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.
"This was a great, professional experience - Dr. Gray was very knowledgeable and thorough when we came in for the consultation. He explained all of the different breast implant types and what they would look like depending on what was the desired outcome. Great bedside manner an he gave great advice, made us feel very comfortable and we love the results."- A. / RealSelf / Apr 08, 2017
"I was referred to Dr. Leonard Gray by a friend who has had work done and he was the second I went to see for consultation. I booked my surgery day a few days after that day. I'm so glad that I find Dr. Leonard practice! I absolutely love his staff. They are extremely nice, patient and helpful! I'm so thankful and satisfied with his work."- S.Z. / Yelp / Mar 21, 2017
"AMAZING!! Dr. Gray and staff are the best! I had a revision breast augmentation that required the best surgeon to repair. Dr. Gray is that surgeon. The results have exceeded my expectations. Not one bruise...proof that Dr. Gray is meticulous during surgery. The staff is very caring and accommodating, I could not have asked for more. Thank you for taking such great care of me."- D.M. / Yelp / Mar 18, 2017
"INCREDIBLE DOCTOR AND STAFF! Highly recommended! - Incredible. AMAZING. I cannot say enough good things about this doctor. I wrote a review about my procedure (and am in the process of finishing it, since I am only 6 days post-op), so I won't be repetitive here. But I HIGHLY recommend Dr. Gray and his staff! I had a breast implant removal. His bedside manner was incredible, I felt like i knew these people forever. The RN's are wonderful and so sweet, and the anesthesiologist is out of this world. I would honestly do my procedure ALL OVER AGAIN! :)"- S. / RealSelf / Feb 26, 2017
"575 Cc Sientra Moderate Profile - Dr. Gray came highly recommended to me by a work colleague. I ended up making an appointment with him and knew he was going to be the doctor for me. He was extremely patient, knowledgeable, and no pressure. After he explained the procedure to me and answered all my questions, I got to try on various implant sizes. He carries Allergan, Mentor, and Sientra. He never made me feel rushed while trying on the different implants and never pushed me in any particular direction. It was important to him that I liked what I saw in the mirror. I can't say enough good things about Dr. Gray and his staff."- S. / RealSelf / Feb 13, 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@headingTag>
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?@headingTag>
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?@headingTag>
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?@headingTag>
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