Balanced proportions
Upper and lower body, better in proportion.
Fat transfer to the buttocks with board-certified plastic surgeon Dr. Carlos Burnett. Your own tissue, a natural-looking shape and balanced proportions, without implants.

A fat transfer to the buttocks. Your own fat adds volume and shape, so the result looks and feels natural.
Liposuction takes fat from the abdomen, hips, lower back and thighs.
The fat is injected into the buttocks for shape and projection.
Dr. Burnett tailors the technique to your anatomy and goals.
Usually a BBL is a two-step procedure: fat is taken from other areas, then injected into the buttocks to boost shape and projection. It is not performed the same way on every patient; several techniques are used for natural-looking results.
Lifting uses a method similar to a tummy tuck, with a band of skin removed from the lower back to lift the entire buttock. It can be done on its own, without fat transfer. Buttock contouring can be combined with a BBL: excess fat is reduced in one or more areas of the buttock and transferred to other parts to enhance the natural curve.
Dr. Burnett does not offer nonsurgical BBL with Sculptra® and can explain why this butt filler is not recommended during your consultation.
Genetics play a large role in the size and shape of the buttocks. Everyone stores fat differently, and skeletal structure strongly influences the overall silhouette. Pinchable fat under the skin (subcutaneous fat) greatly affects the size and shape of the butt.
Women tend to store more fat on the lower body when younger because of higher estrogen levels, which gives a curvier look. With age, fat storage “shifts upward” from the rear to the abdomen. A sedentary job, or activities that involve sitting for long stretches, can also flatten the look. Gradual loss of skin elasticity, together with volume loss as fat migrates, makes skin lax; loose skin sags and looks flatter.
Diet and exercise can transform your body, but they may not deliver specific results such as rounder buttocks. If you live healthfully and still want a different shape, a BBL can help you get the look you want.
Upper and lower body, better in proportion.
Balanced curves, a more hourglass figure.
Natural-looking fullness from your own fat.
More comfortable, better-fitting clothing.
Less unwanted fat in donor areas.
Volume softens dips and cellulite.
Fat transfer to the buttocks is a procedure of choice for enhancing the curvature of the rear profile. At Burnett Plastic Surgery it is thought to produce more natural-looking, subtle fullness than silicone butt implants. By re-shaping the buttocks, a BBL can help you reach these goals and boost your confidence and self-esteem.
The goal isn’t to be as large as possible. A modest, natural transition between back and buttocks often looks best.
A common misconception is that a BBL is meant to enlarge the buttocks as much as possible. Focusing only on the “biggest booty” can throw off your overall proportions. Projected images of your ideal look would show a natural curve from the lower back, around the hips and down the buttocks, and that often takes very minimal augmentation. Liposuction 360 and a BBL can be performed together, with a synergistic effect that looks like it came from nature.

All body shapes can benefit, even men. You need enough fat elsewhere to transfer.
Success depends on an adequate fat store on other areas of the body. It may be difficult to find enough in patients with a very low body fat percentage, so very thin patients may wish to consider other treatments. A BBL isn’t intended for very overweight patients, since being overweight increases the risk of complications. It suits those who plan to maintain their ideal weight and a healthy lifestyle. If you are genetically predisposed to a flatter backside, it can be a great choice.
The cells in fat transfer are living and can expand or shrink, so weight fluctuations after a BBL, or other body contouring, can alter your results. Keep realistic expectations, be as healthy as possible and keep a positive outlook. A BBL adds volume to the lower body but won’t lift excess skin, and it may not be best if you have sagging or very thin skin.
The fat comes from your own lower back, hips or belly. Combined with Dr. Burnett’s skill, the result is a long-lasting, natural-looking enhancement. Dr. Burnett does not offer nonsurgical BBL with Sculptra®.

Founder and leader of Burnett Plastic Surgery in New Jersey, with specific training and experience in Brazilian butt lift surgery.
Choose a board-certified plastic surgeon with specific butt augmentation experience, working at an accredited facility. Dr. Burnett is certified by the American Board of Plastic Surgery and has specific training in, and significant experience performing, Brazilian butt lift surgeries.
At your consultation, ask as many questions as you need, look at BBL before-and-after photos, and make sure you know the price, recovery time, possible risks and other details. You may be asked to avoid smoking and certain medications before surgery.
Timelines vary. Book well before events or tropical trips.
One to two weeks off work. Bruising and swelling are common.
Supportive garments help results settle.
The “fluff phase”: curves soften and round out.
Full results take several months and last for many years.
Limit pressure on the buttocks. Sitting can inhibit circulation.
Short walks help you heal. Skip strenuous exercise until cleared.
Some temporary bruising and swelling are common, and most patients take one to two weeks off work. You will wear supportive compression garments for six to eight weeks. They apply consistent, gentle pressure to promote healing, prevent swelling, ease discomfort and help the new curves and skin settle. Complete results typically take several months to be noticeable.
As with any fat grafting, not all transferred fat survives; a percentage is reabsorbed during healing. The area is sensitive, and sitting can inhibit blood circulation and affect results, so Dr. Burnett recommends limiting pressure on the transferred fat. He can guide you on sleep positioning; patients are sometimes advised to sleep on the stomach or side. Short walks are encouraged to heal better and avoid blood clots, but avoid running, jogging and other high-impact activity, which can put harmful pressure on the buttocks.
The buttocks may look flattened and square at first, or feel stiff from swelling; that is normal. Within about six to twelve weeks the skin expands to accommodate the fat and the curves become softer, rounder and more natural, with better projection. The waist also begins to look proportionally smaller. This is the “fluff phase”, and there is no set start time; it depends on your anatomy and skin elasticity. Results generally last many years, and following Dr. Burnett’s post-surgical instructions helps you keep the shape as long as possible.
Liposuction, tummy tuck, Mommy Makeover and breast surgery are also available.
A BBL is one of several procedures at Burnett Plastic Surgery for improving body shape. Liposuction is available on its own for slimmer, more streamlined contours. A tummy tuck may suit patients who want to tighten loose skin, reduce fat or repair muscles in the abdomen. A Mommy Makeover combines breast and body surgery to restore a pre-baby body. Breast augmentation, reduction or lift can re-shape the upper body for a more balanced look. The goal of any procedure is a body that inspires pride and confidence.
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Burnett Plastic Surgery