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.
"I had a procedure done over 13 years ago. I still feel and look great! He is sensitive professional and knows what he’s doing. Will go back and refer him to as many people as I know."- J.F. / Google / May 05, 2018
"Dr. Grey, is a kind, honest and very helpful with all your questions about plastic surgery. I got implants 17 years ago and they still look great. I have never had any problems with them. I am older now and planning to have them removed by him because I trust him. You can trust him he is the best!"- D.H. / Google / Mar 21, 2020
"I have been a patient of Dr. Gray's for over 20 years. He is an amazing surgeon (breast augmentation in 1996) and an artist when it comes to surgical procedures, injections and other body work! I highly recommend him, he listens to your needs and does just what you want. His staff are amazing too, they are hard working, kind, and always have your best interest at heart."- B.J. / Google / Feb 28, 2020
"I had the most amazing experience with Dr.Gray! I had my surgery 4 years ago and when I first met him, he was super informative and I could tell he had an artistic eye. I scheduled my surgery days after my consult and the whole day was comfortable, I wasnt nervous at all because I knew i was in good hands. Healing was a breeze, I stopped my prescription pain medicine the day after surgery and I had no bruising at all. These days, I follow many surgeons online and ive seen many surgery clips and there is a difference in healing based on how gentle and experienced the surgeon is, and Dr. Gray's expertise shows in the healing process. I wanted a natural look, and he delivered. No one is able to tell Ive had work done :) His staff was extremely personable and accomodating towards me and they went above and beyond expectations. 5 Stars in every category. My experience was perfect every step of the way."- N.D. / Google / Feb 28, 2020
"Words do not describe how happy I am that I found Dr. Gray and his staff. Everyone made me feel at home. Dr. Gray saved my sanity by performing a perfect capsulectomy and replacing my implants. I had been in pain every second of every day since the day I had my first implants done. I could not handle the pain and discomfort anymore after 3 years. The original surgeon was absolutely no help and I would never recommend him or his office. I live in Discovery Bay and some days it would take 2 hours to get to Dr. Greys office and 2 hours home. And it was COMPLETELY WORTH IT! It's you body so make sure you're not being lazy, like me with my the first surgery, and go see Dr. Grey. My only wish is that I went to him first! He was very up front, does not over promise, listens to what you have to say and how you feel. He is extremely educated and believes in the products he chooses to use. I appreciate him and the staff for everything and honesty can't wait to see them again!"- S.P. / Yelp / Feb 17, 2020
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