Overview
Dr. Fern performs buttock augmentation exclusively via Brazilian Butt Lift (BBL) — fat transfer from other body areas into the buttocks — rather than gluteal implants. This dual benefit (liposuction contouring + buttock enhancement) produces natural-feeling results using the patient's own tissue. Patient safety is paramount: Dr. Fern adheres to ASPS safety guidelines for fat injection depth to minimize risk.
Are You a Good Candidate?
Ideal candidates for buttock augmentation typically present with one or more of the following:
- Flat or square buttock seeking more projection and roundness
- Adequate fat in donor areas (abdomen, flanks, thighs, back)
- Stable weight for at least 6 months
- Willingness to avoid sitting directly on the buttocks for 2–3 weeks post-op
The Procedure
Dr. Fern's approach to buttock augmentation proceeds through the following steps:
- Liposuction performed of donor areas (typically abdomen, flanks, and back)
- Fat processed and purified
- Carefully filtered fat injected in small aliquots at subcutaneous level — above the muscle
- Volume placed conservatively to account for expected resorption (typically 40–60% survival)
- Compression garment applied; special BBL pillow required for recovery
Recovery
No direct sitting on the buttocks for 2–3 weeks — sitting on the thighs using a special pillow is required. Return to work depends on job type: 1–2 weeks for desk work with pillow accommodation. Final results at 6 months after fat settling.
Frequently Asked Questions
Is BBL safe?
BBL carries the highest mortality rate of any elective cosmetic procedure when fat is injected into the muscle, where it can enter the venous system. Dr. Fern strictly adheres to ASPS safety guidelines, injecting fat only at the subcutaneous level. He will decline to perform the procedure if he cannot achieve safe results for your anatomy.
How much of the fat survives?
Typically 40–60% of transferred fat survives long-term. Surviving fat cells are permanent. Dr. Fern overfills slightly to account for expected resorption.