Buttock Augmentation with Fat Transfer or HYAcorp Fillers
The buttocks are often an area of the body that people wish to reshape — whether due to size, shape, or the appearance of cellulite. The Brazilian Butt Lift (BBL) is a popular surgical procedure that effectively reshapes and enhances the buttocks, giving them firmness and a more appealing contour. This method combines removal of excess fat from other parts of the body and transfers it to the buttocks, creating a more harmonious and attractive overall appearance.
Permanent, but subject to fluctuations in body weight.
2-3 hours
1-2 weeks
O posegu
Buttock Augmentation and Contouring
The shape of the buttocks plays an important role in the overall body silhouette and in the proportions between the waist, hips and thighs. By carefully reshaping these areas, we can enhance a feminine hourglass figure, create the appearance of a narrower waist and achieve a smooth, rounded hip contour known as the Ogee curve.
At Klinika Višnjar, we augment and contour the buttocks in two ways:
- with fat transfer, also known as a Brazilian Butt Lift or BBL
- with hyaluronic acid body fillers.
We select the most suitable method according to the patient's body shape, the amount of available fat and the desired result.
Brazilian Butt Lift – BBL with Fat Transfer
A Brazilian Butt Lift, or BBL, is a surgical procedure in which we augment and reshape the buttocks using the patient's own fat.
We first remove fat with liposuction from areas where sufficient fat is available. The harvested fat is then carefully prepared and transferred into the subcutaneous tissue of the buttocks. The most common donor areas are the abdomen, waist, flanks, back and thighs.
The procedure is not limited to increasing buttock volume. By performing liposuction around the waist and hips, we can also improve the overall proportions of the body. This allows us to create a more defined hourglass figure, a smooth Ogee curve and a more harmonious transition between the waist, hips and buttocks.
Because we use the patient's own tissue, the result usually looks and feels natural.
What Can We Achieve with a BBL?
A Brazilian Butt Lift can help us:
- increase buttock volume
- improve projection and roundness
- define the waist and enhance an hourglass figure
- shape the upper or outer part of the buttocks
- fill hip dips
- improve asymmetry
- reduce localised fat deposits
- create a more balanced body silhouette.
When planning the procedure, we assess the patient's entire body shape rather than focusing only on the buttocks. The most attractive results are usually achieved by balancing the proportions between the waist, hips, buttocks and thighs.
Who Is a Suitable Candidate for a BBL?
A BBL is particularly suitable for women who have enough fat available for harvesting and who wish to enhance the shape of the buttocks while also reducing unwanted fat deposits in other areas.
A suitable candidate:
- has enough fat for liposuction and transfer
- has a stable body weight
- is in good general health
- wants a natural-looking buttock augmentation
- is able to follow postoperative recommendations regarding sitting and pressure on the treated area.
Very slim or athletic women may not have enough fat to achieve the desired result. In these cases, buttock augmentation with HYAcorp fillers may be a more suitable option.
How Is a BBL Performed?
The procedure is usually performed under general anaesthesia and takes approximately two to three hours, depending on the extent of liposuction and the planned augmentation.
Before surgery, we mark the donor areas and the parts of the buttocks that we want to augment or reshape.
We remove the fat using liposuction, prepare it appropriately and then gradually transfer it into the subcutaneous layer of the buttocks.
During the injection process, we use an ultrasound probe to monitor the position of the cannula and the tissue plane. The fat is placed in the subcutaneous tissue above the gluteal muscles.
Buttock Augmentation with Body Fillers
For slim and athletic women who do not have enough fat for a BBL, we can augment and contour the buttocks with body fillers.
HYAcorp is a hyaluronic acid filler developed for contouring larger areas of the body, particularly the buttocks and hips.
The procedure does not require liposuction or general anaesthesia and is therefore less invasive than a BBL.
With body fillers, we can:
- moderately increase buttock volume
- improve projection
- enhance the upper part of the buttocks
- fill hip dips
- improve the Ogee curve
- correct minor asymmetries
- create a more harmonious hourglass figure.
Fillers are particularly suitable when we want to achieve a precise and targeted correction of specific areas.
How Is Buttock Augmentation with Body Filler Performed?
The procedure is performed on an outpatient basis under local anaesthesia.
Before treatment, we carefully identify the areas that we want to augment or reshape. We then introduce the filler through small entry points and distribute it gradually within the subcutaneous layer using a cannula.
We also use an ultrasound probe during filler treatment to confirm the position of the cannula and the anatomical plane of injection.
The result is visible immediately, although the final shape is assessed after the initial swelling has subsided.
BBL or Body Filler – Which Method Is More Suitable?
A BBL with fat transfer is more suitable when:
- sufficient body fat is available
- a more noticeable increase in buttock volume is desired
- the patient also wants to contour the abdomen, waist, hips or thighs
- a longer-lasting result with the patient's own tissue is preferred
- the patient is prepared for surgery and a slightly longer recovery.
Body fillers are more suitable when:
- the patient is very slim or athletic
- there is not enough fat available for transfer
- a less invasive procedure is preferred
- the patient wants a moderate and precise increase in volume
- the main goal is to fill hip dips or correct a minor asymmetry
- the patient does not want general anaesthesia or liposuction
- a shorter recovery period is preferred.
We make the final recommendation after a personal examination and adapt the treatment plan to the patient's anatomy, body shape and individual wishes.
Recovery After a BBL
Swelling, bruising, tenderness and a feeling of tightness are expected after surgery.
A compression garment should be worn for several weeks. During the early recovery period, direct and prolonged pressure on the transferred fat should be avoided.
We usually recommend sleeping on the stomach or side. Sitting must be adapted, and a special support cushion may be used to transfer pressure onto the thighs.
We encourage walking soon after surgery, while more strenuous physical activity is introduced gradually according to our instructions.
Recovery After Buttock Augmentation with Fillers
After HYAcorp filler treatment, patients may experience swelling, tenderness, tightness or bruising.
Most women return to light daily activities quickly. During the first few days, we recommend avoiding strenuous exercise, strong pressure on the treated area, massage and sauna use.
When Is the Final Result Visible?
After a BBL
The change in shape is visible immediately after surgery, although the initial appearance is not final because of swelling.
Part of the transferred fat is naturally reabsorbed during the first few months. A more realistic assessment of the result can usually be made after approximately three to six months, once the volume has stabilised.
After Body Fillers
The result is visible immediately after treatment. We assess the final shape after the initial swelling has subsided and the filler has settled within the tissue.
Because hyaluronic acid gradually breaks down over time, maintenance treatments may be required to preserve the result.
Traditional Surgical Buttock Lift
A BBL is not the same as a traditional surgical buttock lift.
With a BBL, we increase and reshape the buttocks using fat transfer, without usually removing excess skin.
A traditional buttock lift is intended primarily for women with significant skin laxity and excess skin, for example after major weight loss. During this procedure, we remove the excess skin and lift the sagging tissues.
Individual Consultation
During the consultation, we assess:
- the shape and size of the buttocks
- the proportions between the waist, hips and thighs
- the amount of available fat
- the quality and elasticity of the skin
- the presence of hip dips
- any asymmetry
- the patient's wishes and expectations.
After the examination, we recommend the most suitable method and prepare an individual treatment plan.
For women with sufficient fat, we may recommend a BBL with liposuction and fat transfer. For slim and athletic women who do not have enough fat available, we may recommend buttock augmentation with body fillers.
Frequently Asked Questions
Yes. If enough fat is available, we may perform a smaller fat transfer in some slim patients. When there is not enough fat, body fillers may be a more suitable option.
Yes. Body fillers can be used to target hip dips and create a smoother transition between the hips and buttocks.
Yes. We use ultrasound guidance during both fat transfer and body filler treatment.
No. A BBL and liposuction are not weight-loss procedures. They are intended to improve body proportions in women with a stable body weight.
The amount depends on the patient's anatomy, the available fat, the quality of the skin and the available space within the subcutaneous layer. We determine the appropriate volume individually.
The required amount depends on the initial volume, the size of the buttocks, the presence of hip dips and the desired result. We provide a more accurate assessment after the consultation.
Fillers can provide a precise and attractive increase in volume, but they usually cannot achieve the same degree of overall body reshaping as the combination of liposuction and fat transfer.
The duration of the result varies and depends on the amount used, metabolism, lifestyle and physical activity. Maintenance treatments may be required to preserve the desired volume.
Part of the transferred fat is naturally reabsorbed during the first few months. The exact percentage of retained fat cannot be guaranteed in advance.
During the first few weeks, direct and prolonged pressure on the transferred fat should be limited. We provide individual instructions regarding sitting and the use of a support cushion based on the extent of the procedure.
Not necessarily. A BBL and fillers are primarily intended to increase volume and improve shape and body contour.