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 Brazillian Butt Lift Consultation

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Brazillian Butt Lift - Miami, Florida

Buttock augmentation with your own fat is yet another approach to add fullness, projection and shape to the under projected or flat buttock area. Also known as the Brazilian butt lift, this procedure involves a selective “gentle” liposuction technique, harvesting fat from those areas around the buttocks that tend to hide a more desirable shape and then transferring the fat into the proper areas of the buttocks in multiple layers. Harvesting the excess fat from the sides, above, below, and around the buttocks first enhances the curves and projection prior to the micro fat transfer and makes for an even more shapely derriere. Liposculpture and fat harvesting for buttock augmentation can use excess fat from numerous other areas including the abdomen, back, hips, waist, thighs, knees, and arms as needed.

Many women find an imbalance between the size of their breasts in front and an under projected or flat buttocks in back.  Both men and women alike know how nearly impossible it is to shape their bottoms with diet and exercise alone. The Brazilian butt lift can fill up deflated tushes or simply enlarge the buttocks for those who desire.  There are two different methods of buttock augmentation, buttock implants, or butt augmentation with micro fat grafting.  Fat augmentation of the buttocks has become the preferred choice for gluteal enhancement due to a lower complication rate and much easier recovery.  Using your own body fat is very appealing as there is no implant, no chance of rejection, and no chance of capsular contracture, and no chance of “slipping” or shifting out of proper position. Not everyone is a candidate, however, for this procedure as there must be a significant amount of excess fat available for harvesting and micro injecting.  For those without enough excess fat to transfer, gluteal implants can be placed.


Dr. Gershenbaum has been successfully performing micro fat grafting for years.  As the demand for more shapely bottoms skyrockets, these same techniques have been adapted to augment and shape the buttocks for those who are good candidates.  The key to success with any fat augmentation procedure is micro fat grafting or transfer.  Fat is harvested using a low-pressure gentle liposuction method, processed and transferred into small syringes connected to micro canulas of 1.5 to 2 mm in diameter.  Each syringe of fat requires multiple passes, placing thousands of bead like droplets of fat cells into multiple layers of tissues and in multiple directions through these micro canulas.  These small bead-like droplets of fat can establish a new blood supply more easily than a larger mass of fat.  Micro fat transfer starts within deep layers of the muscle, in an interlacing fashion, and works slowly toward the superficial fat layers just under the skin.  Layering these small droplets of fat essentially one by one, allows for the best blood circulation to the fat cells and maximizes fat cell survival producing smooth, rounded contour and the best results.  For example, a transfer having micro fat augmentation of the buttocks of 500 cc for each side will require nearly three thousand passes of the micro canulae.  This takes time and patience with an average procedure requiring 4-6 hours.  Not all of the fat will survive, some will be reabsorbed.  No surgeon can accurately predict exactly how much fat will survive; however, it is believed that what remains after three months will remain permanently. 


Micro fat augmentation of the buttocks will not result in lumps and bumps and will not cause cellulite. Actually fat has been used for years to correct irregularities and deformities of various parts of the body including the buttocks.  Adding fat volume to the buttocks will look and feel completely natural as well as improve contour as is it has done in the face by experienced surgeons for years.  It is our experience that the vast majority of patients will have successful results with fat survival. One thing is for sure, sculpting the buttocks by removing fat from the proper areas around and adding volume to the buttocks will certainly improve the contour, shape and curves no matter how much fat actually survives.  The combination of selective liposculpture and fat augmentation will produce a leaner look and shapelier butt!

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