The Brazilian Butt Lift, also referred to as fat grafting, either performed on its own or in conjunction with a butt lift, can fill out a flat, saggy butt. By creating an incision in the crease where the butt and leg meet, your own fat is first gently suctioned out with liposuction (from a fatty area like the stomach or hips) before it is injected into the butt to smooth, elevate and shape the area. You can also get a lot more volume with fat transfer as opposed to implants and the results are amazing when performed on someone with flat buttocks.
In the past, before the notion of fat caught on, implants were often the method of choice for augmentation of the buttocks. “Originally just implants, without fat grafting or liposuction, were used but their results are very limited. They can make the butt bigger but not necessarily prettier,” says Coconut Grove, FL, plastic surgeon Constantino Mendieta, MD. “Butt augmentation consists of fat grafting but liposuction is usually performed as well, to give definition to the hips and thighs, so it’s like you’re getting two procedures in one,” says Miami plastic surgeon Leonard Tachmes, MD. Most experts agree that fat makes for a more natural-looking end result since it’s softer and more compatible with the body. In order for a good outcome, it’s imperative that any transplanted fat be placed near the muscle so that there is good blood support.
“Fat grafting is especially beneficial if you catch a saggy butt early on. The fat that’s added in will provide anti-gravity support so that the sagging is reduced or eliminated,” says New York, NY, plastic surgeon, Dr. Andrew Kornstein.
If you’re concerned about a few extra pounds in the hips or thighs, and your derriere has lost volume after losing the baby weight, fat transfer may be the ideal solution for you. Think of this procedure with double benefits: Butt augmentation with implants adds shape; and if you go the fat transfer route, you’ll eliminate unwanted fat pockets from elsewhere on the body as well.
During this procedure, your plastic surgeon uses liposuction to remove fat from where you don’t want it before reinjection to areas where you do. The result is a shapelier bottom with curves in all the right places—and the elimination of the fat bulges and volume loss that were standing between you and for some, your pre-baby body.
Depending on the areas to be suctioned, tiny incisions can be placed in the pubic region, belly button, buttocks crease and along the hipbone and lower back. The fat is removed under low vacuum to protect the cells, then treated with antibiotics to help prevent infection, and grafted into the target areas of the buttocks through tiny dot-like holes in the buttocks crease and possibly on the sides of the buttocks. A low-pressure suction needs to be used during the liposuction portion to preserve the fat cells; under high-pressure suction they can burst. The procedure is very lengthy because the fat needs to be put in drop by drop so that it can survive.
However, Dr. Constantino Mendieta explains, “The biggest misconception is that this procedure is just about making the buttocks larger. In actuality, it’s more about shaping and contouring.”
The best part is that you need to be carrying a little extra weight so your surgeon can harvest enough fat to transfer, which means you may not have to knock yourself out trying to lose those last five pregnancy pounds.