Austin Weston, The Center For Cosmetic Surgery

Brazilian Butt Lift

The northern Virginia and Washington DC Metro area surgeons at Austin-Weston, The Center for Cosmetic Surgery, have been performing Brazilian Butt Lifts for years, but have seen its popularity explode lately. It is often performed as part of a total body transformation.

There are young women interested in filling out tighter and lower garments. There are moms who combine the Brazilian Butt Lift with a Tummy Tuck to receive a flattened stomach along with a contoured behind. And there are women in their 40s and 50s who notice drooping skin and loss of buttock volume who want to remove fullness from the flanks and add it to the buttocks.

Northern Virginia Brazilian Butt Lift

Brazilian Butt Lift (BBL) Procedure

The Brazilian Butt Lift is actually a combination of procedures, with the ultimate goal of producing a sculpted and lifted buttocks region. This is achieved by first liposuctioning the region above the buttocks, commonly referred to as the ‘flanks,’ ‘hip rolls,’ ‘love handles,’ or ‘muffin top.’ By removing fat above the buttocks, it allows the skin to redrape into this space, effectively lifting the buttock.

While liposuction alone can have a lifting effect on the buttock, combining this procedure with fat grafting, also called fat transfer, only amplifies the result. The fat liposuctioned from the flanks is saved and re-injected into the buttocks tissues to make the buttocks larger and more shapely. This ‘grafted’ fat then potentially lives in the buttocks region forever. Because the buttocks have fat cells naturally, the result feels and looks natural. The combination of narrowing the waist by liposuctioning the flanks, and simultaneously enlarging the buttocks with fat transfer, is what makes up the Brazilian Butt Lift.

The procedure was first popularized in Brazil, but has caught hold in mainstream America thanks to shows like the Kardashians.

How big should I go?

The decision on how big to go is partially decided by the patient, and partially by their anatomy. For the extremely thin patient with absolutely no fat to liposuction, buttocks implants may be a better option. For a very thin patient with some fat, they may elect to have multiple areas of their body liposuctioned to preserve more fat for grafting to the buttocks. For the patient wanting as much fat to the buttocks as possible, and with plenty to give, the end point is the amount of skin stretch. As the skin gets tight, no more fat can be injected at one session.

Desire for an even larger buttocks after one session means sometimes a second session can be used to add even more volume. The results can be a subtle or as impressive as the patient wants, and the surgeons at Austin-Weston pride themselves as listeners who do their best to make patients happy.


The average time back to work after liposuction and fat grafting is usually around a week, depending on the amount of volume removed and grafted.

Patients are usually off pain medication by one week, but are requested to wear special compression garments up to 6 weeks after surgery. Because the grafted fat cells need time to incorporate into the buttocks tissue, it is important to not have direct pressure on the buttocks for a period of weeks after surgery. This can mean sitting on a pillow when it is absolutely necessary to sit, but spending as much time lying or standing as possible. The swelling is typically fully resolved and final results seen by 3 months.

To find out if you are a candidate for Brazilian Butt Lift, please call Austin-Weston at 703.893.6168 to set up a consultation with one of our 4 plastic surgeons who specialize in cosmetic surgery. The doctors have been recognized nationally and internationally, making various media appearances on shows like Inside Edition and Oprah and in newspapers and magazines such as the Washington Post and Capitol File. They are instructors to other plastic surgeons in innovative surgical techniques at the American Society for Plastic Surgeons meetings, and are all board certified by the American Board of Plastic Surgery.

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