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Butt Lift vs. Brazilian Butt Lift?

A traditional butt lift removes excess, sagging skin and tightens the underlying tissue, essentially a lift and reshaping procedure with no added volume. A Brazilian Butt Lift (BBL) is a fat transfer procedure: fat is liposuctioned from the waist, abdomen, or thighs and injected into the buttocks to add volume and shape. The names are confusing but the goals are different.

For patients with massive weight loss, this distinction matters. You often have significant loose skin, and a BBL alone has little power to correct that. Fat grafting adds contour, but it doesn't lift or remove excess skin. If skin laxity is significant, you may need a traditional buttock lift with skin excision, sometimes combined with fat grafting to restore volume in the same setting. This is increasingly common as more patients lose substantial weight through GLP-1 medications and are left with deflated, loose skin. An exam will determine which combination, or sequence, fits your anatomy best.

Clinical Context

Both procedures reshape the buttocks but work differently. A traditional lift removes excess skin and tightens tissue, improving shape without adding volume. A BBL uses your own fat to add fullness, but it can't correct loose skin. Many patients need both, especially after major weight loss, choosing to combine or stage them depending on skin quality and available donor fat. Your surgeon will evaluate your skin elasticity and fat reserves to recommend the safest, most effective approach for your anatomy.

Answered by Dr. Steven Williams, President Emeritus of ASPS

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