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Buttock Lift

As we get older, our buttocks and thighs may begin to droop and sag like other areas of the body, such as the breasts and stomach. Stubborn pockets of localized fat may develop as well, which do not go away despite traditional weight loss attempts such as diet and exercise. Fortunately, like these other areas, there are surgical options available for reversing these changes and restoring a tighter, firmer and more youthful appearance to the buttock and outer thigh area.These cosmetic procedures can be performed alone, or in combination with other cosmetic procedures, such as part of a body lift or with a gluteal augmentation. When combined with other procedures, patients can achieve maximum aesthetic results and enjoy a younger and more refreshed appearance overall.

Candidates for the Buttock Lift Procedure

The buttock lift procedure is ideal for candidates who are in good general health and have excess skin and tissue within the area, as a result of the natural aging process, pregnancy or significant weight loss. This procedure should not be considered an easy weight loss solution, and should be performed on patients who are close to their ideal weight, but are unhappy with the appearance of their buttocks and outer thighs.

It is important for patients to have realistic expectations in order to achieve successful results from this procedure.

What Happens During My Buttock Lift Procedure?

The buttock procedure is performed on an outpatient basis under general anesthesia. The entire procedure usually takes two to three hours to perform. Your doctor will place the incision across the top of the buttocks, low enough to be concealed by underwear or a bikini. This incision spreads along the back from one hip bone to the other.

After the incision is made, excess skin and fat are removed from the buttocks and thighs. This may be done using liposuction if there is a large amount of fat to be removed. The skin is then stretched to position the buttocks and thighs into their new position, and the area is sutured closed. Compression garments are usually applied to help reduce swelling and expedite the healing process. Some patients may need to stay overnight after this procedure, while others can leave shortly after the effects of anesthesia have worn off.

Please note: Although many doctors perform cosmetic procedures, you need to know that plastic surgeons and cosmetic surgeons are not the same thing, plus board-certification matters. Learn more about specialization here.

Dr. Restifo is a Harvard-educated, board-certified plastic surgeon with over twenty-five years of experience performing surgery. He does buttock lifts frequently.

Watch Real Patient Testimonials about Dr. Restifo!

What Should I Expect From During My Recovery?

After the buttock lift procedure, patients may experience temporary swelling, soreness and bruising for a few days. These side effects can be controlled with pain medication prescribed by your doctor. Most patients can return to work and regular activities after about two weeks, but should avoid strenuous exercise for at least four weeks. The appearance of the scars from this procedure will continue to change for up to 18 months, but usually fade and can be easily concealed.


The results of this procedure are considered long-lasting, as long as no significant weight loss occurs. Patients can enjoy a trimmer contour with improved skin tightness and smoothness. The appearance of cellulite can also be improved through this procedure. Even after a buttock lift, patients are not immune to the effects of aging, and the buttocks and outer thighs will begin to droop and sag again over time. However, the buttocks and outer thighs will continue to look better than if a lift had never been performed on them.

Risks and Considerations

Although this procedure is considered safe for most patients, there are certain risks and complications associated with any type of surgical procedure. Some of these risks may include infection, healing problems, blood clots and fluid drainage. Patients can reduce these risks by choosing a skilled and experienced surgeon to perform their procedure, and by adhering to their surgeon’s instructions before and after the procedure.


“Brazilian” Buttock Lift

In some patients, it is possible to improve the shape and contour of the buttocks through a procedure known as the “Brazilian” buttock lift.

How is Brazilian Buttock Lift done?

See More BBL Before/After Results

In a BBL procedure fat is removed from another area of the body by liposuction and then transferred to the buttocks. The “donor” area for the fat is typically the abdomen, back or other areas where fat may be present in excess. The fat is then injected into the buttocks to create a fuller, more pleasing and “lifted” appearance. This technique can be performed with only tiny incisions.

The benefit of transferring autologous fat (from your own body) as compared to using dermal fillers or implants is that it replaces “like with like”, this reducing the chance of adverse reactions and creating an arguably more “natural” result.

Fat transfer to the buttock can address:

  • When you want an uplifted and shapelier buttock profile
  • Buttock that are too small for your body frame to create a more balanced look
  • When weight loss or the aging process have left your buttock loose, sagging, or flat

Fat transfer is a safe, long-lasting, well-tolerated procedure that produces natural-looking results that is growing in popularity each year.

Am I a good candidate for a BBL fat transfer?

The best candidates for a Brazilian Buttock Lift are people who:

  • Want a fuller, more rounded buttock
  • Do not want a buttock implant to get extra curves
  • Are within 20Lbs of their ideal (stable) body weight
  • Are not underweight (the doctor needs fat to harvest from)
  • Would benefit from liposuction contouring to sculpt the surrounding areas from which autologous fat is harvested for injection
  • Have good skin elasticity

Dr. Restifo’s approach to fat transfer

We know that every woman’s body is unique and that each individual has a variety of reasons for considering fat transfer.  During a pre-operative consultation, Dr. Restifo will discuss what you hope to gain to determine the treatment plan that will yield the safest and best long-term aesthetic results relative to your life-stage and lifestyle.

Complementary Procedures to Brazilian Butt Lift

For dramatic results, some patients choose to have a tummy tuck or abdominal etching (liposculpting) at the same time.

See Dr. Restifo’s Before/After Gallery for Brazilian Butt Lifts

Buttock Augmentation is the New Rage

Patient Testimonials

Great Consultations Begin at Home

RealSelf Q&A with Richard J. Restifo, MD

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200 S. Orange Center Rd. | Orange, CT 06477
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American Society for Aesthetic Plastic Surgery
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