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Brazilian Butt Lift (BBL):  Why Fat is Better.

Many patients ask whether fat or butt implants give the best result for butt augmentation.  A recent article from Cosmetic Surgery Times entitled Fat or Implants?  The Derriere Debate gives an excellent review of why fat grafting or Brazilian Butt LIft (BBL) is the preferred method of augmentation.  

The article summarizes the debate and outlines why in most cases fat is the better option:

  • Fat can be more easily molded and shaped 
  • Up to 33% or 1/3 of buttock implants have to be removed due to infection, malposition, or pain
  • Fat grafting allows the surgeon to mold and shape the area around the butt thereby enhancing the result:  think slim waist and round butt

However, implants did serve a purpose in certain select cases:

  • Implants were helpful in thin patient who already had a good butt but needed slightly more volume and did not have enough fat to use for grafting
  • Smaller implants worked better as the complication rates were higher with larger implants (above 350cc)
  • Some surgeons used both implants and fat grafting to optimize the result

While implant technology and surgical technique may evolve over time, fat grafting or BBL remains the clear choice for butt augmentation.  


Dallas plastic surgeon Dr. John Burns, a member of the prestigious Dallas Plastic Surgery Institute and a nationally-recognized expert in the Brazilian Butt LIft (BBL), welcomes the opportunity to discuss butt augmentation and other cosmetic goals with you.  To make an appointment, simply call his office at 214-515-0002, or send an email through his website.  Online consultations are also available.  Dr. Burns and his staff look forward to meeting you!