News & Features

Q&A: Brazilian Butt Lift

by Ricardo L. Rodriguez, M.D.

CONSUMER BRIEF: The Brazilian Butt Lift is one of the most popular plastic surgeries performed on the body. Here, Baltimore plastic surgeon Ricardo L. Rodriguez, M.D. answers some of the most commonly asked questions about the procedure.

Question: What is the Brazilian Butt Lift?
ANSWER: The Brazilian butt lift is a buttocks augmentation procedure which results in youthful, prominent, perky buttocks and a more sensual body profile. The procedure is designed to fill the upper quadrant of your buttocks so that the butt appears lifted and perky. The resulting effect is a more attractive and sensuous body. Correct liposuction techniques, donor fat processing, and microinjection methods are essential to achieving a permanent, natural result.

Q. Are there different ways to augment or enlarge my buttocks?

A. Yes, there are two ways to enlarge your buttocks:
*Brazilian Butt Lift
*Buttocks Implants

Q: Do you prefer one method of butt augmentation over the other?

A. Yes, I prefer to augment the buttocks using fat injections, a required technique for the Brazilian butt lift. I believe the combination of liposuction and fat injection results in the most natural and sensual                                                                                            body profile.

Q: How is the Brazilian butt lift performed?

A. The Brazilian butt lift involves three techniques: LipoSelection of two or more areas, donor fat processing, and microinjection of the donor fat into the buttocks.

The buttock is first contoured by performing LipoSelection, a type of liposuction, which is performed on the stomach and areas around the buttocks. Common areas for liposuction include the back --directly above the buttocks -- the stomach and the thighs. Note that just performing the liposuction alone will give your body a more attractive, curvaceous look.

After liposuction, I carefully purify the fat so that only the best donor fat cells will be injected back into your buttocks. The fat which has been suctioned is processed to isolate viable fat cells. The fat is carefully purified so that only a fraction of the donor fat removed will qualify for re-injection to the buttocks. In order to get enough qualified fat, I must liposuction at least two areas of your body where you have fat to spare.

The purified fat is then transferred into the buttocks with special cannulas. This process is referred to as 'microinjection'. My microinjection technique enables the fat cells to receive adequate blood supply so that they survive inside the buttocks. This technique results in the highest permanent absorption rate of the fat and is the best way to achieve a permanent result.

I microinject small amounts of purified donor fat into different layers and depths of the buttocks. The procedure involves scores or hundreds of microinjections. Correct injection methods are key to achieving a long lasting, uniform, smooth, and natural appearance to the buttocks.

An additional benefit of the Brazilian butt lift is that you not only get a shapelier buttock, but the areas liposuctioned are now much leaner, giving your profile a more sensuous look.

Q: Are the liposuction techniques used in this procedure different than regular liposuction?

A: Yes, the fat is harvested using a specialized liposuction technique known as LipoSelection. A low pressure aspiration system is used to minimize damage to fat cells as they are being extracted. Regular liposuction traumatizes fat cells too much. Only the correct type of liposuction will yield fat cells that will result in a permanent lifetime result.

Q: How often do you perform the Brazilian butt lift surgery?

A: I perform the Brazilian butt lift procedure several times per month, and have years of experience with various butt lifting, body lifting, and fat transfer techniques.

Q: How long do the fat injections last?

A: If the donor fat is properly harvested and processed, a large percentage of fat cells will survive the crucial period until they receive blood supply. Once this happens these fat cells remain for the patient's lifetime. At about a month after surgery, the improvement you see will last for the long term.

Q: Is the procedure safe?

A: The Brazilian butt lift is a well tolerated procedure. It is no more risky than liposuction, which is one the most common plastic surgical procedures performed.

Q: How popular is the Brazilian butt lift procedure?

A: According to the American Society of Plastic Surgeons (ASPS,) the butt lift procedure in 2006 has grown by 1068 percent compared to the number performed in 1992.

Q: If I don't have enough donor fat are there any other surgical options for enhancing my buttocks?

A. Some small thin women do not have enough fat on their bodies in order to perform the Brazilian butt lift procedure. Thus, if a woman does not have enough donor fat, the other option would be butt augmentation with silicon implants. For butt implants, a small incision is made in the crack between the buttock cheeks. The butt implants are then carefully placed within the tissues of the buttock, avoiding the areas where important nerves lie. When the incision heals, it is difficult to detect. The result is a round and prominent butt.

Insertion of the implants will fill out the upper and outer parts of the buttock, although filling out the lower part of the buttocks is more difficult. The implants cannot be placed in this region because of the risk of nerve damage. To fill out the lower part of the buttocks, fat injection is used. Sometimes both techniques can be used.

Q: Am I a candidate for the Brazilian butt lift procedure?

A: If you desire a more curvaceous derriere with more projection and are willing to adhere to a strict postoperative protocol you may be a candidate for the Brazilian butt lift. However, you must have enough donor fat in two to three areas of your body in order to be a candidate. I believe the Brazilian butt lift technique gives the patient the best result.

Q: When can I go back to work after the Brazilian butt lift procedure?

A: Following the butt augmentation procedure, you must not sit directly on your buttocks for two weeks. Most people can return to work in two weeks, provided you do only a minimum amount of sitting. You must wear a special garment to control swelling for two weeks. There may be a small amount of swelling for up to six weeks. However, you should be able to resume all normal activities by four weeks afterward the procedure.

Q: If I live out of town, how long do I need to stay in Baltimore?

A: I require a minimum stay of eight days. My staff and I will make daily rounds to your hotel room for the first few days. His staff will transport you to and from the office throughout your stay. The staff is also available to provide courtesy transport to BWI airport. To read more about accommodations for out of town patients, please visit our website,

Q: Cost of the Brazilian butt lift?

A: The average total cost of the Brazilian butt lift is around $16,000, depending on the patient. Fees quoted include the physician's fee, anesthesia, hospital costs, and all post operative office visits. Additionally patients have the option of staying overnight at GBMC hospital for a flat fee. Many patients finance all or part of their procedure. Please see our financing section at our website for more information or call the office at 410-494-8100.

Ricardo L. Rodriguez, M.D.
1300 Belona Avenue
Lutherville, Maryland 21093
Phone: 410-494-8100
FAX: (410) 494-0815

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