Body
Brazilian Butt Lift
A Brazilian butt lift (BBL), also called gluteal fat grafting, changes the shape or fullness of the buttocks by moving a patient's own fat from areas treated with liposuction. It is a major operation with significant risks, so the procedure, safety plan, and recovery plan should be discussed in detail before scheduling.
Quick Facts
- Also called gluteal fat grafting or fat-transfer buttock augmentation
- Combines liposuction with transfer of the patient's own fat
- Safety, anatomy, goals, and recovery needs must be evaluated individually
BBL with Dr. Michael Salzhauer
Dr. Michael Salzhauer, known as Dr. Miami, is certified by the American Board of Plastic Surgery. His practice is in Bay Harbor Islands, in the Miami area.
What a BBL Does
A surgeon removes fat with liposuction from selected donor areas, processes the harvested fat, and transfers selected fat to the buttocks. The donor areas, amount transferred, and contour plan depend on the patient's anatomy and goals.
A BBL is not the same as a buttock implant or a nonsurgical injection. Ask which approach is being proposed, what it can and cannot change, and what result is realistic for your starting anatomy.
Florida Office-Surgery Safety Requirements
Florida law sets specific requirements for gluteal fat grafting performed in an office surgery setting. The statute says fat may be injected only into the subcutaneous space above the fascia overlying the gluteal muscle; intramuscular and submuscular injections are prohibited.
The same statute requires ultrasound guidance, or another technology authorized by rule that meets or exceeds it, while the cannula is placed and moved for fat injection. It also requires the physician to perform the fat extraction and injection and limits the operating physician to one patient throughout the procedure phases specified in the law.
These requirements are a safety baseline, not a guarantee against complications. Rules can change, and the care setting matters, so confirm the current law and exactly how it applies to your planned procedure.
Questions to Bring to Your Consultation
- Are you certified by the American Board of Plastic Surgery, and where will my surgery be performed?
- Who will perform the liposuction, fat preparation, and fat injection?
- How will you see and confirm the position of the cannula during fat injection?
- What result is realistic for my anatomy, and what are the alternatives?
- What risks are most important in my case, and how are emergencies handled?
- What should I arrange for sitting, sleeping, walking, garments, work, caregiving, and travel?
- Who can I contact after surgery, and when are follow-up visits required?
Risks and Limitations
Risks can include anesthesia complications, bleeding, infection, fluid accumulation, poor wound healing, pain, numbness or other sensation changes, asymmetry, fat necrosis, blood clots, heart or lung complications, unfavorable scarring, and the possibility of revision surgery. Gluteal fat grafting also carries the risk of fat embolism, which can be fatal. This is not a complete list.
No photograph, review, or consultation can guarantee a particular result. A qualified surgeon should explain the benefits, alternatives, limitations, and patient-specific risks before you sign consent forms or schedule surgery.
Recovery and Travel Planning
Recovery instructions vary with the operation and the patient. Before surgery, get a written plan for positioning, activity, incision care, garments, medications, warning signs, follow-up, transportation, and help at home or at your hotel.
If you are traveling to South Florida, confirm required arrival and recovery dates before buying nonrefundable travel. Ask how long you must remain nearby, when travel may be considered, who should accompany you, and what happens if a concern develops after you leave.
BBL Photos and Consultation Planning
Use a procedure-specific gallery to compare body position, camera angle, lighting, the areas shown, and whether labeling is clear. Look across multiple relevant cases rather than relying on one dramatic example. Another patient's result cannot predict your own.
For current brazilian butt lift pricing, use the consultation request or call the office.
This page provides general education and does not replace an individual medical consultation. BBL carries significant risks, and no surgical result or complication-free recovery can be guaranteed.
Build a BBL plan around your anatomy and safety
Request a private consultation to discuss your goals, alternatives, risks, procedure setting, and recovery plan before deciding whether surgery is right for you.
