The Brazilian butt lift is a procedure performed at Bay Area Plastic Surgery by board-certified cosmetic surgeon, Dr. Leonard Gray, to increase the size and roundness of the buttocks. Historically, buttock implants were used, but they leave a large scar, prolonged recovery, and significant risk. For the past 10 years, fat injection into the buttock area has been perfected and has become the most popular method for buttock enhancement. The procedure starts with liposuction performed under sterile conditions in the operating room. It is important to harvest the fat gently, so Dr. Gray uses the optimum pressure for suctioning during the harvest. Injection of the fat cells into the buttock area is then performed with very specific injection cannulas that prevent fat cell damage and provide safety.
The procedure starts with liposuction performed under sterile conditions in the operating room. It is important to harvest the fat gently, so Dr. Gray uses the optimum pressure for suctioning during the harvest. Secondly, he uses the optimum harvesting cannula for fat injection. Both the size and the type of cannula openings that Dr. Gray uses are very specific. He uses the most effective type of cannula, as shown by recent studies, where survival of the fat cells is greatest and the fat is the freest of connective tissue debris. The harvested fat then has to be loaded into the injection syringes under sterile conditions.
Injection of the fat cells into the buttock area is then performed with very specific injection cannulas that prevent fat cell damage and provide safety. It is important to inject the fat in layers where it is evenly disbursed so that these injected fat cells can obtain nutrition at the new injection site. It takes 48 hours for these new cells to pick up a blood supply, so it is important to inject them evenly, and avoid excess pressure intra-operatively and post-operatively. During recovery, low activity and avoiding sitting are important in the early days following the procedure.
"Second Time Around - Dr Gray performed my surgery 18 years ago and back then I knew he was the best . My results were incredible and his office was so welcoming and kind. I have moved out of the country to Europe but knew I would only trust him once again . Almost 20 years later the office staff still remains the best Cherisse his nurse is one of a kind and makes the whole process seamless even from out of town. I felt like I knew her for years. I did all my communication through emails until the surgery. So anyone who is considering from out of town it can be done. And Dr Gray is the best out there im sure of it, on a scale of 1-10 I give him a 11! I would very confidentially say he's probably the Picasso of plastic surgery and a real perfectionist."- K. / RealSelf / Aug 27, 2017
"This review is for my consultation only. The women who worked the front desk were so kind and welcoming. Made me feel really comfortable. Reading through the other reviews, it makes it very hard for me to believe that these people had a bad experience. Dr. Gray walked through his office like it was his home and treating everyone in it like they were part of his family. My consultation with him went above and beyond my expectations. He was very thorough and had very kind bedside manner. Sometimes when I read bad reviews, I will look at those people's profile to see what else they have reviewed and more times than not I will see that that person just can't be happy no matter what...anyways, this was for a consultation only, and mine was amazing."- L.N. / Yelp / Jun 29, 2017
"Amazing perfectionist plastic surgeon - I am so happy I found Dr. Gray! He is amazing and so is everyone at his office. One of my implants broke (it was 10 year old). I had a consultation and decided to remove them and then go back after I am done having kids for new implants and more work if need it. I am very happy with my results. Dr. Gray is a perfectionist. You can barely see the scar - it's been 3 weeks! The prices were..."- C. / RealSelf / May 27, 2017
"Amazing! - Ive had a few surgeries with Dr. Gray for breast implants. Going smaller then larger and small again. Dr. Gray and his nurse Cherrisse are wonderful. He is a talented surgeon and I have several friends who have had surgery with Dr. Gray all with perfect results. I trust him because I know I will be safe and have a beautiful outcome. He is also my go to for botox."- B. / RealSelf / May 21, 2017
"Dr Gray did my surgery in 2010 and I am still extremely happy with the results, he was patient and available for several follow up appointments and his skills are incomparable, no scars and a very natural feeling. I definitely recommend him!"- V.B. / Google / May 21, 2017
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 extent the liposuction and transfer process is. The surgery lasts an average of 2 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 an Aloe Purinol medication regime to help enhance the fat transfer results. Patients are advised not to put weight on the butt area for the first 2-3 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.
Brazilian Butt Lift FAQs
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 good background and experience with this type of surgery. The results will be affected by the quality of how the fat to be reinstated is selected and purified, and the procedure of how it is injected.
Natural or Synthetic?
Many patients opt for fat transfers 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 reabsorbed into the body over time, which means that a secondary surgery could become necessary later on in order to maintain max 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 backside, abdomen, love handles 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.
Plan Your Procedure
- Average Cost
- $12,000 - $20,000
- Recovery Time
- 8 Weeks
- Average Procedure Time
- 6-8 Hours
- Post-op Follow-up
- 4 Months
- Procedure Recovery Location