A consultation room at the clinic, with a treatment chair beside a curtained window

Brazilian Butt Lift

Brazilian Butt Lift in Brussels · Dr Axel De Lange

The Brazilian Butt Lift combines liposuction and fat reinjection to slim the waist, harmonise proportions and restore a natural buttock contour, without the use of implants.

Buttock lipofilling, also known as the Brazilian Butt Lift (BBL), is a surgical procedure designed to increase and reshape buttock volume through autologous fat transfer.

The fat is harvested by liposuction from different areas of the body, usually the abdomen, flanks, back or thighs. After purification, it is reinjected into the subcutaneous fatty tissue of the buttocks to improve their projection, curve and contours.

This approach makes it possible to combine the slimming of the donor areas with a reshaping of the buttocks, without using implants. The reinjection must remain strictly superficial to the gluteal muscle, in line with safety recommendations.

The goalTo sculpt a more harmonious figure by slimming the waist and giving the buttocks a natural, balanced and well-proportioned curve.

Buttock lipofilling is intended for women and men who wish to improve the volume, projection or shape of their buttocks while slimming certain areas of their figure.

The best candidates have sufficient fat reserves to allow harvesting, a relatively stable weight, good skin quality and realistic expectations.

Significant skin laxity or an insufficient amount of available fat may limit the treatment options and lead to other techniques being considered.

To restore or accentuate the natural curves of the figure using the patient's own tissue, without the use of implants.

Medically reviewed by Dr Axel De Lange · Last reviewed

Your journey,
step by step.

The techniques

Classic BBL

Increase in buttock volume and projection through autologous fat transfer.

The techniques

Contouring BBL (Skinny BBL)

Transfer of smaller volumes of fat in patients with limited fat reserves.

The techniques

Correction of trochanteric depressions (Hip Dips)

Targeted reinjection of fat to soften the transitions between the hips and the buttocks.

The techniques

360° liposuction

Reshaping of the abdomen, flanks and back to accentuate the contrast between the waist and the hips.

The techniques

Buttock lift

A complementary or alternative procedure when significant skin laxity requires the skin to be tightened.

Step 01

First consultation

This first meeting is an opportunity to analyse your figure, the shape of your buttocks, their projection and the distribution of the available fat reserves.

A thorough clinical examination makes it possible to identify the donor areas, assess the quality of the skin and estimate the possibilities for reshaping the buttocks.

We discuss your expectations, the volumes that can be envisaged, the partial resorption of the transferred fat and the risks specific to this procedure.

To define a personalised reshaping plan, combining the slimming of the donor areas with a natural and well-proportioned buttock augmentation.

Step 02

2nd consultation

This consultation serves to confirm the surgical plan and to specify the liposuction areas and the regions of the buttocks to be reshaped.

How the fat transfer is carried out, the small scars to be expected, the surgical risks and the post-operative recovery are explained in detail.

Particular attention is paid to the prevention of complications, notably thromboembolic events and fat embolism, as well as to adherence to safe reinjection techniques.

To enable you to approach your procedure with a precise understanding of the reshaping possibilities, the technical limits and the essential safety measures.

Step 03 · The procedure

Anaesthesia

General.

Step 03 · The procedure

Duration

Usually between 2 and 4 hours, depending on the extent of the liposuction and the volume of fat to be transferred.

Step 03 · The procedure

Setting

The procedure is performed in the operating theatre, in a facility with a suitable surgical environment. Day surgery or a one-night stay may be considered depending on the extent of the procedure.

Step 03 · The procedure

Technique

Harvesting of fat by liposuction, preparation of the fatty tissue, then reinjection exclusively into the subcutaneous plane of the buttocks, ideally under real-time ultrasound guidance to secure the positioning of the cannulas.

Step 03 · The procedure

Recovery

Usual convalescence of 10 to 15 days, with a compression garment worn for 4 to 6 weeks, limited prolonged pressure on the buttocks and a gradual return to sport after 6 to 8 weeks.

Step 04 · Follow-up

The first days

Relative rest, check of the small incisions and pain management. Oedema and bruising appear in the donor areas and the buttocks. A suitable compression garment is worn and prolonged direct pressure on the grafted areas is limited.

Step 04 · Follow-up

The first weeks

Gradual reduction of swelling and bruising. Return to daily activities usually after 10 to 15 days. Precautions regarding sitting and pressure on the buttocks are maintained according to the post-operative recommendations.

Step 04 · Follow-up

After 1 to 2 months

Gradual return to sporting activities, usually after 6 to 8 weeks. The tissues soften, the contours become more refined and part of the transferred fat is gradually resorbed.

Step 04 · Follow-up

After 3 to 6 months

Gradual stabilisation of the retained fat volume and improved definition of the body contours. The result becomes more representative of the final volume.

Step 04 · Follow-up

After 6 to 12 months

Assessment of the final result, maturation of the small scars and stabilisation of the figure. The volume achieved generally lasts, provided weight remains relatively stable.

Common question

Does all the transferred fat survive?

No, part of the reinjected fat is naturally resorbed by the body over the first few months. On average, 60 to 80% of the transferred fat can be retained, depending on the technique used, the blood supply to the tissues and the patient's individual characteristics. The fat that survives becomes permanently integrated into the tissues, producing a natural and stable result, provided a relatively constant weight is maintained.

Common question

Why can't I sit normally after the procedure?

After buttock lipofilling, it is recommended to avoid prolonged sitting for the first few weeks in order to limit the pressure on the transferred fat. This precaution aims to promote its blood supply and survival, particularly during the initial healing phase. Using a suitable cushion and gradually returning to a sitting position help to preserve the result of the procedure as well as possible.

Common question

Is it safer than implants?

Not necessarily. Lipofilling avoids the complications specific to implants, notably displacement, infection or capsule formation. However, it carries a particular risk of fat embolism, which is potentially fatal. This risk can be reduced by injecting exclusively into the subcutaneous layer, ideally under real-time ultrasound guidance. The choice of technique depends on your anatomy, your expectations and a rigorous assessment of the risks.

Common question

How long do the results last?

The results of buttock lipofilling are generally long-lasting. After partial resorption of the transferred fat during the first few months, the fat cells that have survived become permanently integrated into the tissues. The result usually stabilises after 3 to 6 months and can be maintained for many years, provided a relatively stable weight is kept. Natural ageing and weight fluctuations may, however, gradually alter the volume and shape of the buttocks.

Consultation locations

Consultations are booked directly through each clinic's own platform. Appointments are not taken by phone.

See the locations

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