- Safety of the Procedure
- Optimization of Injection Zones
- Ability to perform high-volume injections
- Ultrasound monitoring may be available
What is a Brazilian butt lift or buttock lipofilling (SMART BBL)?
Also known as the Brazilian lift, the Brazilian Butt Lift (BBL) is a cosmetic surgery procedure designed to increase the volume of the buttocks and sculpt the entire figure to make it sexy and attractive. It involves injecting fat cells harvested from other areas of the body. The buttocks will then be rounder and more shapely, resembling those of young Brazilian women who flaunt their beautiful figures in swimsuits.
The SMART BBL (Safe Modern and Artistic Brazilian Butt Lift) is an imaging-guided fat injection technique for the buttocks developed by Dr. Delobaux,a plastic surgeon inParis. It ensures a safe procedure by using imaging to monitor the fat injections as they are administered into the buttocks.Â
Dr. Alexis Delobaux was the first plastic surgeon in Europe to use ultrasound for gluteal lipofilling, or the Brazilian Butt Lift, and is therefore a pioneer in this highly specialized field.
The Goals of a SMART Brazilian Butt Lift
The goal of the Brazilian Butt Lift is to:
- Treating a flat or shapeless buttocks.
- Address body types that are straight (H-shaped) and not feminine enough.
- Treat excess love handles or saddlebags.
- Harmoniously sculpt the figure after weight gain or pregnancy.
Buttock Lipofilling and Brazilian Butt Lift: Who Are They For?
Buttock lipofilling is intended for female patients between the ages of 25 and 35 who want more volume and a more shapely figure to achieve a curvier, sexier silhouette.
Female patients between the ages of 45 and 55 who, as a result of pregnancies or weight loss, have experienced a loss of volume and buttock ptosis (sagging of the buttocks) and are primarily seeking to restore balance to their bodies and regain the lost volume.
What Are the Benefits of a SMART Brazilian Butt Lift?
Buttock lipofilling enhances both physical beauty and self-confidence.
Someone who is self-conscious about their body and finds it âunflatteringâ and out of proportion will be transformed by buttock lipofilling.
Dr. Alexis Delobaux has helped many women regain their joy and self-confidence after undergoing buttock lipofilling.
The increase in buttock volume does not involve any foreign materials, so there is no risk of rejection.
What percentage of fat remains after a Brazilian butt lift?
Studies on fat transfer show that, on average, 25% of the transferred cells will not survive, which means that 75% of the transferred fat volume remains for life.
The Brazilian Butt Lift Procedure

A Brazilian Butt Lift is performed under general or local anesthesia. In the latter case, fat is harvested from a single area and reinjected.
The procedure takes about 3 hours, and the hospital stay lasts one night.
- LIPOSUCTION: The first phase involves slowly and gently suctioning all the predefined fatty areas through liposuction to sculpt the figure, with the goal of achieving a slimmer bust and harmonious, attractive curves.
- PREPARATION: The second step involves preparing the fat cells: they are washed with saline solution and purified by decantation. Each jar of adipose tissue requires approximately 30 minutes of washing.
- REINJECTION: The third phase involves injecting fat cells into the gluteal muscles and transitional areas to achieve the desired shape and volume of the buttocks. These fat cells are injected in small droplets at varying depths to ensure the highest survival rate of the fat cells.
Before a Brazilian butt lift procedure
Before a BBL procedure, you will be provided with a quote, an information sheet, and an informed consent form. A minimum waiting period of 15 days is required to allow you to carefully consider your decision. If you decide to proceed, you will need to have a blood test and must see the anesthesiologist for the mandatory preoperative visit, which must take place within the month prior to the procedure.
Preoperative Consultation
Each patient describes the results she hopes to achieve for her bust, buttocks, and sometimes her thighs.
The areas for liposuction and injections are determined, and Dr. Alexis Delobaux explains the preoperative steps, the procedure itself, and the postoperative care.
Preoperative Tests
A blood test is needed to check blood cell counts, hemoglobin levels, liver and kidney function, serological tests, and blood type.
After a Brazilian butt lift
After a BBL procedure, a recovery period of just under a week is necessary and sufficient. Youâll be able to sit on your buttocks, but you should avoid doing so for too long during the first week. You must wear the Lipopanty for one month.
The Results
The Brazilian butt lift is a relatively painless procedure. Scars are virtually nonexistent. Any marks left on the skin correspond to the diameter of the cannulas used to extract and reinject fat. The results are long-lasting, and the appearance remains natural.
The final result can be assessed after about 3 months, which is the time needed to evaluate the percentage of fat cells that have been absorbed. A second procedure is sometimes necessary to refine the result.
Cost of a Brazilian Butt Lift
The price of a Brazilian butt lift is determined during a consultation and is customized based on the extent of the procedure. This includes the surgeonâs and anesthesiologistâs fees, as well as clinic fees and all post-operative follow-up visits for one year.
For more information on pricing, please contact our assistant at the following number: 06 73 43 43 47.
Role of Diagnostic Ultrasound
SCIENCE NEWS: The Expanding Role of Diagnostic Ultrasound in Plastic Surgery.

Smart BBL Procedure Protocol
SMART BBL Protocol: Dr. Alexis Delobaux â Clinique Esthetique Aquitaine.