Butt Lift and Augmentation2020-09-17T17:33:21-07:00

Butt Implant Featured Patient

A 26 year old following a buttocks augmentation with silicone implants and liposuction of the flanks and lateral thighs.

Buttock Augmentation can be performed by fat grafting/transfer, also called a Brazilian Butt Lift, or with silicone implants, also called a Buttocks Implant Augmentation. These two procedures can be performed separately or combined to achieve the perfect size and shape of the buttocks. Additionally, improvements can also be achieved with lateral thigh, flank, lower back, and medial thigh contouring by liposuction. If needed, these surrounding areas can be corrected even further with a lateral thigh lift (buttocks lift) and inner thigh lift (medial thigh tuck).

Buttock augmentation surgery can increase the fullness, roundness and projection of your buttocks as well as correct any asymmetry or contour (shape) irregularities. Improving contour will balance out your figure, result in the ideal “hourglass” figure and thus, enhance your self-image.

If you are unsatisfied with the shape of your buttocks and are looking to enhance the balance of your body shape, then butt augmentation surgery may be the right option for you. Dr. Mowlavi is a board certified plastic surgeon who is world-renowned for his great results. At your consultation, the doctor will take several steps and measurements to ensure the perfect outcome, including:

  1. Accurate evaluation of your buttocks aesthetic and body contour in order to determine if you will be best treated by fat grafting or implant.
  2. Accurate measurement of your buttocks cheek height, width, projection, lateral cheek dimple position, and intergluteal crease.
  3. Thorough pre-operative consulting to:
    • minimize the risk of infection
    • optimize nutrition for quicker healing
  4. Thorough intra-operative measures to:
    • minimize the risk of infection
    • minimize the risk of fat embolism
    • ensure stable intramuscular placement of the implants
    • achieve multi-layer feathering of fat cells using micro-pacule technique
  5. Thorough post-operative measures, including:
    • thorough counselling regarding sleeping positioning
    • tutorial regarding sitting techniques
    • a review of temporary physical activity limitations

How Much Does a Butt Lift Cost?

The average cost of buttocks augmentation with implants starts at $7,900. The average cost of a Brazilian Butt Lift (fat transfer) ranges between $6,900 to $9,500. However, the range in cost is affected by the volume of fat that is available and desired for transfer as it affects surgical time. This pricing covers:

  • Surgeon’s fee
  • Facility fee
  • Anesthesia fee
  • Garment fee
  • Postoperative visit fees

Surgical fees may vary depending on if you require contouring of the areas surrounding the buttocks which include lateral thigh/flanks/love handles/medial thigh. These areas may need liposuction contouring and/or a thigh lift.

The prices listed above are an estimation only. Please schedule a complimentary consultation to confirm if you are a good candidate for either of these procedures and to receive an exact quote.

Many people from all walks of life have chosen the Cosmetic Plastic Surgery Institute of Orange County for their Butt Augmentation. This video will give you a glimpse into the operating room with Dr. Mowlavi and the photo gallery below will show you the amazing results!

If you have been thinking about buttock enhancement, then we encourage you to schedule a consultation with Dr. Mowlavi.

Butt Lift and Augmentation Featured Patient

38 year old female from Long Beach 3 months following liposuction, brazillian butt lift (fat grafting to the buttocks), and abdominoplasty.

Butt Augmentation with Fat Transfer Before and After

A 27-year-old female following a VASER high definition liposuction to the middle and lower back, flanks, and BBL.
See More – Butt Augmentation Gallery

More About Buttocks Augmentation

FAQ Butt Lift and Augmentation

Will I get an hourglass shape from Liposuction to the flanks?2020-01-09T00:43:38-08:00

VASER liposuction would help you achieve the hourglass look you desire. This is achieved by liposuctioning the flanks and love handles as well as the lateral thighs and with fat transfer into mid buttock region. In order to exaggerate the hourglass look, not only will your buttocks be built up but your waistline must be maximally narrowed.

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How much fat will be removed by liposuction for my BBL ?2020-01-09T00:41:02-08:00

The amount of fat to be removed by liposuction and grafted to your buttocks is decided between you and the doctor at the time of your consult, and only by reviewing the areas you want worked on. 

There are no hard-and-fast mathematical amounts and it’s dependent upon your body and the results you’re going for. In general, 30 to 40% of the total amount of liposuctioned fluid and aspirate can be transferred back. For example, if you have 4500cc of liposuctioned aspirate, you will have approximately 1500cc of fat available for transfer back into the buttocks or breasts.

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Can I combine a BBL and fat transfer to the breast?2020-01-09T00:38:38-08:00

Fat grafting to the breast and to the buttocks (BBL) is absolutely possible at the same time. Remember that although the up to 1500cc of fat can be transferred to the buttocks, no more than 200 to 300 cc can be transferred into breast. As long as you have enough fat to graft both the buttocks and breast you can do both at the same time.

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What are the long term effects of a BBL on the gluteus muscles?2020-01-09T00:37:35-08:00

Fat was once injected into the gluteus muscle to increase it’s girth and tilt the pelvis, giving a curvier appearance. However, this is now outlawed as it carries the tremendous risk of a life-threatening fat embolus. 

For the safety of our patients, we utilize ultrasound during our BBL’s to assure that we DON’T inject any fat into the muscle of the butt. As far as viability of the grafted fat, it is dependent upon the quality of the fat harvest. The optimal outcomes are achieved with VASER liposuction to harvest the fat, a closed looped system to process the fat, and strategic micro-packet transplant technique. These three processes have demonstrated over 95% fat graft take. This means that your results will be stable as long as you maintain your weight.

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Is it best to do a fat transfer/BBL before a tummy tuck?2020-01-09T00:34:26-08:00

Using the VASER liposuction, you don’t lose any significant amount of fat transferred to the buttocks. As long as you use VASER fat harvesting, you should be fine to sleep and sit after the procedure. VASER has a 95% viability of the fat cells and retention of the volume. Thus, you do not have to worry about having a tummy tuck and sitting for extended periods. 

In summary, you can perform your BBL and tummy tuck at the same time.

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Should I get a BBL before kids or after kids?2020-01-09T00:31:54-08:00

A BBL can be performed before or after pregnancy. However, pregnancy can cause changes to the body if you gain more than 30 pounds and this may affect your overall contour. The decision to get a BBL is a personal one and can be performed before or after kids.

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Does the price of BBL depend on how much you weigh?2020-01-09T00:30:22-08:00

The cost for a BBL is dependent on your weight because it depends on how much time is required to remove the fat. It also depends on if you want to liposuction just the front, the back, or 360 degrees (circumferential). We do not charge you for replacing the fat back into your buttocks as this doesn’t take very long.

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Is it possible to have butt implants removed and do a BBL at the same time?2020-01-09T00:26:24-08:00

Yes, it is possible to have buttock implants removed and have a BBL at the same time. This is because the pocket where the implant is removed is sealed shut. In addition, the fat is transferred using ultrasound guidance, so that it is not inadvertently placed into buttock implant pocket. In this way, fat viability is preserved.

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Can I still have kids after a BBL ?2020-01-09T00:17:35-08:00

There are no complications to becoming pregnant and having children after a BBL

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Would I still be able to exercise and decrease body fat percentage without losing the fat transferred?2020-01-09T00:15:26-08:00

When considering any type of liposuction or augmentation, it is important to get your body to a level that you will be comfortable with for the rest of your life. You want to keep the same activity level as you had prior to the procedure. However, losing a couple of pounds, i.e. less than 10 pounds, is not likely to affect your overall proportions.

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What’s the main differences between heart and round shape buttocks?2020-01-09T00:13:08-08:00

Heart vs Round Shape Buttocks

Any surgeon should be able to communicate with you exactly what your butt will look like after the procedure. You should be wary of a surgeon who cannot adequately demonstrate and communicate what your buttocks will look like post-op. Also, our Buttock Assessment tool shows exactly what you are talking about in terms of upper, middle vs lower pole maximum fullness as well as overall size.

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If I have peripheral neuropathy can I get a Brazilian Butt Lift?2020-01-09T00:10:59-08:00

Neuropathy does not prohibit a BBL surgery necessarily. If you are determined to be a good candidate for a BBL, we would ask for help from your primary care physician to have you worked up for pre-operative clearance, making sure that it is safe for you to undergo the anesthesia and surgery.

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What’s the best treatment to help get rid of deep depressions and cellulite on my buttocks?2020-01-09T00:08:06-08:00

In order to completely eliminate your cellulite on your buttock, posterior thighs, lateral thighs, we will typically have to tuck your skin using a lateral thigh and buttock tuck. This is because cellulite is created by skin redundancy that needs to be eliminated. Even though the skin redundancy may be on the mid and lower buttocks, by tucking it from the upper buttock skin, the tightness is transcended to the lower and mid buttock.

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Is a BBL less painful than a Tummy Tuck?2020-01-09T00:06:14-08:00

A tummy tuck is widely regarded as a much more painful procedure due to the repair of the muscle required. Liposuction and BBL are much gentler. You will still feel discomfort but since the muscle is not directly manipulated, the pain level is much more tolerable.

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Will a BBL Leave Sagging Skin In The Areas That Were Liposuctioned?2020-01-09T00:04:21-08:00

Essentially, it is dependent on your skin elasticity to determine if an additional skin tightening procedure may be needed. Most people in their 20-30s have good elasticity. However, skin tightening is needed if the skin has been stretched out from excessive fat or following aggressive weight loss, or even with natural aging. Renuvion skin tightening may occur if you have minimal to moderate skin redundancy. Excising the skin may be utilized if there is moderate to severe skin redundancy.

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Is There Filler For The Dip In My Hip To Be A Little Less Noticeable?2020-01-08T23:54:25-08:00

There is no filler that will fix this hip dip better than your own fat can. In addition, the filler is temporary and not permanent. This hip dip is the result of a lack of mid-butt fullness. It is one of the most popular areas to target during a BBL and can be easily remedied with the use of VASER liposuction and fat grafting.

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I’m Already Skinny, Do I Need To Gain Weight If I Want a BBL?2020-01-08T23:41:12-08:00

I do not recommend gaining weight for a BBL as this will only make your fat cells get injured and die during the transfer process. This is because when you gain weight, the fat cells get larger in size thus making them prone to injury as they travel through the small holes of the cannulas used to harvest fat. 

The definitive technique for you, since you are thin, is ultrasound assisted liposuction which should be performed by a high definition body contouring specialist. Additionally, the use of our Buttock Assessment Tool to determine the ideal buttock shape and size for you is critical.

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How Many Days After BBL/Lipo Can I Take a Long Flight (10+ Hours)?2020-01-08T23:38:36-08:00

You can travel after 2 weeks with such a long flight after BBL. This is to ensure that all of the fat cells have been revascularized.  I would also recommend getting an in isle seat so you can stand up and walk at least once every hour so that you take the pressure off of your buttock.

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What Are My Buttock Enhancement Surgery Options?2020-01-08T23:29:21-08:00

To get an accurate surgical plan, I recommend contacting us to do a Same-Day virtual consultation so I can see your current body type. There are various ways I can perform a buttock shape optimization. The key to body contouring is taking into account the excess fat as well as the amount and quality of the skin. 

High definition liposuction, RENUVION skin tightening, buttock tuck, thigh tuck, and lower body tuck are all tools I can use to get you to your ideal shape and size.

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How Do I Know What My Butt Will Look Like After a BBL?2020-01-08T23:24:49-08:00

Deciding on the ideal buttock shape is a critical step in any butt enhancement surgery! Through the use of my Buttock Assessment Tool you can tell me the EXACT butt shape and size you want and that’s what you will get. Through the use of VASER© Liposuction, RENUVION© skin tightening and surgical cutting, the possibilities are endless so it is important that you take the time to research different body types and come to a conclusion with your surgeon about your ideal figure.

We also do Virtual Consultations daily to assist patients that are stuck between different surgical options.

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Is a BBL safe if you already have Silicone Implants?2020-01-08T23:12:24-08:00

A High Definition BBL is safe after silicone implants and can be protective of them extruding if the fat is layered superficially to pad the silicone implants from making their way out. We only use VASER liposuction for the harvest of your fat cells due to the improved fat volumes and fat cell survivability. In addition, we use high resolution ultrasound to direct fat graft transfer to avoid injury of the implant or placement of fat near the implant which would result in fat non-take.

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Is Fat Reduction in Buttock Augmentations Permanent?2020-05-29T12:59:00-07:00

Is Fat Reduction in Buttock Augmentations Permanent?
Ideal Buttocks shape is often achieved through contouring the surrounding areas and actually reduce the buttocks. Butt size can be reduced using two techniques:

1) Butt HD liposuction using VASER and Renuvion skin tightening.

2) Butt lift

Whichever of these procedures is ideal for you depends on the amount of fat versus skin redundancy you have and the butt shape that you desire. Please observe some of our Brazilian Buttocks Lift Before and After Photos.

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What do I need to do to fix my hips?2020-01-08T23:01:20-08:00

Incredible waistline and female silhouette shaping is achieved through the use of VASER HD Liposuction BBLs. The optimal BBL outcomes are achieved with: 1) use of VASER liposuction to harvest the fat from problems areas (in your case it would be the hips), 2) a closed looped system such as Puregraft to process the fat, and 3) strategic micro-packet transplant technique. 

These three processes have demonstrated over 95% fat graft take. This means that your results will be stable as long as you maintain your weight. As an official VASER trainer, I am routinely referred unhappy BBL patients. One of the most common reasons for disgruntled BBL patients is that patients are not able to accurately communicate their desired buttocks goals to their surgeons.  

A buttocks assessment tool can be an invaluable tool to communicate to your surgeon the exact buttocks size and shape you are desiring.

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What is the Buttocks Assessment tool?2020-01-08T22:59:58-08:00

The buttocks assessment tool is a figurative survey tool that allows you to choose the exact shape and volume of buttocks cheeks desired. It allows you to define the lateral prominence size and position desired on your buttocks cheek as well projection located over the central buttocks. Figures were created with the waist kept constant but the buttocks size and shape altered in order to determine each patient’s desired preferences. Dr. Mowlavi has been able to consistently deliver desired buttocks shapes and sizes to patients treated from around the world using the buttocks assessment tool.

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How do I convey my desired buttocks size and shape to my surgeon?2020-01-08T22:58:48-08:00

This is a very important question since most patients struggle with conveying to their surgeon exactly the buttocks size and shape. As a specialized center for high definition liposuction and Brazilian buttocks lift (BBL) surgeries, we see unhappy BBL patients weekly. The two most common complaints are that patients did not get adequate buttocks cheek volumes and the second complaint is that the buttocks shape was not created to the likening of the patient. The reason why adequate volumes of buttocks cheek are not routinely attained include:

1) Inadequate fat volume harvest with use of traditional liposuction. Instead, VASER liposuction allows for harvest of both the deep and superficial fat which results in 40 % more volume on average than other liposuction modalities.

2) Fat volume that is reduced in viability since it has been injured in the fat removal process. For example, with traditional liposuction, the semi-solid fat is drilled using liposuction cannulas. Another example is Laser or Smart liposuction, where a laser beam literally pierces the fat in the melting process. In contrast, the Vaser ultrasound gently tickles the fat cells into single cells without injuring the outer cell membrane. As a result, the fat cells provide near 90 % viability when transferred to the buttocks.


The benefits of Vaser liposuction include 90 plus percent graft take to the buttocks. As such, what you see right after surgery is what you are going to keep with respect to shape and volume. This is why Dr. Mowlavi has created the Buttocks assessment tool which allows you to convey to him exactly the buttocks shape and volume you are desiring.

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Is it true that only 60% of the buttocks volume is retained long term following fat transfer to the buttocks?2020-01-24T21:58:56-08:00

The reason that a 60% buttock volume retention is published on the internet is because most techniques used to harvest the fat graft are suboptimal. For example, the added force required to harvest fat cells with traditional liposuction techniques results in unnecessary damage to the fat cells. Another example, involves use of the Laser liposuction technique(marketed as Smart Liposuction) that results in directly piercing the fat cells. As a result, it is not unreasonable to appreciate why a 60% volume retention is published on the internet.

Instead, the Ultrasound energy of Vaser liposuction gently loosens the fat cells so that they can be siphoned off with minimal trauma. This results in 90 plus % viability of the fat cells. This means that what you see is what you get permanently.

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