A fuller, rounder buttock profile is one of the hallmarks of a feminine silhouette — and one of the hardest proportions to achieve through hormone therapy or exercise alone. A Brazilian butt lift uses your own fat, harvested from areas with masculine-patterned deposits, and transfers it to the buttocks to create the volume and projection that bring your lower body into feminine proportion.
What Is Brazilian Butt Lift?
A Brazilian butt lift (BBL) is a body contouring procedure that enhances the size, shape, and projection of the buttocks using autologous fat transfer — fat harvested from your own body via liposuction. For gender-affirming purposes, the BBL serves a dual role: it removes fat from areas with typically masculine deposits (such as the waist, flanks, abdomen, and back) while simultaneously building volume in the buttocks to create a rounder, more feminine rear profile. This redistribution of fat fundamentally reshapes the torso-to-hip ratio.
The procedure has become one of the most sought-after body contouring surgeries worldwide and, when performed by experienced surgeons using current safety protocols, carries a well-established risk profile. For transfeminine patients, the BBL offers the distinct advantage of feminizing two body regions in a single operation — slimming the waist and building the curves — without the need for synthetic implants.
Common Concerns Brazilian Butt Lift Can Address
- Flat or underdeveloped buttocks despite hormone therapy
- Masculine waist-to-hip ratio with little lower-body curvature
- Desire for a rounder, more projected buttock profile
- Preference for natural augmentation using your own tissue rather than implants
Are You a Good Candidate?
- You have sufficient donor fat available for transfer (assessed during consultation)
- You are in good overall health and at a stable weight
- You have realistic expectations about achievable volume and shape
Techniques & Options
A BBL involves two integrated surgical stages — liposuction and fat grafting — performed under the same anaesthetic. Body proportions, fat distribution, and skin quality are assessed to plan a contouring strategy that maximises the feminine result. The techniques used for fat harvesting and injection have a direct impact on fat cell survival and the longevity of your results.
The two key components are:
Liposuction Harvesting (VASER or PAL)
Fat is harvested from donor areas using either VASER (ultrasound-assisted) or power-assisted liposuction. VASER uses ultrasonic energy to emulsify fat while preserving the surrounding connective tissue, resulting in smoother contours at the donor site. Power-assisted liposuction uses a vibrating cannula to loosen fat gently. Both methods prioritise fat cell viability so that the highest possible percentage survives after transfer.
- VASER preserves connective tissue for smoother donor site contours
- PAL provides gentle extraction with high fat cell viability
- Both allow precise waist and flank sculpting for maximum definition
Multi-Plane Micro-Droplet Fat Injection
The purified fat is re-injected into the buttocks using small-calibre cannulas in a micro-droplet technique. Fat is distributed across multiple tissue planes — subcutaneous and intramuscular — in tiny aliquots to ensure each droplet has adequate contact with blood-supplying tissue. This approach maximises graft survival and creates smooth, even volume without lumps or irregularities. Injection is performed exclusively above the gluteal muscle fascia or within the muscle itself, in accordance with current safety guidelines.
- Micro-droplet distribution maximises blood supply contact and fat survival
- Multi-plane injection creates smooth, natural-feeling volume
- Adherence to above-fascia or intramuscular injection protocols for safety
Recovery Timeline
Days 1–3
Moderate soreness and swelling at both donor and buttock sites are typical after a BBL, controlled with prescribed pain medication. You will wear a compression garment on the donor areas. Avoid sitting directly on the buttocks, use a BBL cushion or lie on your side and stomach. Light walking is encouraged.
Week 1–2
Bruising begins to resolve and swelling gradually decreases. The buttocks will look larger than their settled size because of swelling. Continue using the BBL cushion for sitting and avoid driving. Attend scheduled follow-ups for wound checks and compression garment assessment.
Weeks 3–4
Comfort improves and you can begin sitting for short periods with a cushion. Light daily activities and gentle walking increase. Avoid strenuous exercise and prolonged pressure on the buttocks. The body contour becomes more visible as swelling subsides.
Months 2–6
Surviving fat cells, typically 60–80% of the transferred volume, are now permanently established. Buttock shape and projection reach their settled state by three to six months. Full exercise, including lower-body strength training, can restart after surgical clearance. Maintaining a stable weight protects your results.
What to Expect
Safety & Risks
The Brazilian butt lift is a widely performed procedure that has undergone significant safety improvements in recent years. Current protocols — including above-fascia and intramuscular injection techniques — have substantially reduced serious complications. As with any surgery, understanding the risks helps you make an informed decision.
- Fat graft reabsorption leading to less final volume than expected
- Contour irregularities or asymmetry
- Seroma or haematoma at liposuction donor sites
- Temporary numbness or altered skin sensation
- Infection or delayed wound healing (uncommon)
- Fat embolism (extremely rare — risk minimised by strict adherence to modern injection protocols)
Safety is the foremost priority in BBL surgery. Our partner surgeons follow the latest multi-society safety guidelines, including ultrasound-guided injection and above-fascia technique where appropriate. A thorough pre-operative assessment and conservative volume planning ensure the procedure is performed within safe limits for your anatomy.
How Much Does Brazilian Butt Lift Cost in Thailand?
Our pricing is transparent and all-inclusive — your quote covers everything from surgeon fees to hospital stay.
Brazilian Butt Lift
All-inclusive surgical package- Board-certified surgeon fee
- Anaesthesia & operating theatre
- Hospital stay & nursing care
- Post-operative medications
- Follow-up appointments
- Dedicated care coordinator
Common Questions About Brazilian Butt Lift
Everything you need to know before your procedure
Dr. Kanokwan Pattanaporn
MEDICALLY REVIEWEDDr. Kanokwan Pattanaporn
MEDICALLY REVIEWEDGender Affirmation Surgeon · Bangkok
Last reviewed: February 25, 2026
Medical References
- Mofid MM et al. Report on Mortality from Gluteal Fat Grafting — Aesthetic Surgery Journal (2017)
- Villanueva NL et al. Gluteal Fat Grafting: Current Techniques and Safety — Clinics in Plastic Surgery (2018)
- ASPS/ASAPS/ISAPS Multi-Society Gluteal Fat Grafting Task Force Safety Advisory (2018)
- Del Vecchio DA et al. Subcutaneous-Only Gluteal Fat Grafting — Plastic and Reconstructive Surgery (2019)
Medical disclaimer: Content on this site is provided for informational purposes and should not be treated as medical advice. Outcomes, timelines, and eligibility differ from person to person. Speak with an experienced gender-affirming surgeon before proceeding with any procedure.
What's Included
- Board-certified surgeon fee
- Anaesthesia & operating theatre
- Hospital stay & nursing care
- Post-operative medications
- Follow-up appointments
- Dedicated care coordinator
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