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BBL (Brazilian Butt Lift)

Clinical Lead

Meva Clinic Plastic Surgery Care Team

Meva Clinic · Istanbul
Published: 2025-11-12
Last Updated: 2026-05-18

BBL (Brazilian Butt Lift)

Natural volume using your own fat. Liposuction of the waist and transfer to the buttocks.

Meva Clinic Plastic Surgery Care Team

Patient Care Information

Patient Care Information

"Our clinical approach prioritizes patient safety, individualized treatment planning, realistic expectations, and long-term follow-up throughout the international care journey."

About This Procedure

Why Choose Meva Clinic?

Natural volume using your own fat. Liposuction of the waist and transfer to the buttocks.

A Brazilian butt lift uses your own fat, not an implant, to add shape to flat buttocks. Fat is taken by liposuction from areas such as the waist and flanks, purified, then transferred to the buttocks, so the waistline narrows while the curve behind grows. It suits patients with enough donor fat and realistic goals. In a BBL in Istanbul, the fat is placed under ultrasound guidance into the layer just beneath the skin, never into the muscle, a rule aimed at reducing risk. The surgery is under general anaesthesia; plan on 1 hospital night, about 6 hotel nights and roughly 10 days off desk work. The harvesting step is closely related to Vaser liposuction.

MC

Patient Care Information

Meva Clinic Plastic Surgery Care Team

Aesthetic & Body Contouring Pathway Guidance

This content is maintained by Meva Clinic’s Clinical Care Team for patient guidance and clinical transparency. Final treatment suitability, operating physician assignment, surgical planning, and medical decisions are confirmed only after medical history review, in-person consultation, diagnostic tests, anesthesia evaluation, and doctor availability.

Meva Clinic Clinical Care

Is This Treatment for Me?

Flat buttocks

Desire for hourglass figure

Available donor fat

Comprehensive International Patient Care Plan

Private airport transfer according to the confirmed care plan

Bosphorus-view partner hotel, according to the confirmed care plan

24/7 nursing care during your hospital stay

Dedicated patient support during the confirmed care pathway

Aftercare guidance or materials according to the confirmed treatment plan

Follow-up guidance according to individual medical recommendations

The Clinical Procedure

Ultrasound-guided safe subcutaneous fat grafting.

1

Marking donor areas and buttock shape

Standing, you and the surgeon agree on the target shape. The donor areas (waist, flanks, lower back or abdomen) and the zones to be filled are marked, and the surgeon confirms there is enough fat.

2

General anaesthesia and positioning

Under general anaesthesia given by a specialist anaesthetist, you are positioned mostly face-down so the donor areas and buttocks can be reached safely.

3

Liposuction of the donor areas

Through small incisions a fluid solution is infiltrated and fat is removed with fine cannulas, which also narrows the waist and softens the flanks.

4

Preparing the fat

The harvested fat is filtered and separated from fluid and oil, so that mainly intact fat cells are used for the transfer.

5

Ultrasound-guided transfer under the skin

The fat is injected in small amounts into the layer beneath the skin, above the gluteal muscle. Ultrasound shows the cannula position, and no fat is placed into the muscle.

6

Closure and compression

The small incisions are closed and a compression garment is applied over the liposuction areas. You are shown how to rest and move without pressure on the buttocks.

Recovery & Transformation Journey

1

Phase 1: Day 1 (hospital)

Overnight monitoring, a first walk within hours and the compression garment on. You rest on your front or side rather than on your back.

2

Phase 2: Days 2–7 (Istanbul hotel)

Bruising and swelling are mostly in the donor areas; short walks help circulation. The post-op check confirms fitness to fly, with advice on sitting during the journey home.

3

Phase 3: Weeks 2–8

Desk work typically resumes after about 10 days, using a cushion under the thighs. Avoid sitting directly on the buttocks for as long as your surgeon advises; the garment is usually worn for about 6 weeks, and training restarts gradually after 6–8 weeks.

4

Phase 4: Months 3–6

Part of the transferred fat is naturally reabsorbed in the first months, so the shape settles over time. The final contour is usually assessed at around 6 months; a stable weight helps keep it.

The Meva Advantage

Strict "No Muscle" injection protocol designed to minimize risk.

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15+ Years Experience
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Clinical Standards & Safety

Medical Guidelines & Safety Protocols

Hospital-based procedures are coordinated through accredited partner hospitals, including JCI-accredited institutions where clinically appropriate. Below are the clinical guidelines, safety protocols, and medical reference documentation for this procedure.

Indicated / Suitable For

  • Adults with flat or low-volume buttocks who want better shape and projection using their own fat
  • Patients with enough donor fat in areas such as the waist, flanks, lower back or abdomen
  • Patients with a stable weight and a BMI within the range the surgeon considers safe
  • Patients who prefer natural tissue to a gluteal implant and accept that part of the grafted fat is reabsorbed
  • Patients willing to avoid sitting directly on the buttocks and to follow compression and positioning advice for several weeks

Contraindications / Not Suitable

  • Too little donor fat for the desired shape; a more moderate plan or an implant-based option may be discussed instead
  • A BMI outside the range the surgeon considers safe for combined liposuction and fat transfer, or a weight that is not stable
  • Active smoking, uncontrolled diabetes, heart or lung disease, or bleeding and clotting disorders
  • Pregnancy, breastfeeding, or previous deep vein thrombosis or pulmonary embolism without specialist evaluation
  • Requests for very large volumes in one session that exceed what the tissues can safely accept

Pre-Operative Evaluation & Diagnostic Checks

1

Donor & Recipient Analysis: Assessment of available donor fat, buttock shape, skin quality and waist-to-hip proportions, with marking while standing.

2

BMI & Weight Stability Check: Confirming that weight and BMI are within a safe range for combined liposuction and fat grafting.

3

Laboratory Tests: Complete blood count including haemoglobin, coagulation, biochemistry and infectious screening, since liposuction can lower the blood count.

4

Thrombosis & Anaesthesia Assessment: Evaluation of clot risk and of fitness for general anaesthesia in the face-down (prone) position.

5

Volume & Safety Planning: Agreeing a realistic transfer volume and confirming the subcutaneous-only, ultrasound-guided grafting plan.

Potential Risks & Complications

In compliance with transparent clinical reporting, Meva Clinic ensures patients are fully informed of the physiological risks associated with surgical procedures through accredited partner-hospital safety protocols where clinically appropriate.

Fat Embolism Awareness

The most serious recognised risk of gluteal fat grafting arises when fat reaches the large veins inside or beneath the gluteal muscle; fat is therefore placed only in the subcutaneous layer above the muscle, under real-time ultrasound guidance, and never injected into the muscle.

Fat Reabsorption & Asymmetry

Part of the transferred fat is naturally reabsorbed in the first months, which can reduce volume or cause slight asymmetry; minimised by careful fat processing and even distribution.

Seroma

Fluid can collect, most often in the lower back or donor areas; managed with compression and, if needed, simple drainage during follow-up.

Fat Necrosis & Oil Cysts

Small firm lumps can form where grafted fat does not survive; many soften with time, and persistent ones are assessed during follow-up.

Donor-Site Irregularities

Waviness or unevenness in the liposuction areas; reduced by fine cannulas, an even technique and consistent garment use.

Infection & Blood Clots

Uncommon; reduced by sterile technique, antibiotic protocols as indicated, early walking and individual thrombosis prevention.

Realistic Expectations & Outcomes

A Brazilian butt lift reshapes the buttocks with your own fat while liposuction narrows the waist, creating a curvier silhouette. The achievable size depends on how much donor fat you have and how much the tissues can safely accept; in slim patients it cannot match the volume of a large implant. Early fullness is partly swelling, and part of the transferred fat is reabsorbed during the first months. Bruising is mostly in the donor areas and eases within the first weeks, while the compression garment is usually worn for about 6 weeks. The shape settles gradually and the final contour is judged at around 6 months. Weight changes affect the grafted fat, so a stable weight helps preserve the result.

Revision & Follow-Up Policy

Meva Clinic coordinates structured follow-up after a BBL, with remote photo reviews at around 1, 3, 6 and 12 months. Because part of the grafted fat is reabsorbed and swelling takes months to settle, volume and symmetry are assessed only once the result has stabilised, usually from 6 months. If additional fat grafting or contour refinement is considered, the specialist surgeon evaluates it individually, including whether enough donor fat remains and whether it can be done safely. For 12 months after your treatment you can also send photos to the medical team whenever you wish and receive their feedback, and your questions are answered remotely.

Authoritative Medical References & Studies

  • [1]
    Mofid MM, Teitelbaum S, Suissa D, et al. Report on Mortality from Gluteal Fat Grafting: Recommendations from the ASERF Task Force. Aesthet Surg J. 2017;37(7):796-806.View Study
  • [2]
    Milani Reis A, Roca Mora MM, Bicudo Bregion P, Kreutz-Rodrigues L, Camp S, Sharaf BA. Ultrasound-Guided Gluteal Fat Grafting: What is the Evidence? A Systematic Review and Meta-Analysis. Aesthet Surg J. 2026;46(1):57-62.View Source
  • [3]
    Elsaftawy A, Bonczar M, Jagosz M, et al. Gluteal Augmentation with Fat Grafting: A Systematic Review and Meta-Analysis of Complications and Procedural Factors. Plast Reconstr Surg. 2026;157(3):381e-393e.View Source

Medical Disclaimer: This information is provided for education only and does not replace a consultation. Donor fat, body proportions, skin quality and fat survival vary widely between individuals. Suitability for a Brazilian butt lift, the safe transfer volume and the expected shape can only be determined after a personal examination by a qualified specialist plastic surgeon.

Frequently Asked Questions

No surgery is risk-free. The most serious BBL risk is fat embolism, and it has fallen since surgeons adopted fat placement only above the buttock muscle, ideally under ultrasound guidance, by a specialist plastic surgeon in an accredited hospital. Your personal risk is reviewed at consultation; the questions below explain the details.
The price depends on how many areas are liposuctioned to collect fat, the volume transferred, your body shape and whether other procedures are combined. Your package includes the operation under general anaesthesia, one hospital night with 24/7 nursing, about 6 nights at a Bosphorus-view partner hotel when included in your plan, private transfers, aftercare guidance and remote follow-up. You receive a personalised written quote after a free online assessment of your photos and medical history.
It is the most serious risk of a BBL: fat can enter the large veins in or beneath the buttock muscle and travel to the lungs. In the 2017 ASERF task force survey of 692 surgeons, the estimated death rate was about 1 in 3,448, and deaths were linked to injecting fat into the muscle. After safety recommendations were adopted, a 2019 follow-up survey reported a trend towards about 1 in 14,952. The risk is lower, but it is not zero.
It means fat is placed only in the fatty layer under the skin, above the gluteal muscle, never into or beneath the muscle, and the surgeon uses real-time ultrasound to see where the cannula is. This is the safety approach recommended after the ASERF task force report. In a 2025 review of 38 studies with over 22,000 patients, subcutaneous-only injection had the lowest complication rates, and ultrasound guidance was linked to fewer major complications. Ask any clinic to confirm both in writing.
Yes, if you check the details that matter. The operation should be performed by a specialist plastic surgeon in an accredited hospital, under general anaesthesia, with an overnight stay and nursing care. Ask directly where the fat will be placed, whether ultrasound is used, what transfer volume is planned for your body and how blood clots are prevented. Avoid offers that promise very large volumes, operate outside a hospital or skip a medical check before your flight.
Safety comes from technique and the team, not the country. Wherever you go, choose a specialist plastic surgeon who follows the subcutaneous-only rule, uses ultrasound guidance, limits the volume to what your tissues can safely accept and operates in a hospital rather than a day clinic. Before-and-after photos should show results at 6 months or later, once reabsorption has settled. A written plan and remote follow-up after you go home are just as important.
The typical plan is one hospital night and about six hotel nights, with a check before departure. You should not sit directly on your buttocks for as long as your surgeon advises, so on the flight place a cushion under your thighs to keep the buttocks off the seat, wear the compression garment, walk the aisle regularly and drink water. Liposuction and long flights both add to blood-clot risk, so follow the prevention plan you are given.
Yes. Men can have gluteal fat grafting to improve shape and projection, usually aiming for a more athletic contour rather than a curvier one. Men often have less donor fat in the typical areas, so the achievable volume may be smaller. The safety rules are identical: fat goes only into the layer under the skin, above the muscle, under ultrasound guidance. Suitability is confirmed after the surgeon reviews your photos and medical history.

Procedure Details

Hospital Stay

1 Night

Hotel Package

6 Nights

Return to Work

10 Days

Anaesthesia

General

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Medical Disclaimer: The clinical information on this website is for educational and informational purposes only. It does not constitute medical advice, diagnosis, or treatment. Always consult with a qualified physician or healthcare provider regarding any medical condition or surgical procedure in Turkey.

Airport transfers are included in the confirmed package; partner-hotel stays are optional, on request (separate cost).

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