Brazilian buttock lift is basically liposuction with fat transfer to the buttocks. Instead of discarding the “unwanted” fats, these are injected into the patient’s backside and hips to achieve a more feminine figure.
Leading Beverly Hills plastic surgeon Dr. Tarick Smiley says a good result should present high symmetry between the left and right side, not just of the buttock, but also of the entire torso of the patient when viewed from the back.
After and before photos of a patient who have had Brazilian buttock lift. Hers was a special case due to her scoliosis.
In one of his recent Snapchat videos, Dr. Smiley has presented a rather special case of Brazilian buttock lift.
The female patient has scoliosis that her torso slightly “curves” to the right. Hence, her fat rolls and skin fold along this side were more prominent compared to the left side of her back.
In the video, Dr. Tarick Smiley said he almost always treats the lower back and flanks as donor/liposuction sites because of the areas propensity to accumulate “unwanted” fats that can show through tight clothing.
However, performing liposuction on the lower back and flanks of the patient with scoliosis could “highlight” the asymmetry between the left and right side of her torso unless “appropriate adjustments are made” during surgery, he explained.
To achieve a more symmetric result, Dr. Smiley removed more fat volume from the right side of the torso than its left side.
“It is important for any surgeon performing Brazilian buttock lift to have an eye for detail. Essentially, this is a combination of science and art,” he said.
After removing sufficient fat volume from the donor sites, Dr. Smiley purified it with the use of a centrifuge, a device that separates biomaterials based on their weight.
For instance, the lightest material is the oil, which floats above the fluid after centrifugation; this is discarded to achieve a high survival rate of fat graft (at least 70 percent).
Then, Dr. Smiley injected the purified fat into the patient’s backside, allocating about a third of the volume to reshape the hips and the remaining amount was used to improve the buttock’s shape and projection.
Moreover, Dr. Smiley smoothed out the visible indentations on the buttocks with meticulous fat injection techniques.
BBL surgery results should appear smooth—i.e., the skin surface must show uniformity and there should be a smooth transition between the buttocks and the “adjacent areas” such as the posterior thigh, hips, flanks, and lower back.
BBL, which is an acronym for Brazilian buttock lift, is basically a combination of two procedures: liposuction and fat transfer/injection.
Liposuction is the process of removing the “unwanted” fat, which is then re-used to augment and reshape the buttocks and hips to achieve a more feminine figure.
Fat injection, meanwhile, is the process in which the buttocks and hips are reshaped in a way that they look natural and proportionate to the patient’s underlying anatomy. The final results should also reflect the individual’s cosmetic goals and expectations, which she must be able to describe in details during the preoperative consultation.
Inland Empire plastic surgery expert Dr. Tarick Smiley, who performs over a hundred BBL surgeries every year, says that fat transfer is a meticulous process. Instead of dumping the fats all out once, the use of microdroplet injection technique is critical to achieve smooth results and high survival rate of fat grafts.
Any amount that survives after a few months of fat injection is expected to last a lifetime, he says in one of his recent Snapchat videos.
Dr. Smiley warns that incorrect fat injection and over-filling the buttocks can lead to a gamut of aesthetic-related problems such as cellulites, dents, and sagging appearance.
Cellulites and other skin surface irregularities are generally caused by “disturbing” the fascia system, which resembles a cluster of threads connecting the muscle into the skin.
When too much fat volume has been injected into the buttocks, the extra weight causes the fascia to weaken and the butt cheek to sag. This “problem” can be further aggravated by aging and large weight fluctuations.
To avoid skin irregularities and sagging appearance, Dr. Smiley says he never injects “fat volume that goes beyond the capacity of the patient’s fascia system and other relevant anatomies.”
“The key to achieve natural, proportionate BBL surgery results is to respect and acknowledge the anatomical limits. This core principle has also helped me avoid most known complications,” he says.
To further avoid “unnecessary weight” that could make the buttocks susceptible to sagging, Dr. Smiley says he avoids or at least minimizes fat injection into the lower aspect of the butt cheek, focusing more on the upper half portion and the lateral side (hips) instead.
Preventing buttock augmentation risks should be the main objective of any prudent surgeon, said leading Beverly Hills plastic surgery expert Dr. Tarick Smiley on his recent Snapchat post.
To demonstrate a poorly done buttock augmentation surgery, Dr. Smiley has posted photos of singer Nikki Minaj clad in a scanty two-piece bikini.
Dr. Smiley said the star’s backside clearly shows buttock implants that are too big for her underlying anatomy, particularly relating to her soft tissue coverage, skin elasticity, and body frame.
The hugely disproportionate buttock implants, he said, are clearly visible beneath the skin that they have also caused the tissue to become thin and over stretched, inevitably causing her “derriere” to droop, a complication medically referred to as ptosis.
Whether buttock augmentation surgery is performed through butt implants or fat transfer, Dr. Smiley said the patient’s anatomy, particularly the “elasticity and resiliency of the skin,” must always be respected to achieve natural-looking results and to avoid most known complications.
“The loss or weakness of the fascia system, which holds the skin and the overall shape of the buttocks, can cause ptosis,” he further explained.
“We should not overdo it. The weight of the implants or the amount of fat injected into the buttocks must always respect the anatomy lest the results will look terrible,” he warned.
To further minimize buttock augmentation risks, Dr. Smiley said he now prefers butt augmentation via fat transfer (or Brazilian buttock lift in layman’s term) to the use of implants, which he only reserves for a very small percentage of patients.
Brazilian buttock lift uses the most natural material—i.e., the patient’s own fat—to reshape and augment not just her backside, but her hips as well, leading to a more proportionate, feminine figure.
Despite the perceived benefits of Brazilian buttock lift, Dr. Smiley said it remains important to avoid over-filling the backside since too much weight can cause ptosis, which can happen right after surgery or years down the road.
To further prevent ptosis, Dr. Smiley said most of the fat volume should go to the hips and the upper half aspect of the buttocks (as opposed to its lower aspect). This fat volume “allocation” results in a heart-shaped backside, especially when the unwanted fats from the lower back and flanks are removed as well.
Liposuction is the surgical technique that allows the surgeon to harvest the “unwanted” fats from two or more donor sites; the fats are then purified and re-injected into the patient’s buttocks, said Dr. Smiley.
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.
Before and After Photos of a Patient Who Asked for a Conservative Fat Volume for Natural Results
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.
Hourglass body contouring surgery is a highly customized procedure, although it usually combines liposuction and buttock augmentation through fat transfer, as suggested by renowned Los Angeles plastic surgeon Dr. Tarick Smiley who regularly posts Snapchat videos involving this combo technique.
Dr. Smiley says most patients seeking body contouring surgeries want natural results (i.e., what nature intends) and so they must combine art and science to deliver the most desired results.
The celebrity plastic surgeon says the “core principles” that help him deliver natural results from hourglass body contouring are backed by science. He cites the studies that suggested women with an hourglass-shaped figure are the most appealing to men.
Some researchers have even suggested that having an hourglass figure is more important for most men than their facial features.
The consensus is that the waist-to-hip-ratio of 0.7, or a waist measurement accounting for 70 percent of the hip circumference, is the ideal feminine physique.
To achieve this ratio, Dr. Smiley highlights the importance of contouring, or to be more specific, narrowing the waistline, which can be achieved by 360-degree liposuction.
While liposuction removes the unsightly rolls caused by excess fats beneath the skin (they are genetically predetermined and so they may not always respond to exercise and diet), Dr. Smiley says it remains important to leave behind some fat to preserve a smooth skin surface.
Should the patient desire to improve the projection of her “backside” as well, Dr. Smiley almost always performs liposuction of the lower back and flanks.
For a more hourglass body contouring effect, instead of discarding the fats collected from liposuction they are purified and re-injected into the patient’s backside and hips, says Dr. Smiley.
In his Snapchat videos, Dr. Smiley is often seen allocating about one-third of the fat volume to “widen” the hips and the remaining is then used to improve the shape and projection of the actual buttocks.
When performed in the right patient (healthy, near normal weight), the surgeon says that hourglass body contouring surgery can provide near permanent results that look natural and proportionate.
One of the most common Brazilian buttock lift risks involves having a poor shape and projection, which can be avoided by creating a strong foundation, as suggested by leading Beverly Hills plastic surgeon Dr. Tarick Smiley.
Dr. Smiley, who performs over a hundred Brazilian buttock lifts every year, has recently posted Snapchat videos to demonstrate how he achieves natural, long-lasting results from the procedure by following the most basic principle: Always respect the patient’s underlying anatomies.
The celebrity plastic surgeon says that a poorly done Brazilian buttock lift can lead to sagging and cellulites (dents and dimpling), citing the poor results (dimpling and sagging) of reality TV star Kim Kardashian.
Photo of a Brazilian buttock lift patient one week postop (she is wearing a compression garment). Dr. Smiley has created wider hips and fuller, rounder buttocks without compromising the underlying foundation of the butt cheek. Hence, the patient can expect great results that are not susceptible to gravity and aging.
To prevent the sagging appearance after surgery, he highlights the importance of creating a strong foundation and avoiding too much volume (or overdoing fat injection) because the additional weight makes the buttocks susceptible to the effects of gravity, aging, and weight fluctuations.
Dr. Smiley says the buttock skin is supported by vertical septae, which look like small threads attached to the muscle and bone. They also serve as a compartment for fat globules.
However, the vertical septae can lost their strength and elasticity, which can lead to cellulites and sagging, when too much fat has been injected into the buttock—particularly the lower half aspect. To prevent these complications, he avoids over-injection of fat near the gluteal fold (the crease between the butt cheek and the posterior thigh).
Too much volume and weight on the lower half of the butt cheek, just like in the case of Kim, is the most common cause of poor shape and dimpling, says Dr. Smiley.
The celebrity plastic surgeon has also surmised that Kim’s poor results might also stem from liposuction of the posterior thigh, which has further weakened the “foundation” of the buttocks and thus contributed to the sagging appearance.
Kim Kardashian’s backside has visible dents and sagging, which could be a result from over-filling the lower half aspect of the butt cheek, and liposuction near the gluteal fold.
Dr. Smiley says he generally avoids liposuction of the posterior thigh due to risk of saggy buttocks and surface irregularities.
Nevertheless, liposuction remains an integral part of Brazilian buttock lift because it allows surgeons to collect “unwanted” fats from two or more donor sites; the fats are later re-injected into the buttocks.
Dr. Smiley says he almost always treats the lower back and flanks as a viable donor site of fats because contouring these “adjacent” areas further improve the profile and shape of the buttocks, and so there is no need to perform over-aggressive fat injection in an attempt to achieve great projection.
He believes that having a deep understanding of the buttock anatomy can prevent most, if not all, Brazilian buttock lift risks.