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Say Goodbye to the Brazilian Butt Lift: Why Smaller Butts Are The Future

August 27, 2018

Back in the day, telling someone they had a big butt was an insult. Now, it’s a compliment to be sought after. Patients have flocked by the thousands to plastic surgeons all across the world to have fat injected into their buttocks and hips. These patients hope to create a look made popular by celebrities such as the Kardashians, namely Kim.

While the Brazilian Butt Lift continues to rise in popularity, these overzealous patients as well as surgeons without boundaries continue to push the limits. With the news breaking about the mortality rate with Brazilian Butt Lifts, as well as celebrities choosing to downsize, I hope to see a future that consists of smaller Brazilian Butt Lifts. This procedure should focus on refining the silhouette and adding a bit of volume without going overboard.


Brazilian Butt Lift: Skewing Proportions

Obviously, having a nice booty that is in proportion to your body and frame is always a beautiful aesthetic. And yes, having a firm, squeezable lower bottom that is prominent is always sexy.

However, they can definitely be too big, out of proportion to the rest of your body and bust line, and may extend too much away from a thin waistline. When patients with thinner thighs or tiny waists opt for a jaw dropping Brazilian Butt Lifts, they can’t keep it a secret. The proportions of legs to buttocks is a dead giveaway that has been made into hundreds of memes and has become, for lack of better words, the butt of the joke.


The Chance of Dimpling

While there are clothing options to help smooth out your bottom, such as spanx, some results of Brazilian Butt Lifts are harder to hide. The nature of fat grafting, cellulite, lack of muscle firmness in the gluteus maximus, weight gain and loss, and aging all contribute to a less than ideal appearance of the buttocks.

When patients are over injected, the buttocks becomes firm, immovable and can become dimpled. Some of this is correctable, but significant asymmetry, scarring and other visible issues with Brazilian Butt Lift may not be corrected so easily.

Butt perkiness and firmness is ideal and beautiful, but too much fat may reveal or even cause some long term skin issues of your butt.  


Not Easily Reversed

Overfill of fat grafting in Brazilian Butt Lift may sometimes be difficult or even impossible to reverse. I can also do liposuction to remove some fat from your buttocks, but if you have a lot a fat, liposuction may cause your skin to sag instead of bouncing back to its normal shape. Non invasive skin tightening is possible but typically does not tighten large amounts of skin, so the only way to correct large amounts of skin sag is to cut it and remove it.  

These surgical incisions are hard if not impossible to hide.

As you age, your skin will continue to sag, so it’s important to maintain diet and exercise for your buttocks. If you are prone to cellulite, Brazilian Butt Lift will not necessarily help you avoid this over time. You may need “touch up” procedures to address the dimpling in your areas of fat grafting in your butt.  


How Do I Make a Consultation?

Call my office at (415) 362-1846 or email, and my Patient Care Coordinator will get you started!

Consultations typically take 45-60 minutes, and I do the entire consultation personally, without the use of a nurse or helper to vet your questions and concerns without me present. Consultations are $150, and the cost of the consultation goes towards the cost of surgery when you decide to book your procedure.  

If you are uncertain if you are a candidate, ask for my Patient Care Coordinator at and send in your photos of your abdomen, thighs, and buttock areas (I need to look at your abdomen and thighs to ensure that there is enough fat in those areas to place in your buttocks). I can look at your photos and help you determine if you are a good candidate before coming to my office. There is no charge for this service.


Are You on Social Media?

Of course! You can see before and after photos, videos, and get a glimpse into my life as a Plastic Surgeon.





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