Buttock Augmentation BBL
Buttock augmentation can be achieved through either fat grafting to or implant placement, or a combination of both procedures. These procedures are designed to accentuate and reshape the buttocks, creating a more feminine contour, rather than simply making the buttocks larger.
Buttock augmentation by fat transfer uses your own body fat, from areas of excess, for transplantation into the buttock area for enhancement. The procedure results in redistribution of fat volume, creating a shapelier and more proportionately sized buttocks. The resulting smooth transitional curves, which result, create an aesthetically pleasing look with improved balance.
First, liposuction is performed to remove fat from unwanted areas like the lower back, waistline, lateral thighs (saddle bags) and abdomen. This fat is then placed in areas that improve projection of the buttocks and create a more feminine, hourglass shape.
An implant may also be placed to improve fullness if fat injections do not provide enough volume, however, this combined procedure is associated with additional complications.
Successful buttock augmentation surgery requires a thorough understanding of the anatomy of the ideal buttock, as well as patient goals and expectations. Ethnic ideals need to also be considered regarding patient desires. This allows your surgeon to closely evaluate the volume distribution changes that have occurred as a result of aging, pregnancy, weight gain or loss, and genetic factors, so a successful surgical approach can be designed.
Buttock augmentation can be achieved with fat transfer (fat grafting), implants, or—in select cases—a combination of both. The goal is not simply to make the buttocks larger, but to enhance shape, projection, and overall balance, creating smoother, more feminine contours and improved proportion.
With buttock augmentation by fat transfer, your own fat is gently removed from areas of excess—commonly the lower back, waistline, abdomen, and outer thighs—using liposuction. That fat is then carefully processed and strategically re-injected to improve buttock shape and create more flattering transitions (often helping define an “hourglass” silhouette). In some cases, an implant may be considered to improve fullness when fat alone cannot provide enough volume; however, combining implants with fat transfer can add complexity and may increase the risk of complications.
Dr. Capuano prioritizes safety and natural-looking results. He does not perform large-volume Brazilian Butt Lifts (BBLs). One reason is that high-volume fat transfer to the buttocks carries an inherent risk—including a rare but serious risk of fatal complications that has been reported at approximately 1 in 3,000. During your consultation, Dr. Capuano will discuss your anatomy, goals, and the safest options to help you achieve a shapelier, more balanced result without pursuing extreme volume.









