BBL surgery, also referred to as Brazilian butt lift or buttock augmentation via fat injection, can serve as a permanent solution for improving the appearance of flat buttocks and hips. However, it is a rather complex procedure because it entails different processes that must be done meticulously to achieve great results.
BBL surgery always starts with liposuction to collect donor fats from multiple sites. Renowned Orange County plastic surgery expert Dr. Tarick Smiley said he almost always treats the lower back and flank as donor sites because treating the adjacent areas of the buttocks can further improve their shape and projection.
In his recent Snapchat posts, the celebrity plastic surgeon said that liposuction should not be done too aggressively—i.e., remove too much fat in the donor area—due to risk of skin irregularities. The general rule of thumb to achieve smooth results is to predict how much skin shrinkage will occur, he added.
Moreover, the skin in the buttocks “should also be respected,” he warned, and thus “over-injection of fats” can lead to sagging appearance and unnatural results.
“It is important to preserve the strength of the fascia system. This thread-like anatomy holds the skin and determines the final shape of the buttocks. However, too much fat volume can weaken them, resulting in buttock sagging,” said Dr. Smiley.
He cited Kim Kardashian and Nikki Minaj’s “backside” as a poorly done BBL surgery because their buttocks look hugely disproportionate to their body. Furthermore, he mentioned the lack of smooth transition between the posterior thigh and the buttock.
“My strict rule is to create a nice transition between the thigh and the buttock. We don’t want a buttock in which the leg appears hanging from it, just like in the case of Nikki Minaj,” he said.
To avoid over injection of fat graft, Dr. Smiley said he always takes into account the patient’s body frame and her skin elasticity as well.
“Too much fat injection or too much weight can stretch out the skin and affect the stability of the fascia system that holds the buttocks shape. This is the key to achieve natural-looking, long-lasting results from BBL surgery,” said Dr. Smiley.