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Brazilian Buttock lift for plus sized clients

A Brazilian buttock lift for plus sized clients reshapes a long cheek with a tuck and fat moved lower. The net cheek size can stay the same. At SurgiSculpt® in Newport Beach, our surgeons tailor each plan with artistry, proven protocols, and patient safety as the priority.

BBL — #SS106

Case Summary

This article features patient #SS106. View patient profile

Services performed

Services overview

This patient’s surgical plan included: Brazilian butt lift with fat transfer.

Brazilian Buttock lift for plus sized clients

Two Requests Inside a Brazilian Buttock lift for plus sized clients

A Brazilian buttock lift for plus sized clients is more complicated than the same lift in a smaller patient. The cheeks are already generous. Many of these patients see those cheeks as larger than they want, and they ask for a reduction rather than an augmentation. What they still ask for, when they ask for this lift, is a change in shape. That change is called buttock reshaping.

BBL — #SS106

Photo legend

35-year-old female patient demonstrates improved back to buttock rato following VASER liposuction of her upper back, middle back, lower back, and flanks, with fat transfer to her buttocks to complete her BBL.

The unwanted shape comes from a large amount of soft tissue and redundant skin. A generous lower back and flank make the lateral upper cheek look bigger than it is. The redundant skin then falls over the lower cheek. That overhang is what makes the lower buttock look irregular, and it is the cellulite described here. The lower pole is covered by skin that has dropped, not by a cheek that is simply empty.

A second group wants the opposite of a reduction. They want maximum filling of the cheek even though the body is already generous, so the buttock reads as separate from the rest of the torso. A larger body makes the operation higher risk. A larger volume of transferred fat is, on this description, more risky as well. Those two facts sit next to the request. They do not cancel it, and they do not turn the first group's reshape into a maximum fill.

How the Cheek Is Reshaped

The modification is not fat transfer alone. Reshaping uses two maneuvers. The first is a lateral thigh and buttock tuck. The second is a transfer of fat from the upper lateral region into the lower buttock and the central lower buttock. Liposuction supplies that fat. The tuck removes the skin that is making the cheek long. The graft moves fullness from the upper lateral cheek, where the flank has made it look too big, down to the lower pole that the skin was covering.

Fat grafting stays in the subcutaneous layer, above the glute muscle. Moving fat to the lower pole does not put it into the glute. A Brazilian buttock lift uses that same limit whether the patient is plus sized or not. The tuck is a skin excision. It is not a pocket for the graft.

Buttock Height and the 45 to 20 to 35 Split

The tuck is how a longer-than-wanted buttock height is shortened. The proportions given for the female back, the buttock, and the upper legs are 45 percent, 20 percent, and 35 percent. A lengthened buttock in a plus sized patient can take that buttock share up to 35 percent, and the upper leg share then falls to 20 percent. The tuck reverses that by shortening the buttock and lifting the redundant skin off the upper legs.

For this reshape, the net size of the cheeks does not change. The shape does. Width that was an illusion from the lower back and the flank is reduced by taking that fullness down and by lifting the skin. Projection is then the side view of the cheek after the fat has been moved to the lower and central lower buttock, not a larger cheek piled on top of the old one. The waist and the hip still have to be read together, because a full flank changes the hip before the cheek itself is large.

When the Request Is Maximum Fill

The second group is not solved by shortening the cheek alone. They want the cheek filled as much as it can be, so it stands apart from a generous torso. That transfer is larger, and a larger transfer is described as more risky. The body size itself is the other risk. Neither risk is removed by calling the operation a reshape. If the exam shows that the cheek is already too long and the request is still maximum fill, both the tuck and the transfer are still on the table, and the volume is the part that carries the extra risk.

Brazilian Buttock Lift

Photo legend

The service designations for this patient include BBL / Fat Transfer. 35-year-old female patient demonstrates improved back to buttock rato following VASER liposuction of her upper back, middle back, lower back, and flanks, with fat transfer to her buttocks to complete her BBL.

The graft for either group remains above the glute. A request for more volume does not move the cannula into the muscle. The Safe BBL limit is the same limit used here. The photographs are a Brazilian buttock lift, shown from the rear. They do not label which group the patient was in, and they do not show whether a tuck was added. The standing exam is what separates a cheek that needs shortening from a cheek that is being filled to stand away from the torso.

What Changes the Plan Before Surgery

A Brazilian buttock lift for plus sized clients starts with which of the two requests is actually present. A patient who wants the cheek smaller in height, with the upper lateral fullness moved down, is the reshape. A patient who wants the cheek as full as possible, despite an already generous body, is the maximum-fill request. Treating the first request with only more fat leaves the long cheek and the overhang. Treating the second request as if the net size must stay the same misses the filling she asked for.

Buttock augmentation cost for a small transfer is not the fee for a tuck plus a move of fat from the upper lateral cheek to the lower pole. The extra time is the tuck and the wider liposuction, not a different graft plane. The exam is done standing, at the BBL locations, so the flank, the lower back, the dropped skin, and the lower pole can be told apart before either maneuver is promised.

Buttock augmentation with fat is still fat in the subcutaneous layer. The tuck lifts skin off the upper legs and shortens a buttock that has taken too much of the back-to-leg proportion. Those are the two techniques named for the reshape. The maximum-fill subset uses a larger transfer and accepts the higher risk that comes with that volume and with a larger body. The rear-view photographs show one result of a Brazilian buttock lift. They are not a template that every plus sized cheek gets the same volume.

The Rear Views Do Not Assign the Group

The rear photographs are one woman after a Brazilian buttock lift. They show the back contour. They do not measure the back, the buttock, and the upper leg as percentages, and they do not mark where fat left the upper lateral cheek. A reader cannot tell from the prints alone whether the net cheek size was held steady or whether a larger volume was added. That distinction is the consult, made standing, before liposuction starts.

A Brazilian buttock lift for plus sized clients still has to name the flank and the lower back as the tissue that makes the upper lateral cheek look too big. Removing only the overhanging skin, and leaving that flank full, keeps the illusion. Moving only the fat, and leaving the long skin, keeps the cheek tall and lets skin keep falling over the lower pole. The tuck and the downward transfer are paired for the reshape because each one fixes a different part of that illusion.

Brazilian Buttock Lift

Photo legend

From this angle, the BBL / Fat Transfer result is easier to follow. 35-year-old female patient demonstrates improved back to buttock rato following VASER liposuction of her upper back, middle back, lower back, and flanks, with fat transfer to her buttocks to complete her BBL.

The maximum-fill request does not get a different plane. The fat is still subcutaneous, above the glute. What changes is how much is moved, and more volume is more risky when the body is already large. The waist and the hip are judged with the cheek so a full flank is not mistaken for a wide hip that needs still more graft. Projection after the move is the side view of the lower and central lower buttock, once the dropped skin has been lifted off it.

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