A Brazilian butt lift (BBL) is a surgical procedure that harvests the fat from one part of your body and transplants it to the buttock region. This fat is often taken from the abdomen, flanks, back, or from other locations on the body if more volume is needed. If you are interested in a BBL in Marin County, please continue reading the detail sections below for more information, or simply contact our practice today to schedule a personal consultation with Dr. Delgado.


Anyone who is healthy, stores extra body fat, and has fairly good buttock skin tone is typically considered a good candidate for a Brazilian butt lift in San Francisco. A suitable skin tone is necessary because sagging and very loose skin does not hold the fat volume in a firm and shapely position and may even cause a distorted and unattractive appearance. If not enough fat is present to be harvested, some patients gain weight to increase fatty tissue accumulation. Others resort to a Sculptra® butt lift, which the Kardashians have popularized.


In a Brazilian Butt Lift, the extracted tissue is put through a process to clean and concentrate the fat globules, which are then injected like a “string of beads” to allow a good vascular supply to optimize the viability. The transferred fat is placed artistically to enhance the shape, volume, and projection of the buttocks.


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During the consultation process, Dr. Delgado spends ample time discussing the available options. Some patients are simply not good candidates for a Brazilian butt lift, even though they have beautiful bodies. In these cases, he will recommend an alternative treatment if possible.

Dr. Delgado has mixed feelings about gaining weight for fat harvesting before Brazilian butt lift surgery. When a person gains 15–20 pounds, they are not comfortable for many reasons—including both physically and psychologically. In addition, when they try to lose weight after surgery, they can have a challenging time doing so, and even if the weight is eventually lost, it often affects the buttock region.

Comfortable chairs


LIVE SURGERY | Brazilian Butt Lift (BBL) | Tummy Tuck in San Francisco Part 2 of 5-Surgery


A BBL is performed under general anesthesia. You will be prepared for sterilization so your body can be turned 360 degrees on the operating table. Dr. Delgado will choose from where to harvest the fat, and those areas are then injected with tumescent fluid. This is important because this fluid has medication that constricts blood vessels to reduce blood loss. 

The solution also contains Lidocaine, which reduces postoperative pain. Once the tumescent fluid is injected, fat in the body area(s) (typically the abdomen, flanks, or back) is ready to be harvested. Dr. Delgado uses Power-Assisted Liposuction (PAL), which vibrates the suction cannula thousand of times per minute to extract the fat aggressively but smoothly. 

The harvested fat is then washed, concentrated, and prepared for injection into the buttocks, and the patient is turned over on the stomach and situated in a slightly flexed position. Lastly, the fat is artistically injected into the buttocks to enhance shape, volume, and projection, ultimately yielding the beautiful silhouette of the Brazilian butt lift.

The most rewarding part of my day is achieving my patients’ aesthetic care plan. When I meet and exceed each patient’s short- and long-term goals utilizing tailored treatments, we are both successful. I utilize a combination of treatment modalities to produce effective, natural facial rejuvenation with little or no downtime. 

— Ariel Kirk


Brazilian butt lift recovery is typically about a six to eight-week process. Most patients can return to work after a few weeks, though a special BBL compression garment will need to be worn for six weeks to aid with healing. The primary issue is that you can not sit directly on your butt region because the fat cells will be damaged before the vascular ingrowth occurs, which ensures permanent survival.

Patients are advised to sit with pressure on the upper thighs, and specific pillow devices can often be used in particular situations (such as sitting in the car). If you are traveling from Santa Rosa or Napa Valley, Dr. Delgado will provide you with a supportive device for your trip back home. Exercise can generally be resumed after about six weeks, and most patients are entirely back to normal in about eight weeks.

Dr. Delgado office


This is the good news—Brazilian butt lift results are long-lasting once the fat cell grafts are established. Not all fat cells survive, however.

Patients sometimes like it when the butt cheeks are swollen after surgery, but this is postoperative swelling and does not reflect the actual surgical outcome. You will typically see the final, lasting outcome in about three months.


At our San Francisco and Marin County practices, a Brazilian butt lift typically costs between $10,000–15,000, which includes the surgeon’s fee, anesthesia cost, operating room expenses, compression garments, and all postoperative care. The range is wide due to how many surgical areas on the body it may take to retrieve the required fat and how much fat is transferred to the buttocks. In comparison to other cosmetic surgery procedures, BBL typically takes more surgical hours to complete, which also influences its pricing.


If you have additional questions about Brazilian butt lifting, or if you wish to book a consultation with Dr. Delgado, please do not hesitate to contact our practice today.


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Although San Francisco is most known for its Golden Gate Bridge, the San Francisco-Oakland Bay Bridge is another famous construction. It’s known as one of the longest bridges in the world at about 23,000 ft long. Patients traveling from Napa Valley may choose to take this beautiful, scenic route. It connects San Francisco with the city of Oakland and connects just one mile from the practice of Dr. Miguel Delgado and 34.5 miles from Dr. Delgado’s Novato, Marin County location. After reconstruction due to the 1989 earthquake which caused the upper deck to collapse, it went from two decks to a single deck for all lanes. It’s now recognized as one of the widest bridges in the world.

Frequently Asked Questions

Are buttock injections permanent?

Butt augmentation can sometimes be achieved using dermal fillers, but this process does not create permanent results. The Brazilian Butt Lift is the most long-term way to augment the butt.

Can fat transfer be removed?

Fat transfer can be removed if you later change your mind.

Can I die from BBL?

BBL comes with risks like any other surgery. A board-certified plastic surgeon should always perform your procedure to best mitigate the risks.

Can you freeze your fat off at home?

No. At-home CoolSculpting can be dangerous and ineffective - its always best to discuss your body contouring goals with a board-certified plastic surgeon.

How dangerous is liposuction?

Liposuction risks are minimal when you partner with an experienced, board-certified plastic surgeon. Dr. Delgado will explain the risks and how you can reduce them during your consultation.

How does fat transfer work?

Fat transfer begins by collecting fatty tissue from your body using liposuction. Then, the fatty tissue is purified and injected into a different area.

How does Lipo work?

Liposuction works by inserting a cannula, or blunt-tipped tube, through a tiny incision. There, the cannula can be used to break up the fat and suction it out through an attached surgical vacuum.

Is Brazilian buttock lift painful?

A Brazilian Butt Lift can cause discomfort during recovery. Dr. Delgado will discuss the best ways to manage any pain using prescription medications and at-home care.

Is Brazilian buttock lift permanent?

A Brazilian Butt Lift can produce long-term results with the right aftercare.

What are the side effects of BBL?

After a BBL, you can expect some discomfort, swelling, and bruising. Dr. Delgado will discuss the best ways to manage side effects during your consultation.

What are the side effects of fat transfer?

After fat transfer, its normal to experience some soreness, bruising, and swelling at your surgical sites.

What is the recovery time for fat transfer to buttocks?

It can take 1-2 weeks to recover from a fat transfer procedure, but youll need to avoid sitting directly on your butt for several weeks in order to allow the new fat to take hold.

When can I sit after bbl?

You should avoid sitting after your Brazilian Butt Lift for 2-4 weeks. Putting pressure on the fat during this time can reduce the effectiveness of the transfer process.

Can you transfer fat to your breasts?

Fat transfer breast augmentation is sometimes called natural breast augmentation. It can be a great option for patients who want to avoid implants.

Does fat grafting leave scars?

Fat transfer has a minimal chance of scarring since the incisions used for liposuction are very small.

Does fat transfer last?

Fat transfer can be a permanent procedure as long as you maintain a healthy and active lifestyle, avoiding weight fluctuations.

How common are buttock implants?

Butt implants are becoming less common in favor of the Brazilian Butt Lift.

How long do butt injections last?

Butt injections with dermal fillers do not typically last longer than 1-2 years. The Brazilian Butt Lift is a much more permanent procedure.

How long does Brazilian butt lift last?

The Brazilian Butt Lift can last for many years if you maintain a healthy and stable weight. Its also best to follow Dr. Delgados aftercare instructions as closely as possible.

How long does fat grafting surgery take?

This can depend on your specific treatment plan, but most fat transfer procedures take 1-3 hours.

How much does it cost for fat transfer to the buttocks?

This depends on a variety of factors including your specific treatment plan, surgeons costs, location, and recovery materials. Youll be given a full cost estimate during your consultation with Dr. Delgado.

What is a fat transfer?

Fat transfer is a cosmetic procedure that uses liposuction to collect fatty tissue from one area of the body. Then, the fat is injected into another area of the body to enhance and augment the shape.

What is the BBL?

The Brazilian Butt Lift is a fat transfer procedure that augments the butt using fat from another area of the body. Many patients prefer it over implants because it uses your own natural tissue.

What is the best type of liposuction?

There are a variety of liposuction types but traditional liposuction is best if youre considering a fat transfer procedure.

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