical removal of excess and sagging skin and tissue. In Brazilian Butt Lift, the buttocks may gain the appearance of being ‘lifted’ due to added volume, and a changed shape.

The Brazilian Butt Lift procedure has become so popular, that it’s now mostly referred to by its nickname, the initials “BBL”

The BBL is still Buttock Augmentation. But, it’s no longer viewed as something for those who want ‘Reality Show’ attention, or for starlets and wanna-be starlets hoping to stand out in a crowd.


People who want a more proportioned, balanced figure than the one nature or circumstance gave them- are the most frequent requesters of a BBL (Brazilian Butt Lift). Surprised? It’s true, BBL patients are likely to be your own neighbors or co-workers. They’re rarely taking off for an extended stay in Rio, with a new wardrobe of thong bikinis. (well, some maybe, but not most)

A typical BBL patient may be bothered by what they often describe as a ‘square’ shape. They may desire definition they don’t presently have: in the waist, hips and buttocks. Rather than a straight line from the chest to the thighs, many desire a more curved appearance.

photo by: Dr. Vincent Lepore

photo by Dr. Vincent Lepore


A big part of the cosmetic benefit of the BBL, is the often dramatic change in contour that is possible. The waistline is defined (and noticeably narrower), a more rounded shape may be added to the outer sides of the hips, as well as volume and roundness in the buttocks.

At the same time, other areas of the body that had been storing excess fat, are reduced and reshaped- due to Liposuction and Fat Transfer. The fat that’s being used to add dimension, has been removed from those unwanted spots.

So, frequently bothersome spots like love handles, saddlebags, or puffy tummies and thighs, are slimmed- as the hip and buttock areas are enhanced.

photo by Dr. Vincent Lepore

photo by; Dr. Vincent Lepore


  • BBL is a combination of surgical procedures; Liposuction and Fat Grafting. The procedures are performed together, in the same session. Liposuction is first. Depending on the individual, various amounts of excess fat are removed from a single area, or multiple areas. The Augmentation procedure then begins, with the harvested fat injected into the areas you and your surgeon have discussed, in the buttocks and hips.  Of course, the degree of change you might experience, will depend on the amount of fat available to remove and re-inject.

A very thin person wanting a re-shaped appearance, will have a more modest result than someone with more excess fat.

**On the other hand– we need to remind you that Liposuction should not be considered a weight loss procedure!  If you’re considering this, or any cosmetic surgery, you should be generally healthy, with a good diet and exercise program, and close to your ideal weight. Maintaining your results will depend on your healthy lifestyle, and on following your doctor’s instructions!


When a surgical procedure becomes more ‘mainstream’ as the BBL has, techniques and approaches continue to evolve. In my practice, we use a new power injection system that helps transfer harvested fat more precisely and efficiently. The Wells Johnson HVP System (High Volume Precision Auto-Graft System) allows Liposuction, washing and processing of harvested fat, and re-injection of the fat- all in one enclosed unit. The advantage is faster, more precise re-injection of fat, and, a single closed system that helps to insure sterility. (In the old systems, fat had to be collected in multiple injection syringes, which made the process more cumbersome, and had an increased risk of possible contamination.)

photo by Dr. Vincent Lepore

photo by Dr. Vincent Lepore


Your surgeon will explain to you that your initial result, may not be your final result. A percentage of transferred fat will not remain permanently, being resorbed into the body. But approximately 2/3 to 3/4 of the fat will survive in its new sites. Following post-surgical instructions for BBL is very important to maximize your results.

  • You will be required to wear various compression garments over the surgical sites, for a number of weeks. It really is crucial, and beneficial in a number of ways.
  • The compression garments will help reduce pain and swelling, as well as continue to shape your results!  Following your initial healing period, maintaining your new shape will be an ongoing life choice for you. You’ve removed fat from bothersome areas, and you’ve gained shape where it was lacking before. Try to avoid weight gain, keep healthy habits, and be as active as you want to be.

As we said earlier, perceptions of the BBL have changed. Perhaps soon, we’ll see another ‘Title’ for this body-shaping procedure.

It’s about Enhancement, Balance, Proportion, Contour- and the patient’s self-image. The individual patient satisfaction following a BBL, is usually very high.

We recommend seeking out a Board-Certified Plastic Surgeon, with extensive experience in Buttock Augmentation surgery, for this procedure. Good luck, and enjoy your results!

[Board-Certified Plastic Surgeon, Dr. Vincent Lepore, performs BBL, along with a full range of cosmetic and reconstructive procedures in his accredited San Jose surgical center. Please call for a free Cosmetic Consultation at 408-356-4241].

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