
Brazilian Butt Lift and Buttock Augmentation in Valencia and Alcoy
Dr. Antolin explains the procedure for buttock augmentation, also known as gluteoplasty, and Brazilian Butt Lift, a technique that uses the patient’s own fat to improve the shape, projection and volume of the buttocks, in his clinics in Valencia and Alcoy.
A Brazilian Butt Lift, also known as BBL surgery, is a body contouring procedure designed to enhance the buttocks using your own fat. Fat is removed from areas such as the abdomen, waist, hips, thighs or back through liposuction, processed and then transferred to the buttocks to create a more rounded, balanced and natural-looking silhouette.
In some patients, buttock augmentation may also be performed with implants, especially when there is not enough available fat for a Brazilian butt augmentation.
Buttock enhancement can be achieved, depending on each case, by means of:
- Brazilian Butt Lift with the patient’s own fat extracted from other areas of the body.
- Buttock augmentation with implants.
- A combined technique using fat transfer and implants when necessary.
A Brazilian Butt Lift or buttock augmentation can treat a variety of aesthetic concerns, including:
- Flat or disproportionately small buttocks.
- Buttocks with little projection.
- Sagging or loss of firmness.
- Asymmetry, when both buttocks are different in shape and/or size.
- Shape problems, often after major weight loss.
- Lack of definition between the waist, hips and buttocks.
Candidates for Brazilian Butt Lift Surgery
The ideal patient for a Brazilian Butt Lift is a person who:
- Is in good general health.
- Feels that the shape, volume or projection of the buttocks is a source of concern or dissatisfaction.
- Wants to improve the silhouette, not achieve an unrealistic or artificial result.
- Has reasonable expectations about what BBL surgery can achieve.
- Understands what Brazilian butt augmentation involves and is prepared for the postoperative period and recovery.
- Is aware of their general health and any medical conditions, and reports them to the surgeon.
If Brazilian Butt Lift with your own fat is desired, the patient must have a sufficient amount of fat in donor areas such as the abdomen, waist, thighs, arms, hips and/or back.
Patients with insufficient stored fat available in other body areas may be better candidates for buttock implants.
Patients with buttocks that are too small or flat and who are looking for a more significant improvement in volume and projection may benefit from implants or from a combined approach.
Liposuction of the flanks, waist, lower back or abdomen is often recommended in Brazilian Butt Lift surgery to improve the overall contour and make the buttocks appear more defined.
The First Brazilian Butt Lift Consultation
Prior to Brazilian Butt Lift surgery, buttock fat transfer or buttock implants, all patients will have several scheduled consultations with Dr. Antolin.
In this first FREE visit, patients should have all their doubts, questions and clarifications answered. Dr. Antolin will review the desired goals of the procedure and make sure that both patient and surgeon agree on the expected result.
During the initial consultation, the current shape of the buttocks will be examined, as well as the patient’s skin tone, body proportions and available fatty tissue that can be transferred from another area of the body.
Dr. Antolin will ask the patient how she wants her buttocks to look and will explain the most appropriate surgical options in detail.
In Brazilian Butt Lift surgery, the buttocks are reshaped using the patient’s own fat. In buttock augmentation with implants, silicone implants are placed in a pocket created inside the gluteus maximus muscle. The different options will be explained during the consultation.
Types of Brazilian Butt Augmentation Procedures
Brazilian butt augmentation and buttock reshaping can be achieved by:
- Brazilian Butt Lift, using the patient’s own fat extracted from other areas.
- Buttock augmentation with implants.
- A combined procedure using both implants and fat transfer.
The choice of one technique or another will depend on the physical constitution of the patient, especially the existence of enough fat in donor areas, and on the patient’s aesthetic goals.
It is common to combine liposuction and fat transfer in BBL surgery to achieve a more harmonious result, because the improvement does not depend only on adding volume to the buttocks, but also on reshaping the waist, hips, lower back and surrounding areas.
Buttock Augmentation with Implants

Buttock implants may be indicated in patients who want greater projection and volume but do not have enough body fat to undergo a Brazilian Butt Lift.
The ideal candidate is a patient with flat buttocks but good skin tone. Patients with very sagging buttocks or very loose skin may require a different surgical approach.
This is the option that provides greater projection and volume in a single operation.
The size and projection of the buttocks can be increased by placing a silicone gel implant in a pocket created inside the gluteus maximus muscle, through a 6 cm incision in the intergluteal fold.
Specific silicone implants are used, with a flatter and wider projection than those used in breast augmentation.
- The procedure is performed under general anesthesia.
- It lasts approximately 2 hours.
- It usually requires hospitalization for 1 day.
- The following day, once everything has been checked and the patient is in good condition, discharge from hospital is possible.
- The patient must wear a compression garment for one month and avoid sports for one month.
Postoperative and recovery after buttock implants
Once the patient has been discharged, it is recommended that he/she rests at home for several days and follows a progressive recovery, so that he/she can return to family and work life within 7 days, although this should always be evaluated individually.
Patients are monitored during the first month with weekly visits for follow-up, wound care, removal of stitches and progressive postoperative advice.
- Patients will need to rest for a couple of days to allow the swelling to subside.
- Any pain or discomfort can be controlled with prescribed painkillers.
- Most patients can return to work after the first week, and exercise can be resumed in six weeks.
- The results of buttock augmentation are immediately visible.
- After the operation, a compression garment should be worn for 3-6 weeks.
- Over time, swelling decreases and the appearance of the scar improves markedly. Swelling may persist for up to three months after the procedure.
- The drains will be removed the following day.
- Initially it may be uncomfortable to sit and sleep. It is advisable to sleep on your stomach or side. Sitting on the implants may be uncomfortable but is allowed.
The main concerns of buttock augmentation with implants are infection, separation of the incisions or wounds, implant displacement and capsular contracture.
- The incision is located in the buttock cleft, close to the anus, so the risk of bacterial infection is higher than in other procedures. It is very important to keep the incision clean and to attend weekly check-ups at the clinic for dressing changes.
- The incisions and scars in buttock implant surgery are under stress because the muscles and structures of the buttocks are used in almost every movement.
- Walking, moving and sitting can put a lot of pressure on the implants and incisions.
- Although rest is necessary after surgery, gentle walking is also recommended.
- You are allowed to sit using a soft pillow for the first two to three weeks.
- You should also put a pillow behind your knees to provide more support.
- It is important to have a clinical examination once a year to evaluate the integrity of the implants.
Brazilian Butt Lift with Fat Transfer
A Brazilian Butt Lift uses the patient’s own fat as the filler material to improve the volume, shape and projection of the buttocks.
Fat grafting is a procedure in which fat is removed from one area of the body and transferred to another. In BBL surgery, the process usually includes the following steps:
- Through conventional liposuction, fat is extracted from areas where there is excess volume, such as the abdomen, waist, hips, back or thighs.
- Small 5 mm incisions are made to introduce cannulas and extract the fat. First, saline solution with anesthetic medication is infiltrated to reduce pain and prevent bleeding. This infiltrated fluid may drain or leak after the procedure for 24 to 72 hours, which is completely normal.
- The fat obtained is filtered, decanted and centrifuged before being infiltrated into the buttocks.
- Once the fat has been removed and the desired contour has been achieved, the small incisions are closed.
This Brazilian butt augmentation technique has several advantages:
- It uses the patient’s own tissue, avoiding the use of foreign filler material.
- It can provide a more natural-looking result because the buttocks are enhanced with the patient’s own fat.
- Fat transfer can improve the lateral contour of the buttocks and help create a more attractive waist-to-hip ratio.
- Liposuction allows the surrounding areas to be reshaped, including the lower back, waist, hips and upper thighs.
As a disadvantage, a percentage of the injected fat cells may not survive. For this reason, in some cases a second procedure may be necessary several months later to achieve the desired volume.
However, the fat cells that survive after transfer are considered permanent.
If you gain or lose weight, you may clearly see changes in the areas where fat transfer was performed. Therefore, it is important to undergo the procedure when you are as close to your ideal body weight as possible.
- Brazilian Butt Lift surgery is performed under sedation or general anesthesia, depending on the size of the area to be treated.
- It does not usually require an overnight stay in hospital, so the patient can go home the same day.
- The procedure can last from 30 minutes to 2 hours, depending on the amount of fat to be removed, the areas treated and any additional procedures performed.
- The small stitches are removed 7 to 10 days later.
- A compression bandage or compression garment will be applied after the procedure.
- These dressings or garments should be worn continuously for 4 to 6 weeks, except when showering, as they help the contraction process.
Postoperative and recovery after Brazilian Butt Lift
Liposuction involves swelling and bruising that may persist for 4 to 6 weeks. You may experience slight pain, tingling, burning and numbness in the treated area, although the initial pain and swelling usually improve quickly.
- Patients will need to rest for 2 days to allow the swelling to subside.
- Any pain or discomfort can be controlled with analgesics prescribed if necessary by Dr. Antolin.
- Most patients return to work within 7 days, and exercise can usually be resumed in six weeks.
- During the first two weeks it is important not to apply sustained pressure to the buttocks. Pressure can affect the survival of the transferred fat and cause loss of volume or fat necrosis.
- It is best to sleep on your stomach or side for as long as possible.
- It is also important not to sit for long periods during the first 4 weeks.
A second operation may be necessary to achieve the desired volume, since a percentage of the grafted fat cells will not survive. However, the fat tissue that does survive is permanent.
The exact causes of fat cell survival failure are not fully predictable. Pressure and smoking may affect the result negatively.
Very good results can be obtained with Brazilian Butt Lift surgery and liposuction of the surrounding areas, but it is important to be aware of the limitations, risks and possible complications.
Brazilian Butt Lift Results
The results of Brazilian Butt Lift surgery are visible from the beginning, although swelling after surgery means that the result will continue to evolve over time.
Patients usually start to see a clearer result within the first month, but the final result is generally assessed after around 6 months, once swelling has decreased and the transferred fat has stabilised.
Schedule an initial consultation to meet with Dr. Antolin and learn more about Brazilian Butt Lift, BBL surgery and buttock augmentation in Valencia and Alcoy.
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Frequently Asked Questions about Brazilian Butt Lift
Who is a good candidate for a Brazilian Butt Lift?
A good candidate for a Brazilian Butt Lift is usually a patient who wants to improve the volume, projection or shape of the buttocks and who is in good general health. The patient must also have enough fat in donor areas such as the abdomen, waist, hips, thighs or back.
What is the difference between Brazilian Butt Lift and buttock implants?
A Brazilian Butt Lift uses the patient’s own fat to enhance the buttocks, while buttock implants use silicone implants to increase volume and projection. The best option depends on the patient’s anatomy, available fat, skin quality and desired result.
How long does BBL surgery take?
The duration of BBL surgery depends on the amount of fat to be removed, the number of areas treated with liposuction and whether any additional procedures are performed. The exact surgical time should be confirmed after a personalised medical assessment.
When will I see the final result after a Brazilian Butt Lift?
The change can be appreciated from the beginning, but the result evolves during the following weeks and months. Swelling must decrease and the transferred fat has to stabilise. The final result is usually assessed around 6 months after surgery.
Can Brazilian Butt Lift be combined with liposuction?
Yes. Liposuction is part of the Brazilian Butt Lift procedure because fat must be removed from donor areas before it is transferred to the buttocks. Reshaping the abdomen, waist, flanks, hips or back can also improve the overall silhouette and enhance the final result.
Is the first consultation for Brazilian Butt Lift in Valencia free of charge?
Yes, the first assessment appointment is free of charge. The patient’s anatomy is studied, doubts are solved, the most appropriate technique is explained and the treatment is planned in a personalised way.
When can I ask for an estimate for a Brazilian Butt Lift?
The quotation should be offered after a personalised medical assessment, since it depends on the technique indicated, the degree of complexity, the type of anesthesia and whether liposuction or other complementary procedures are required.
Where can I request a first Brazilian Butt Lift appointment with Dr. Antolin?
You can request a free first appointment through the clinic’s contact page to receive a personalised assessment in Valencia or Alcoy.
Will my buttocks look fake after buttock augmentation?
The goal of Brazilian Butt Lift and buttock augmentation is to achieve a balanced and natural-looking improvement. With careful planning, appropriate fat transfer or correct implant placement, the buttocks can look more rounded, projected and harmonious without an artificial appearance.
Is Brazilian Butt Lift better than buttock implants?
Both techniques can achieve good results. Brazilian Butt Lift uses the patient’s own fat and also improves the silhouette through liposuction. Buttock implants may be more suitable when the patient does not have enough fat for transfer or wants greater projection.
It is important to discuss the advantages and disadvantages with your surgeon and choose the most appropriate option according to your anatomy and aesthetic goals.
Can I sit down after Brazilian Butt Lift surgery?
After Brazilian Butt Lift surgery, patients should avoid prolonged pressure on the buttocks during the first weeks, because pressure can affect the survival of the transferred fat. Dr. Antolin will provide specific instructions on how and when to sit safely during recovery.
What happens if I gain weight after Brazilian Butt Lift?
The best long-term results are achieved in patients who maintain a healthy and stable weight. Significant weight changes after BBL surgery can alter the result. A balanced diet and regular exercise help maintain and even improve the outcome over time.
