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Adam G. Tattlebaum M.D.

Brazilian Butt Lift (BBL)

Board-certified plastic surgeon offering Brazilian Butt Lift (BBL) procedures for patients in Maryland, Northern Virginia and Washington DC.

Brazilian Butt Lift: What is it?

To enhance the appearance of the buttock the traditional tool was to place buttock implants. Solid or semisolid implants were placed within the buttock muscles using an incision in the upper buttock crease. Recovery was uncomfortable and complications such as infection were not uncommon.

The Brazilian Butt Lift arrived on the scene about 5 years ago. Rather than use painful implants we started using fat from other parts of the body to achieve similar goals and it worked. It’s basically like the reverse of liposuction where fat from other areas is injected into the buttock to change its shape.

Image of a woman's butt before a Brazilian butt lift
image of a woman's butt after a Brazilian butt lift

Like any operation it has some special thinking and considerations- so here’s my take:

I use this technique to make sexy butts, not over-the-top gigantic butts. Curves and sexy are in, but sticking in fat just to make balloons just doesn’t appeal to me. I really think of this as buttock contouring. It’s not just about the fat that we add it’s about the fat that we remove as well.

Patient Considerations:

A patient for this surgery needs to have enough fat in other areas that can be removed and used in the buttocks. A patient who is very thin may still need to turn to buttock implants.

Some doctors advise their patients to gain weight for this surgery. I think that it’s the death of common sense to try to gain weight. As many of us know it’s incredibly hard to lose it again, and the fat that is grafted will get smaller if you do lose the weight. Just be who you are and be healthy.

The area where the fat is removed by liposuction needs to have good skin elasticity. If the skin is loose, liposuction will make it looser and there is no sense in making one area look worse only to make the buttock look better.

Patients must be tolerant of the outcome: The areas where fat is removed are predictable-the fat is gone. But the fat that is transferred will not all remain, about 40 percent will be reabsorbed by the body over the first six months. Because of this, I use special techniques to harvest the fat in an effort to keep as much alive as possible. When possible I aim for over-correction of the area knowing that some of the fat will go away.

Common questions:

How do I know if I’m a candidate? In the consultation, I evaluate the entire patient, not just the buttocks. The goal is to make sure that you are healthy, have enough fat, good enough skin tone. I will often draw on the buttock pointing out high points and low points to be contoured. As a teaching tool, I will sometimes use computer imaging as well.

How long is the recovery? In general patients are up and about within a few days. We recommend using a cushion under the thighs to take pressure off the grafted area when sitting. We like patients to sleep on their stomachs for a few weeks if possible to take pressure off the grafted area. When will I know if my results last? In most cases, if the changes are present at six months there will be little change beyond that point.

Can I have a Tummy Tuck and Brazilian Butt Lift at the same time? Short answer is yes.

Some surgeons prefer not to do the fat grafting at the same time as a tummy tuck. They feel that post-operatively there is more pressure on the buttocks causing more fat reabsorption. While to some extent this may be true, I do them together when patients are good tummy tuck candidates. The lower abdominal skin and fat are thrown away in a tummy tuck. It is often an excellent site to harvest fat from, so in my opinion, why would you want to waste it? With or without tummy tuck, I still have my patients rest on their thighs more than the buttocks.

If you have more questions or are interested in learning more about Brazilian Butt Lift, liposuction or even abdominoplasty contact Dr. Adam Tattelbaum today.

Schedule a Brazilian Butt Lift Appointment

Dr. Adam Tattelbaum is known for his exceptional work in buttock lift. Patients choose Dr. Tattelbaum because of his outstanding reputation and because of the impressive results he consistently achieves. Schedule an appointment to learn more about plastic surgery procedures such as liposuction surgery. Dr. Tattelbaum sees patients in Rockville Maryland, Annapolis Maryland and McLean Virginia.

Dr. Adam Tattelbaum M.D. in scrubs

A Word From The Doctor

Welcome to my new and updated website. I hope you find it not only better than my old one, but different from the many others you may be looking at.

As a Maryland plastic surgeon I worry that there is not only too much plastic surgery information on the internet to sort through, but that much of it is more hype than substance. I hope you will consider this new site a teaching tool. I have put it together in an effort to answer the most common things my patients want to know.

I hope as you read this site, you will have a sense of how I think cosmetically and how I have approached my patients. By no means is my way the only, but the thinking that I have used and honed over the past 18 years has served me well. I hope it will be of benefit to you.

Each patients results will be different depending upon their goals and starting situation, but I try to present here concepts that will be helpful in considering what is right for you.

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