Brazilian Butt Lift

Brazilian Butt Lift is one of our signature procedures at Centre for Surgery. We are one of the UK’s largest volume providers of BBL surgery in London. Perhaps you are you unhappy with the shape or size of your buttocks or you want a more fuller, curvier figure, without the need for implants? Centre for Surgery offers the ultimate solution with 360 liposuction with gluteal sculpting and superficial fat transfer using the latest and most safest techniques.

Gluteal sculpting with superficial fat transfer, or fat transfer to the buttocks, involves injecting your own body fat into the buttocks to create additional volume. This procedure will be able to create a perkier, more youthful buttocks.

This is the better option for those who do not want a foreign object implanted but want to achieve the results from their own body fat. Centre for Surgery currently does not offer buttock implants as a surgical option as the results are generally inferior and with more risk of complications compared with the Brazilian Butt Lift or BBL.

Our specialist centre at 106 Crawford Street was recently inspected and rated by the Care Quality Commission as good across all five domains of care.

Both of our BBL surgeons are on the GMC specialist register for plastic surgery. If you’d like to learn more about cosmetic surgery in general, The Royal College of Surgeons of England has an excellent information resource on cosmetic surgery.

Centre for Surgery are proud to have two of the most experienced BBL surgeons in London, Dr Mitsakos and Dr Tillo. Both Dr Mitsakos and Dr Tillo are fully qualified and experienced plastic surgeons with a special interest in BBL surgery.

• Dedicated specialisation in Brazilian Butt Lift surgery – Our surgeons have refined their techniques with many years of experience.

How to choose your plastic surgeon

• We own and manage our own surgical facilities. Properly performed BBL takes time and should not be rushed. Our surgeons perform a maximum of ONE BBL surgery in a day. We do not cram 5+ procedures into one day like other providers especially in Turkey. You want your surgeon to be well-rested and mentally and physically sharp to perform Brazilian Butt Lift which is a very physically demanding procedure to get the very best results.

The benefits of outpatient cosmetic surgery

• 100% safety record – we have an impeccable safety record with BBL surgery and this is due to our rigorous policies and procedures which fully conform to British NHS standards. All BBL consultations, procedures and aftercare take place in our UK based locations.

Risks of going abroad for cosmetic surgery

• Our surgeons live and work in London. We don’t work with ‘fly-in, fly-out’ surgeons from Italy. This is very important because whilst your surgeon takes all precautions to minimise complications, complications can and do occur and our surgeons are readily available to manage any issues if and when they arise. Those who choose Eastern Europe or Turkey for their procedure will NOT have this option available to them.

Our surgeons are full members of:

The patients below had 360 liposuction of the abdomen and flanks with average volumes ranging from 700cc to 1200cc fat transfer to the buttocks for maximum projection. Expansion vibration lipofilling (EVL) was used in all cases. EVL enables large volume fat transfer in the safest manner and Centre for Surgery are the only provider in the UK using this advanced method.

BBL surgery at Centre for Surgery combines precision body contouring using PAL lipo and EVL fat transfer to achieve results unattainable by other providers.

Before and after post operative appearance at 1 week – any bruising usually resolves after 2-3 weeks.

What makes Centre for Surgery different?

Patients who choose Centre for Surgery for their BBL procedure are getting a completely different level of service compared to other providers. First of all, both of our surgeons are true specialists in body contouring surgery. This means that they perform surgery exclusively on the breast and body. Although they trained as plastic surgeons and were trained to perform all types of cosmetic surgery, they no longer perform hand surgery, trauma surgery or facial surgery. Patients who choose Centre for Surgery for their BBL procedure do not do so based on price – they choose based on our reputation. We are not inexpensive but are reasonable and fair. You will always get a cheaper price abroad and often in the UK also. Our surgeons take their time to perform fat transfer surgery utilising advanced surgical techniques which are continually refined with knowledge gained from attending international conferences. Very importantly, our surgeons are ethical, 40-50% of patients are turned away – they do not need a BBL procedure!. Of course no surgeon can guarantee results but the very high number of satisfied patients are testament to the skill of the surgeons, Dr Tillo and Dr Mitsakos. Do not choose Centre for Surgery if you looking for a bargain. Choose us if you want a surgeon with the super-specialisation by operating only on the breast and body and exceptionally high degree of ethics and professionalism to take care of you from start to finish.

What are the differences between buttock implants and a Brazilian butt lift fat transfer?

• The BBL fat transfer will appear more natural than implants.
• Surgeons will be able to create a larger, rounder buttocks than they can with implants.
• A Brazilian butt lift is using your own fatty deposits, so you are not inserting a foreign implant into your body.
• You will have a quicker and less painful recovery period than with implants.
• You will have less scarring – there will be no obvious signs of the procedure when you are wearing shorter clothes.
• Implants may result in post-op complications, which you are able to avoid with a fat transfer.

Please note that Centre for Surgery does not currently offer buttock implants.

We do, however, offer a  buttock lift, which removes excess skin from the buttocks, which is a common occurrence after major weight loss.

Case 1:

360 liposuction, buttock contouring and augmentation with superficial fat transfer. 950cc each side

Case 2:

360 liposuction, buttock contouring and augmentation with superficial fat transfer. 1150cc each side.

Case 3:

Intraoperative photo before and after 360 liposuction and 650ml fat transfer to each buttock

360 liposuction and superficial fat transfer to the buttocks. 860cc each side

The diagram below illustrates the location of the blood vessels as they pass through the buttock area. The key is to inject above the layer containing the blood vessels at all times.

The solution is a technique called expansion vibration lipofilling or EVL. EVL involves the use of a special blunt-tipped vibrating cannula measuring 5mm in diameter. The cannula is a lantern shaped tip which also helps to expand the gluteal space permitting large volume fat transfer with maximal safety. Centre for Surgery are the first centre in the UK to use this technique.

Read more about the pioneering technique here:

Case 1:

The patient above had fat transfer to both the buttocks and hips to fill out the hip dips.

Case 2:

The patient had 750cc fat transfer to both buttocks and hip dips.

Case 3:

360 liposuction to abdomen, flanks and back (3L removed) with 1000cc fat transfer to buttocks.

Case 4:

This patient had limited fat reserves but PAL lipo facilitates efficient extraction and 500cc was able to be successfully transferred to the hips dips and buttocks.

Case 5:

Unique to Centre for Surgery, we are proud to offer the amazing Crisalix 3D imaging experience to all our patients. Visualise in incredible detail how your could look after your Brazilian Butt Lift procedure.

Crisalix 3D imaging is offered as standard at your BBL consultation.

All patients should be in good health and have realistic expectations about what can be achieved with a fat transfer to the buttocks.

How to prepare for cosmetic surgery

The key to being a good candidate for the Brazilian butt lift or fat transfer to the buttocks is to have an adequate amount of fat in other areas of your body. Liposuction will remove excess fat from areas that may include the abdomen, love handles, thighs, hips, back or arms. This fat will be purified and reinjected into the buttocks. Without available fat, the procedure cannot be performed.

We do not treat patients below the age of 18 years of age.

You should ideally have a body mass index of 20-28. A BMI over 30 (obesity) means you will not be an ideal candidate for BBL and you may not get the results you desire.

Healing is better if patients refrain from or quit smoking. Patients who smoke will have lower fat transfer survival rates and an increased risk of infection.

The Brazilian butt lift procedure is performed purely for cosmetic purposes, to help improve one’s image and self-esteem.

At Centre for Surgery, our surgeons strongly believe that the success of any cosmetic surgery procedure including Brazilian butt lift is optimised when patients fully adhere to all of the surgeon’s pre-procedure and post-procedure instructions. We always strive to go above and beyond to make sure all our patients are optimally prepared for BBL surgery – physically, mentally and emotionally.

Gluteal sculpting with superficial fat transfer is performed under a general anaesthetic. At Centre for Surgery, this is known as TIVA general anaesthesia. Unlike traditional general anaesthetic methods, the recovery is much smoother and quicker. There is a lower incidence of dizziness and drowsiness. You will be able to leave the clinic on the same day as the procedure, once the effects of the anaesthetic have worn off.

The procedure takes about 3 to 4 hours to complete on average depending on the amount of liposuction performed.

The gluteal sculpting with superficial fat transfer involves three stages.

Stage one – liposuction

Using liposuction, fat will be removed from the donor area of your body. Centre for Surgery uses SAFElipo for all liposuction procedures. Unlike other liposuction methods, SAFElipo™ does not involve the use of heat, lowering the risk of injury to the delicate skin. 

The surgeon will make several small incisions where the liposuction cannulas will be inserted. The fat is then removed, processed and purified.

Not only will the appearance of your buttocks be enhanced, but you will also have a reduction in fatty deposits from your thighs, hips or abdomen. 

Stage two – fat processing

The fat is processed with the addition of saline to wash the fat prior to reinjection. The SAFElipo method increases the number of viable cells to be transferred compared with traditional methods. The amount to be transferred will depend on what your surgeon has planned in agreement with yourself preoperatively.

Stage three – fat re-injection

The fatty deposits are then injected into your buttocks. This will generally involve multiple injections using the expansion vibration lipofilling (EVL) technique. The fat will be injected above the muscle using specially designed blunt tipped cannulas. 

The surgeon will sculpt the buttocks, creating a rounder and larger appearance.

During stage three, there are several steps surgeons can take in order to prevent any complications occurring. This includes:

• Using a specially designed cannula specific for Brazilian Butt Lift
• Injecting only when the cannula is in motion
• Using the correct angulation – avoiding any downward or deeper positions 
• Stay away from gluteal veins and sciatic nerves
• Inject the fat above the muscle, rather than into the muscle
• Avoid bendable cannulas and mobile luer connections, as these can compromise the control of the cannula
• Maintain awareness of the cannula tip

A specialised BBL compression garment will be applied at the end of the procedure.

Make sure you know about the risks you may face if you choose to travel abroad for this procedure.

There are a number of factors which will determine the overall cost of your BBL procedure and the final quotation will be given after your face to face consultation with your plastic surgeon.

• How many areas of liposuction combined with fat transfer
• BBL combined with other cosmetic surgery procedures
• Primary or revision BBL

Why not call 0207 993 4849 and speak to one of our expert patient coordinators who may be able to give you a rough costing prior to your BBL consultation with a specialist plastic surgeon.

Always remember that price should never be the determining factor when it comes to choosing your provider. We feel that safety and quality of service should be your number one priority and instilling in you the confidence that our team will look after you before, during and after your procedure to the best of their ability.

After the Brazilian butt lift fat transfer, it is normal to experience swelling and bruising. This will begin to subside after a few weeks. While you will be able to notice the results of the procedure immediately, the final results will only be noticeable once the swelling has completely gone down. This can take up to three months.

How to speed up recovery after cosmetic surgery

After the procedure, you may feel some pain and discomfort, which can be managed by taking suitable medication. However, you should be able to walk around the day after the procedure.

During your recovery period, you will have to avoid sitting and lying on your buttocks. For the first few weeks, you will have to sleep on your stomach and sides. When you have to sit down, it is important to put the weight on your thighs, rather than your buttocks.

You will be encouraged to wear a compression garment for up to six weeks following the Brazilian butt lift. This will help to minimise swelling and keep the buttocks in the best shape possible. 

The surgeons and medical team will keep in contact with you during your recovery period in order to monitor your progress and ensure you have the best results. Aftercare is included in the initial cost, so you will be able to return and see your surgeon any time you have questions or concerns.

Brazilian butt lift surgery has received a lot of adverse publicity in the media due to complications occurring. It is important to be aware of the risks of Brazilian Butt Lift. Centre for Surgery use the most safest techniques for BBL surgery utilising a combination of SAFElipo and EVL using large calibre cannulas. Our surgeons have built up significant experience in the BBL procedure over a number of years.

You should make sure you have a healthy body mass index (BMI<30) for the procedure. If you are obese, you may not be considered an ideal candidate for the procedure.

Potential risks and complications of Brazilian Butt Lift include:

• Anaesthetic risks
• Postoperative haemorrhage
• Surgical site infection
• Fat necrosis
• Venous thromboembolism
• Seroma or haematoma
• Poor wound healing
• Asymmetry
• Poor graft take
• Requirement for a revision procedure

View our collection of BBL before and after photos to get an idea of what can be achieved following your procedure.

Case 1:

360 liposuction + 900cc fat transfer to buttocks using EVL technique.

Case 2:

On-table before and after with 1200cc fat transfer to buttocks using EVL technique.

Case 3:

On-table before and after with 750cc fat transfer to buttocks using EVL technique.

Case 4:

58 year old female who had 360 liposuction to abdomen and flanks with 1100cc fat transfer.

Case 5:

360 liposuction + fat transfer to buttocks (900cc volume transferred).

Case 6:

360 liposuction of abdomen and flanks liposuction to inner thighs + fat transfer to hip dips only.

If you prefer only a very subtle change in your buttock appearance, you may be a candidate for a non-surgical BBL. Often those patients who have insufficient fat will be good candidates for the non-surgical option. Another option is to gain weight to gain sufficient fat reserves to then qualify for the surgical BBL. A non-surgical BBL involves using a injectable filler known as Sculptra to increase the size and shape of the buttocks. The Sculptra non-surgical BBL will need to be repeated once or twice a year to maintain the results. The non-surgical BBL is not a permanent procedure.

If you are interested in BBL surgery, we would recommend to book a consultation with an expert BBL surgeon at Centre for Surgery. At your consultation, your surgeon will take a thorough medical history including your current medications and will perform a physical examination. A discussion of your aesthetic goals will be taken into account when formulating your customised treatment plan. The surgeon will assess you to make sure you have enough fat for fat transfer to the buttocks to achieve a noticeable result. If you lack adequate fat deposits, your surgeon may recommend to gain weight or have Sculptra filler injections. Sculptra injections for non-surgical BBL need to be repeated twice a year for optimum results.

The Brazilian Butt lift surgical technique will be explained in detail including information on SAFElipo, EVL and ultrasound-guided fat injection. It may be recommended to avoid having a BBL if your BMI is above 30.  3D computer imaging may also be performed to give you an accurate idea of how you could look after your procedure. The recovery process will be explained including the need to avoid any pressure on the buttocks for 14 days after your procedure.