Considering options to augment the size of your buttocks without implants? Benefit from specialized Brazilian butt lift in NYC to achieve a fuller, rounder buttock contour. bodySCULPT plastic surgeons are experts in performing BBL that involves fat transfer to the buttocks.

This cosmetic surgery adds fullness to your buttocks using your own fat instead of implants and provides attractive, natural-looking results.

Inventors of Brazilian butt lift under local anesthesia

Our plastic surgeons, Dr. Spero J Theodorou and Dr. Christopher T Chia are the inventors of Brazilian butt lift under local anesthesia (BBLULA). Studies on this method of performing the procedure have found that unlike conventional invasive surgery, BBLULA reduces risk and quickens your healing time. This is an ideal option for women who don’t want implants and have sufficient fat for liposuction. It is a safe, relatively short, wide-awake fat grafting procedure with minimal anesthesia-related complications, and involves little downtime.

Achieve dramatic improvements in your overall body contour!

This advanced procedure, when performed by an experienced cosmetic surgeon, not only enhances your buttocks, but also contours the donor sites such as the abdomen or hips from where excess fat is removed.

What is Brazilian butt lift? Its advantages: Podcast by plastic surgeon Dr Christopher Chia - bodySCULPT®, NYC

Read the Transcript

Hello and welcome to the discussion on the Brazilian Butt Lift or autologous fat transfer to the buttocks through liposuction. My name is Christopher Chia and I am a plastic surgeon practicing in New York City and I provide services for all types of cosmetic surgery. As a diplomat of both the American Board of Plastic Surgery and the American Board of Surgery, I serve as surgical director for the bodySCULPT® Corporation. Today, we are talking about the Brazilian Butt Lift or autologous fat transfer in order to shape the waist and other parts of the body, and instead of throwing the fat away after liposuction, using that in a careful manner in order to enhance and improve the buttocks to the patient's desires.

As an elective procedure, ideal candidates include those who are in good general health and have enough fat and an appropriate body type in order to be able to harvest enough fat, in order to make an effective change to the buttocks during transfer. It should be noted that the techniques have really evolved during the last several years, that even some smaller patients who may be considered too slim a few years ago, may still have enough fat in appropriately found places in order to have an effective BBL. Typical areas of fat harvesting include the sides which are the axilla or arm pit, the mid back or bra rolls, flanks or love handles as well as the outer thighs, inner thighs, abdomen and other areas have been under consideration. An important place of shaping in my opinion is called the precycle area, which when the patient is lying on her stomach, is the small of the back area just under the curvature of the top of the buttocks, when this is enhanced it really decreases the waist size and enhances the projection of the buttocks even before the fat is injected.

The harvesting portion of the fat, of course, includes liposuction, in most cases tumescent -- in all cases, tumescent -- where a saline medium is used to deliver the medications as well as a safe zone in which the suction tip be applied. It uses and principles of different densities where the fat is slightly less dense in the surrounding tissues in the water, so that it will be suctioned appropriately through the cannula. Done carefully, especially if it is in a closed system, it can harvest a good amount of fat from the average patient. One common question is exactly how much fat is needed. This is a question that you should discuss with a qualified plastic surgeon, but in general, it requires a good amount of fat in the order of several hundred CCs or even more per buttock. Of course, the goals should be discussed with your plastic surgeon in an in-person consultation beforehand so that your goals are met. An important consideration is that not all of the fat, no matter how carefully we do it and how advanced the techniques are developed for fat transfer, today, that not all of the fat will survive. In anticipation of some of the drop off of the fat, the surgeon will opt to probably overfill the buttocks with fat by a certain percentage. This varies from surgeon to surgeon and his or her technique, but this is also something also they should discuss. The end result is that a combination of the post-operative swelling which is normal, as well as the relative overfilling of the buttocks, you have an early phase where the shape and volume of the buttocks will be quite enhanced. After the operation, in order to maximize the survivability of the graft take, one should minimize the amount of pressure or sitting or time you spend sitting because it is in the early several weeks postoperatively that the fat cells will depend on the ability of the blood cells to develop. Once it’s matured after several weeks to months, the fat that you have at that point pretty much should last several years or longer.

All patients undergo the standard history-physical and other appropriate workup before an operation to find out if he or she is a suitable candidate for the operation. In most circumstances, for larger areas of liposuction with more generous amounts of fat transfer, general anesthesia is required in order to achieve these results. This is because a relatively large area of harvest sites has to be performed and the relative amount of fat is large to the buttocks to maintain a maximum result. A relatively new concept is to perform a small to moderate size BBL under local anesthesia. For surgeons who are experienced with this type of technique, it can be performed safely and effectively with minimal pain. It’s important to determine, however, that the areas of liposuction and the amount of fat that is injected to the buttocks is limited when compared to when done under general anesthesia. This is due to the restrictions of the medications that can be applied to a patient in any one setting. However, for some patients, this may be an ideal situation where you have a relatively short procedure with a very short recuperation time and a return back to your normal activity with minimal downtime. Further, the relatively small amount of fat that's injected in around 200 to 400 CCs per buttock - this may be staged over several days or weeks or longer so that you can build a base of fat and then build upon it.

Considerations of risk are the same as any other type of elective plastic surgery and should be discussed with your plastic surgeon. This is merely a brief overview of the Brazilian Butt Lift or BBL and the options that you should discuss should be in person in consultation with a qualified plastic surgeon. I urge you to get more information and contact those with lots of experience in doing these types of procedures of body contouring in general, with BBL experience in particular. Best of luck!


Brazilian Butt Lift in NYC involves taking fat from other areas of the body and injecting select, purified donor fat cells into the buttocks. Our surgeons have done numerous Brazilian Butt Lift procedures, done studies and honed their skills to perform the surgery safely, while paying attention to symmetry and proportion. The right equation of removing and adding of fat makes the difference between effective contouring of the posterior versus just increasing size. Reshaping the surrounding areas of the buttocks in a way that it decreases waist size and improves the projection of the buttocks even before the fat is injected is critical to create a perfect contour.

Stem cell enhanced butt lift surgery

We also perform stem cell enhanced butt lift surgery in Manhattan, NYC, which is slightly different from traditional fat grafting. We transfer enriched stem cells to the buttock region which allows for more fat to be stored thus creating an enhanced look. The advantage is that you have harvested stem cells that will grow and thrive to maintain the look and feel for a longer period.

Videos: BBL Surgery NYC

Surgery Video: By Dr. Spero Theodorou

Surgery Video: By Dr. Christopher T. Chia

BBLULA – A Safe and Effective Procedure for Firm, Shapely Buttocks


Procedure benefits include:

  • Natural looking results
  • Harvesting of fat cells done from your body
  • Minimal chance for rejection
  • Longer lasting result
  • No general anesthesia
  • No hospital stay
  • Minimal downtime
  • Minimal scarring and discomfort
  • Reduce fat in unwanted areas and enhance in others.

Brazilian Butt Lift - Post-Op Care Tips

Do you have questions?

What is Brazilian Butt Lift/ BBL?

Brazilian Butt Lift (BBL) in Manhattan can make your buttocks look fuller, rounder and more attractive. There are two steps involved –

  • liposuction for harvesting the fat for injecting into the buttocks
  • injecting the purified fat into the buttocks to increase their volume and improve the contour.
Fat is taken from other areas of your body where it is in excess such as the hip, abdomen, arms, bra roll area, and love handles. Most commonly fat is taken from the sides and abdomen, which results in a slimmer waistline. When the buttocks are enhanced and contoured, you achieve an hourglass shape.

What is the Difference Between BBL and Brazilian Butt Surgery/Augmentation with Implants?

BBL surgery in NYC uses your own fat, which your body is not likely to reject. On the other hand, implants may cause a foreign body reaction. Implants also come with risks such as rupture or capsular contracture. Another major advantage of BBL over surgery using implants is that it is a “dual-benefit” body contouring procedure. It contours the fat donor sites such as the abdomen, waist, and flanks by removing unwanted fat and uses this fat to improve the appearance of the buttocks.

What Are the Typical Areas for Fat Harvesting?

Typical areas of fat harvesting include

  • the axilla or arm pit
  • the mid back or bra rolls
  • flanks or love handles
  • outer thighs, inner thighs
  • abdomen

Can This Treatment Be Performed as a Non-invasive Procedure?

Brazilian butt lift surgery in NYC can be performed as a minimally invasive procedure. Brazilian Butt Lift Under Local Anesthesia (BBLULA) in NYC is a relatively new concept invented by bodySCULPT® plastic surgeons.

Though BBL cannot be performed as a totally non-invasive procedure there are other body contouring and skin-tightening options that are totally non-invasive such as those performed using InMode’s EVOLVE device. The next generation non-surgical body contouring, InMode EVOLVE utilizes radiofrequency energy for fat reduction, cellulite reduction, and skin tightening ensuring excellent results.

EVOLVE is a non-invasive hands-free workstation by InMode that is designed to remodel the skin, treat adipose tissue, and tone muscles all on one platform. EVOLVE’s innovative design deploys three proprietary technologies -TITE, TRIM, and TONE - allowing for customized treatment for a variety of body types.


Invented by leading NYC plastic surgeons Drs. Spero Theodorou and Christopher T. Chia of bodySCULPT in NYC, Brazilian Butt Lift under local anesthesia (BBLULA) is a safer option than BBL under general anesthesia. It is a relatively short procedure that allows patients to remain awake throughout the procedure, heal faster, and get back quickly to their normal routine. BBLULA presents minimal complications or risks for the patient.

Who Is a Good Candidate for Fat Transfer Buttock Augmentation?

You may be a good candidate for Brazilian buttock augmentation if you meet the following criteria

  • Are physically healthy
  • Have realistic expectations
  • Are bothered by the feeling that your butt is too small 
  • Want to improve the roundness or general shape of your butt
  • Have asymmetrical buttocks
  • Have enough fat and an appropriate body type in order to be able to harvest enough fat
  • Have a stable weight
  • Is a non-smoker

Exactly How Much Fat Is Needed for Buttock Enhancement?

In general, BBL surgery in New York City requires a good amount of fat in the order of several hundred CCs or even more per buttock. As not all of the fat transferred will survive, surgeons generally overfill the buttocks with fat by a certain percentage, though this would vary based on the technique used. You should discuss your goals with your plastic surgeon in an in-person consultation beforehand so that your surgeon can help you achieve the best results.

What is Recovery Like After the Procedure?

If there are no unexpected complications, you can expect to get back to work and your normal routine in a week’s time. You will be advised to avoid sitting directly on your buttocks during the initial weeks. Being in good health and not smoking will speed up healing, improve your results, and prevent complications.

When Can Normal Exercise Be Resumed After the Treatment?

Generally, patients are advised not to start exercises soon after their BBL. It’s important to rest during your recovery period. However, surgeons may recommend performing exercises a few weeks post-op, as it can enhance results. Once recovery is complete, patients are instructed to gradually include light activities involving the butt and make it a part of their daily routine. Light walking is recommended following the surgery to increase blood flow to the area, which will promote healing.

How Soon Can I See the Results?

Visible improvement can be seen just the day after the treatment. The final outcome can be seen in 8 weeks to 3 months’ time.

Does the Procedure Leave Scars?

This procedure may involve minimal scars because a small incision has to be made to insert the cannula for liposuction. So, these small scars may appear in the donor areas from where fat is extracted. There is no need to worry because your surgeon will take great care to place the incisions in areas where they will remain hidden within the natural folds of your body. These scars will fade over time, and once fully healed can become practically unnoticeable.

How Long Does the Results Last?

Your results will last long if you maintain a healthy lifestyle and normal weight range. Though there is a chance of the injected fat being reabsorbed by the body, at least 60 – 80% of the fat is retained in most cases.


Brazilian Butt Lift Recovery and Results-What You Need To Know
Brazilian Butt Lift Recovery and Results-What You Need To Know
How to Prepare For Brazilian Butt Lift Surgery
How to Prepare For Brazilian Butt Lift Surgery

Our AAAASF-accredited plastic surgery practice is equipped with 3D imaging software that allows you visualize the outcome of your procedure. Our surgeons will also educate you on the benefits and risks and help you take an informed decision. Our surgeons and support staff are devoted to ensuring patient comfort and safety and will provide personalized care right from the initial consultation through treatment and recovery.


Ready to learn more about Brazilian Butt Lift in NYC? Call 1-800-282-7285 or send an email to to schedule a consultation with NYC Plastic Surgeons, Dr. Spero J Theodorou and Dr. Christopher T Chia.