Brazilian Butt Lift (BBL)


There are a ton of reasons why you might be frustrated about your own behind. You might have always had a flatter butt or you might have gained or lost weight leaving your bottom skin loose. As you age, you might also notice that your cheeks become asymmetrical. During a Brazilian butt lift, fat from your own body will be added to your butt to give you a lifted appearance with more backside volume.


A trendy, hip surgery, the Brazilian butt lift (also known as a butt augmentation) has taken off in the last few years. During a Brazilian butt lift, fat is transferred from another area of the body, such as the abdomen, flanks, back, or thighs, and then put back in the tissue of your buttocks, a process known as fat grafting. The surgeon harvests the fat using liposuction, then purifies it before reinjecting the fat into the buttocks. It’s sometimes referred to as a form of buttock enhancement surgery.

Dr. Earle is one of the leading Brazilian butt lift surgeons in the world, using a technique called ultrasound-guided BBL. This technique is the gold standard when it comes to safety and excellent results. Few plastic surgeons in the world have performed more Brazilian butt lift procedures using ultrasonic guidance than Dr. Earle, who has completed nearly 2,000 BBL procedures using this technique.


If you’ve got a bottom that’s always bothered you, it’s a great time to take control of your body confidence. If you find any of the following issues troublesome, you might want to consider a Brazilian butt lift:

  • Buttock skin that sags
  • Asymmetrical butt cheeks that appear uneven
  • A flat bottom
  • You have enough fat to be collected from your tummy or thighs
  • If you’re not happy with how your butt looks in clothes
  • A butt that’s not in proportion with your body
  • An abdomen that still looks pregnant even if you’re small everywhere else
  • If you’ve completed having children
  • If you’ve got a lack of confidence
  • When you’re constantly worried about or thinking about your backside
  • Any time you’re having issues with getting intimate


Though an ultrasonic BBL itself is only performed through fat grafting, there are other types of buttock enhancement surgery. Some surgeons perform the procedure using synthetic implants that can be customized for each patient. These silicone-filled implants are surgically placed within the tissues of the buttock. This technique is much less popular than fat grafting as performed in a Brazilian butt lift.

A butt lift is a procedure performed for patients with sagging skin and doesn’t enhance the size of the buttocks.


Before undergoing a Brazilian butt lift, make sure that you have a consultation with our trained surgeon to discuss all the details of the procedure. You may have some worries about undergoing a procedure that will dramatically enhance your buttocks, but your surgeon will help explain and calm any worries you may have

At your consultation, you’ll learn what to expect during your procedure and you’ll learn what your expected outcome will be. You’ll be given a chance to examine before and after photos. Your doctor will also take measurements and discuss what is bothering you about your procedure. 

In addition, you will also want to bring the following to your consultation:

  • Your complete health history information
  • A list of questions and concern about your procedure


Before you have a Brazilian butt lift procedure, you’ll want to do the required prep work: 

  • Book a consultation with your surgeon
  • Take care of having a physical with your primary care physician to ensure you’re cleared for surgery
  • For optimal results, finish having children before undergoing a butt lift procedure
  • Be at your desired weight
  • Right before your procedure, pack a bag to bring with you to surgery
  • Find childcare for during your surgery and recovery time
  • Choose someone to drive you to and from surgery and stay with you for at least 24 hours while your recover

You will have directions to follow prior to your surgery. this may include:

  • Avoiding aspirin for the weeks prior to surgery
  • Not eating after midnight
  • Washing with a special surgical soap
  • Abstaining from smoking in the weeks before surgery
  • On the day of your surgery, your procedure will take place in an outpatient surgery center.

On the day of your butt augmentation, you’ll first meet with your anesthesiology team to discuss the right methods for your pain management. You will be given general anesthesia to avoid any pain during surgery. Your surgeon will begin with liposuction of the areas of your body where fat can be collected. Then, your fat will be put in a special cannula to be added into the buttocks. At the end of the surgery, sutures or dissolvable stitches will be placed. Once complete, you’ll be moved to a recovery area and monitored as you prepare for recovery.


Combining a Brazilian butt lift with other surgical procedures such as a tummy tuck is not recommended. The recovery can be more difficult when those procedures are combined because patients have to avoid putting both their abdomen or buttocks in a position that may compromise results. Also, Florida restricts the amount of fat removal during a single surgery to 1 liter, which limits potential results for both procedures. It is usually better to space those procedures apart by 3 to 4 months. You can discuss your options during your consultation.


You will love the results of a Brazilian Butt Lift where you’ll find your backside more toned, shaped, and full of volume. You will have a follow-up with your doctor during your first week after surgery. Since your body will naturally absorb some of the added fat, you may see a decrease in volume as the years go by and may need to do a follow-up procedure.


After your surgery, you’ll be rolled to recovery and monitored as your anesthesia wears off. Your care nurse will give you special instructions for your care after the surgery.

You’ll be given special instructions for your recovery that include staying off of your butt for at least six weeks. While at home, you’ll have a special pillow to sit on that will help you heal and keep your new fat intact. You’ll have bruising, pain, and swelling after surgery which will take a few weeks to go down.

After your surgery, you’ll want to monitor for various side effects that can occur after one of the procedures such as a Brazilian butt lift:

  • Nausea and Vomiting
  • The signs of Deep Vein Thrombosis (DVT)
  • The signs of pulmonary embolism which include pain in the chest and trouble breathing
  • Bleeding or Infection at the incision site
  • Fever
  • Unusual drainage from any incision sites
  • A feeling that something isn’t right
  • Excessive pain, redness or swelling
  • Pain in other parts of the body
  • Incisions that don’t heal completely


How long does a Brazilian butt lift last?

It takes about 4 months to see how much fat survives the transfer process. The fat cells that remain will be there permanently. You can prolong the results by avoiding weight fluctuations after surgery. Maintaining a consistent weight is optimal. Because the augmentation is created by your own fat cells, the results will change as your body changes.

Will I have visible scars from the procedure?

Scars after a BBL are minimal. Liposuction incisions are extremely small and usually made in concealed areas. The fat removed by the liposuction procedure is then injected using special cannulas that don’t typically create scars.

Are BBLs worth it?

Whether a cosmetic surgery procedure is worth it or not depends on your perspective. Patients should have reasonable expectations about the results. That said, actual patients who post on the website RealSelf give Brazilian butt lift an 86% “worth it” rating, which is quite high.

How safe are BBLs?

If you’ve spent any time researching BBLs in Florida, you have probably come across stories that make you think twice about the procedure. The procedure is very safe when performed by an experienced, board-certified plastic surgeon such as Dr. Earle, who performs ultrasound-guided BBL surgery. During your consultation, Dr. Earle will clearly explain what happens during the procedure and how the technique he uses minimizes the risk of complications.

What’s the difference between ultrasonic BBL and traditional BBL?

During a traditional BBL surgery, the surgeon works blindly when placing fat into the buttocks. Ultrasound imaging technology makes the procedure much safer. The ultrasound creates images where Dr. Earle can see the gluteal anatomy and make sure he’s placing the fat in optimal safe locations, avoiding blood vessels or other important structures. Additionally, using ultrasound imaging Dr. Earle views the tissues and structures on a screen in real-time. This technology prevents surgeons from going too deep into the gluteal muscle, which can disrupt large vessels and can cause fat embolism.

Do you still have cellulite after Brazilian butt lift surgery?

A BBL is not designed to address cellulite. If you’re concerned about cellulite, we offer a breakthrough injectable treatment called QWO®.

Does a BBL make your butt softer?

During the initial healing stages, you might notice your butt feels firmer because of residual swelling. As this resolves, the skin becomes more relaxed and the buttocks begin to feel more natural and soft.



“I could not have picked a better doctor. Dr. Earle is a perfectionist and settles for nothing less than perfection. I am incredibly happy with my results.”* - Rosie

“Absolutely amazing! The entire journey has been great. The staff and customer care are exceptional! Best service I have ever received.”* - Destiny

“From start to finish they were nothing short of amazing! Amazing doctor and team! Great results and wouldn't trust another. I felt absolutely comfortable from the minute I met them and knew I was in good hands”* - Natasha