Nazarian Plastic Surgery Services in Beverly Hills, LA

BBL – Brazilian Butt Lift Los Angeles



Brazilian Butt Lift (BBL)

A lifted, shapely buttock is a definite self-confidence booster. A Brazilian Butt Lift (BBL) or fat grafting to the buttocks is a surgical procedure to increase volume in your derrière. Not only can it give you a more youthful looking backside, but it can actually rejuvenate your entire torso since your buttocks work in harmony with your abdomen, breasts, thighs and flanks. As with all body contouring procedures, the goal of a BBL is to restore proper body proportion so that you can look natural and feel your best.

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Pairs Well With

  • Arnica

    Available in-office, our blend of medical-grade Arnica, Bromelain, and Vitamin K is much more potent and bioavailable than those available in drug stores. We recommend taking 2 pills daily starting up to 1 month, 2 weeks, or a couple days before your procedure and continuing until bruising and swelling have resolved. Also available with Tumeric to take starting 2 weeks after your surgical procedure for added anti-inflammatory benefits.

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  • Siligen Gel Regular

    Oxygenetix Oxygenating Foundation prides itself on its breathability. Made with Ceravitae, this aloe-based foundation sends oxygen straight to compromised skin cells. The much-needed oxygen promotes healing and healthy collagen growth. The liquid formula is ideal for those struggling with common conditions such as eczema, acne or rosacea. This foundation is water-resistant through swimming and exercising, all while providing protection of SPF 30. It is also free of fragrance, oil, dyes, and parabens.

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  • Siligen Gel SPF

    Silagen Silicone Scar Treatments are a revolutionary, physician-exclusive line of medical grade silicone scar treatment products created to dramatically reduce the appearance of scars. Don’t let your self-consciousness about scars keep you from living your best life. Stop hiding your scars with clothes and use Silagen silicone scar treatments to reduce their visibility for good.

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  • Environ Derma-Lac

    Environ Body DermaLac Lotion contains a medium concentration of Alpha Hydroxy Acids (Lactic acid, Urea and Ammonium Lactate) for use on rough, sun damaged and congested skin. It's lightly scented and more watery in consistency. We love this product for bumpy back of arms and scarring from active or old back acne. This hydrating lotion helps smooth and soften dry, rough skin on the elbows, feet and knees as well as providing an overall soothing experience. This is a must-have for body exfoliation!

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  • Kayo Firming Serum

    This award winning serum is specially formulated to help provide firmer, tighter looking skin for an overall slimmer look. This refining treatment serum helps smooth and firm to reduce the appearance of cellulite based on a blend of firming ingredients. A botanical Firming Complex, plus Hyaluronic Acid and Kayo’s Omega Oil Blend and Superfruit Blend help to deliver extreme hydration to firm and smooth the skin to improve skin elasticity. This product absorbs quickly and is fragrance free, allowing it to be seamlessly layered under your favorite beauty products, discreetly enhancing your natural beauty. Free of Parabens, Sulfates, Phthalates, Petrolatum, Synthetic Color, PEGs, TEA, DEA, and Mineral Oil. Always Vegan. This product is not tested on animals. Made in the U.S.A. Consciously sourced. Allergy Caution: Contains nuts or nut by products. Instructions for Use: Spot treat daily on problems areas such as thighs, buttock, arms, or under neck. Specially formulated to work beautifully under Kayo's The Body Beautiful Crème. Use in combination with a healthy diet and lifestyle for enhanced results.

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  • Kayo Daily Remodeling Serum

    This multi-functional hydrating serum is instilled with Hyaluronic Acid and Copper Peptides to help enhance the appearance of skin. Skin is saturated with long-lasting deep hydration from Hyaluronic Acid and Kayo’s Omega Oil Blend, while skin is further layered with Kayo’s antioxidant rich Superfruit Blend, leaving skin energized and radiant. Founder's Notes: This body product was modeled after true high impact face serums, with the quintessential lighter feel and texture of a serum, perfect for layering based on your unique skin type and needs. Moisture is primarily delivered through Hyaluronic Acid (think deep water hydration) rather than topical oil hydration. This product can be used by itself for normal to oily skin, but is recommended under other Kayo products, such as The Body Beautiful Crème or Kayo's Cellular Repair Evening Oil for skin that needs deeper oil based hydration. When layering Kayo's body products use the same technique you would with face products - lighter products like serums first, heavier products like lotions and oils after.

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  • Alastin TransForm

    Alastin TransFORM Body Treatment was developed to optimize your results when used after fat reduction treatments and it is also used to improve skin quality when used on its own. It has been proven to help accelerate body fat reduction, enhance skin tightening procedure results, and improve skin texture, firmness and crepiness.

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  • Revision Bodifirm

Fat Grafting to the Buttocks Consultation

When considering any kind of aesthetic procedure, whether surgical or non-surgical, it is paramount that you first be assessed in person. During your in-office or virtual consultation at her Beverly Hills office, Dr. Nazarian will listen to what you would like to improve. She will ask about your medical history, family history, diet and exercise regime as well as any prior procedures that you may have had done. Then, she will perform a thorough physical examination to assess your:
  • areas of excess fat
  • concavity or volume loss in your buttocks
  • skin elasticity
  • body proportion
  • skin tone & texture
  • cellulite
  • stretch marks
Together, you will come up with the right treatment plan for your unique anatomy that will deliver on your goals. A BBL may be performed alone, but Dr. Nazarian may also combine it with another procedure such as breast surgery, V-Sculp Body Contouring or a Mommy Makeover.

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Ideal Candidate for a BBL

A BBL is ideal for any patient, male or female, who is:
  • in good overall health
  • does not smoke
  • has some extra body fat in the abdomen, thighs or back, for example
  • is bothered by a lack of volume or dips in their backside and hips
Some patients are unfortunately born with flat buttocks. For others, however, their backside has lost volume due to:
  • age
  • pregnancy
  • weight gain/loss
  • menopause
Restoring buttock volume is a great way to look and feel more youthful. Besides being in good health, anyone who is considering fat grafting to the buttocks should be at a maintainable goal weight. Otherwise, if you lose weight after your surgery, your butt may deflate.

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What is Fat Grafting to the Buttocks?

Fat grafting to the buttocks is one of those great 2-for-1 procedures. The first half involves liposuction. Dr. Nazarian will use the tumescent technique and Power Assisted Liposuction to safely remove excess areas of fat through a specialized cannula, which is a thin, metal tube, that vibrates rapidly back and forth. This vibration allows her to collect the necessary fat with less “manhandling” which results in a faster procedure with less post-operative bruising and swelling. If skin tightening is also needed, Dr. Nazarian will then perform BodyTite.  The collected fat is then spun to remove any fluid. Dr. Nazarian takes this pure fat or “liquid gold”, and strategically injects it into your buttocks and hips in order to sculpt them into the right size and shape for your individual anatomy. Only about 70% of the injected fat cells will survive which is why Dr. Nazarian always overfills. This is why it’s so important to see a body contouring expert as a BBL is as much art as science. Fat can also be placed into the breasts during the same surgery so let Dr. Nazarian know if you would like to plump your breasts as well.

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What’s the Recovery Like?

After your fat grafting to the buttocks procedure, you are going to be bruised and swollen in your derrière and any area where liposuction was performed. Being vigilant about wearing your compression garment will help with any post-operative discomfort in addition to ensuring that you heal well. The swelling may last anywhere from 4-6 weeks. The treated area might also appear reddish in color for the first 48 hours. Do not be concerned. This is normal. Patients typically take narcotics for the first 3 days and then switch to Tylenol by day 4. I want you to keep pressure off your bottom for the first 2 weeks. This is the best way to make sure that as much of the grafted fat cells live as possible. Try not to sit or put direct pressure on your buttocks for long periods of time, and don’t sleep on your back. Other than that, I don’t want you sitting in water during this time. After 4 weeks, I tend to lift all restrictions so that you are free to return to your daily routine.

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Asked Questions

Are the results from a BBL permanent?

Yes. Once a fat cell is removed via liposuction, it is gone for good. Also, once that fat cell is placed in the buttocks via fat grafting, it is permanent. However, only a certain number of the fat cells that are injected will “take”. I tell my patients to expect that 70% of their fat graft will live. This is why I always overfill in order to compensate for this fact. It is one of the many reasons why you should see a body contouring expert for your BBL. It is also really important that you be at a weight that you like and that you can maintain. If you gain or lose weight after your BBL procedure, it may adversely affect your results and your butt may deflate.

Should I gain weight before my BBL?

No. I can’t tell you how many patients think that they need to gain weight first. The problem, of course, is that if you come in at a heavier weight and then you lose the weight, your newly plumped-up booty will deflate. I need to be able to assess your body proportion at a weight where you feel good and that you can maintain. This is crucial for long lasting results.

Is fat grafting to the buttocks painful?

The procedure itself is performed under general anesthesia so you won’t feel a thing. Most patients don’t find the recovery to be painful. But you will be sore, especially in the areas where I performed liposuction. The compression garment helps to reduce this discomfort. The biggest drag for my BBL patients is just staying off their buttocks. We are a society that sits a lot so changing these habits can be tough. But it is also better for the body not to sit so much which is why I always tell patients to embrace the first two weeks following surgery and use it as a time to create new, healthier habits. Oh, and catch up on Netflix. 

Is Brazilian Butt Lift safe?

There has been a lot of media attention on safety and the BBL. This is a surgery that is safe as long as you see an experienced body contouring expert. Fat should only be grafted into the subcutaneous layer of fat in the buttocks. The problems occur when the surgeon doesn’t know his or her stuff and injects the fat too deep or tries to inject too much. I am incredibly conservative with my BBL procedures and have encountered no problems.

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Posted by Nazarian Plastic Surgery on Thursday, May 2, 2019