A Brazilian Butt Lift (BBL) enhances buttock shape and volume using your own body fat through gentle fat grafting and transfer.

Our bodies change over time due to weight fluctuations and life events, such as pregnancy. For many women, even in their younger years, the shape of the buttocks doesn’t reflect how they want to feel in their skin. Brazilian Butt Lift surgery offers a way to change that using your own fat, with no implants, no synthetic fillers, and no exaggerated results.
At Dr. Rose Plastic Surgery in Toronto, the Brazilian Butt Lift (BBL) is performed with an emphasis on safety, subtlety, and proportion. Dr. Rose removes excess fat from areas such as the abdomen or thighs using gentle liposuction, then purifies and transfers that fat into the buttocks and hips to add volume, soften contours, and create a more balanced silhouette.
This approach, known as autologous fat transfer, is one of the most natural forms of body contouring in aesthetic plastic surgery. The result is a refined buttock shape that complements your body in a way that feels authentic to you.

The Brazilian Butt Lift procedure utilizes liposuction to remove excess fat from areas such as the abdomen, flanks, or inner thighs, and then transfers that harvested fat to the buttocks and hips. This cosmetic surgery both sculpts areas with stubborn fat pockets and enhances contours where natural volume is lacking.
In the next step of the Brazilian Butt Lift procedure, the purified fat cells are carefully injected into the buttocks through a series of microinjections, often administered in multiple layers to create a soft, rounded, and proportionate result. Fat grafting offers a safe and effective method for subcutaneous buttock augmentation, without requiring entry into the gluteal muscle. Unlike buttock implants, which carry higher risks and may feel less natural, this approach uses your own tissue for a smoother, more lifelike enhancement. The transferred fat becomes integrated with the surrounding tissue, providing long-lasting results that can enhance your entire silhouette.

Brazilian Butt Lift surgery is typically performed as an outpatient surgical procedure using either general anesthesia or local anesthesia with sedation. For many patients, "Awake" surgery is a viable option, as it can provide a smoother surgical experience and an easier recovery using local anesthesia with sedation.
The Brazilian Butt Lift procedure typically takes 2 to 3 hours to perform and involves two main steps. In the first step, Dr. Rose uses a gentle liposuction technique to remove fat from areas where it is unwanted, such as the lower abdomen, flanks, or thighs.
The fat is then purified to isolate healthy fat cells before reinjection. Using a technique designed to maximize fat survival and minimize trauma, Dr. Rose strategically places the transferred fat in the buttock area. The injected fat enhances curves, improves buttock shape, and fills in hip dips. During pre-operative planning, Dr. Rose works with you to create a personalized sculpting plan, ensuring a result that aligns with your specific cosmetic goals and harmonizes with your body proportions. Because some of the grafted fat is reabsorbed by the body, Dr. Rose may slightly overfill the area to achieve the intended final result once the healing process is complete.
Patients return home the same day with detailed aftercare instructions and follow-up appointments scheduled to support a smooth recovery.

The Brazilian Butt Lift procedure is designed for patients who feel they have flat buttocks, lack volume in the hips, or want to improve their waist-to-hip ratio. This procedure is also effective in addressing mild sagging skin, especially after weight loss, by filling in hollow areas and restoring projection.
By removing excess fat from donor areas, the procedure also sculpts and improves contours around the midsection, thighs, or back. This dual benefit is part of what makes the fat transfer procedure so appealing, as it enhances one area by reshaping another.
A Brazilian Butt Lift isn’t just a “bigger is better” procedure. A successful BBL is about proportion and contour, using the fat cells you already have to reshape areas that feel lacking.
Benefits include:
Dr. Rose believes in creating subtle, meaningful changes that support how you want to live in your body. She will work alongside you to plan a procedure that aligns with your goals and lifestyle, rather than a trend or cookie-cutter ideal.
Most patients who undergo Brazilian Butt Lift surgery are women in good general health who have sufficient fat to harvest from areas such as the abdomen or thighs. Maintaining a stable weight is important, as future fluctuations can impact your results. Dr. Rose ensures that her patients have a clear understanding and realistic expectations of the procedure, recovery process, and results before proceeding with any cosmetic surgery.
The procedure may not be suitable for individuals with certain medical conditions, poor skin elasticity, or very low body fat levels. During your initial consultation, Dr. Rose will discuss your medical history, anatomy, and goals to help determine if a Brazilian Butt Lift is a safe and appropriate option for you.

After the Brazilian Butt Lift procedure, patients wear a compression garment to reduce swelling and help the transferred fat settle into place. For the first 2 to 3 weeks, it’s important to avoid sitting directly on the buttocks to protect the grafted fat cells and reduce pressure on blood vessels and underlying tissue.
Mild to moderate discomfort is normal, and pain medication is prescribed to manage symptoms. Swelling and bruising typically peak within the first week but improve steadily over time. Dr. Rose provides detailed post-operative instructions, including how to minimize swelling, optimize fat survival, and gradually resume normal activities.
Dr. Rose sees her patients more often during recovery than many other plastic surgeons. With her supportive follow-up care and attention to detail, the healing process is never something you go through alone.
Brazilian Butt Lift results take shape over several months as residual swelling resolves and the injected fat stabilizes. Most patients retain 60–80% of the transferred fat long term, with results depending on their individual anatomy and how closely recovery guidelines are followed.
With a stable weight and a healthy lifestyle, Brazilian Butt Lift results can last for years. For many women, the benefits aren’t just more shapely buttocks. It’s a restored relationship with their silhouette, and a renewed confidence in how their clothes fit and how their bodies feel.

Dr. Jacqueline Rose Makerewich brings both surgical skill and a calming, thoughtful presence to every procedure she performs. As a female plastic surgeon with a strong focus on subtle, empowering aesthetic results, she approaches the Brazilian Butt Lift procedure not as a one-size-fits-all solution but as a conversation about your goals, proportions, and safety.
Dr. Rose does not perform extreme or unsafe fat injection practices. Her Brazilian Butt Lift technique is designed around safety, artistry, and long-term satisfaction. If you're looking for care that respects your needs and goals at every step, you're in the right place.
In a Brazilian But Lift, 60 to 80% of the injected fat typically survives. Dr. Rose employs techniques that support fat survival and provides clear instructions to protect the transferred fat during the early healing process. She will also slightly overfill the treatment area to compensate for this expected fat loss.
Adhering to all aftercare instructions is crucial for maximizing the survival of the transferred fat cells. You’ll need to wear a compression garment and avoid sitting directly on the buttocks for 2 to 3 weeks. Swelling and bruising are common during this time. Most patients return to work within 10 to 14 days. Dr. Rose will provide detailed guidance and remain close at hand to check your healing and support you throughout the entire recovery phase.
When performed properly using subcutaneous injection techniques and avoiding the gluteal muscle, Brazilian Butt Lift procedures are safe. Choosing an experienced plastic surgeon is essential.
Patients need enough fat in another area of their body to achieve visible improvement. If you're on the leaner side, Dr. Rose will assess whether a mini-BBL, hip dip correction, or another approach might be more appropriate for you.
In short, yes. A small portion of the fat transferred will be reabsorbed by the body. This is a natural part of the Brazilian Butt Lift process, which is why Dr. Rose may transfer more fat than necessary to achieve your ideal final result. The fat cells that survive become part of your body. However, if you experience significant weight loss or gain, your results may change over time.
Implants carry risks such as displacement or hardening over time. A Brazilian Butt Lift with fat grafting is often preferred due to its more natural-feeling results and lower risk of long-term complications.
The cost of a Brazilian Butt Lift varies based on the specifics of your procedure, including the number of areas treated with liposuction. After your consultation, we will provide you with a clear and transparent breakdown of all costs.
Absolutely. Many women choose to combine a Brazilian Butt Lift with a tummy tuck, mommy makeover, or other body contouring procedures to create a more balanced silhouette. Dr. Rose will help you design a surgical plan tailored to your goals.