Brazilian butt lifts can be safe when they are performed by a board-certified plastic surgeon using current safety-focused techniques and careful patient selection. As with any surgery, there are risks, but one of the most important ways to reduce those risks is proper fat placement and following recovery instructions closely.

Before & After Brazilian Butt Lift Case 84 View 1 View in Raleigh, NC
Before and After Brazilian Butt Lift in Raleigh, North Carolina, by Dr. Juan Ortiz
Before & After Brazilian Butt Lift Case 92 View 1 View in Raleigh, NC
Before and After Brazilian Butt Lift in Raleigh, North Carolina, by Dr. Juan Ortiz
Before & After Brazilian Butt Lift Case 94 View 1 View in Raleigh, NC
Before and After Brazilian Butt Lift in Raleigh, North Carolina, by Dr. Juan Ortiz
Before & After Brazilian Butt Lift Case 83 View 1 View in Raleigh, NC
Before and After Brazilian Butt Lift in Raleigh, North Carolina, by Dr. Juan Ortiz

How Are Brazilian Butt Lifts Performed?

To perform a Brazilian Butt Lift, your plastic surgeon first removes fat from one area of the body with liposuction, processes it, and then injects it into the buttocks to improve shape and volume. The way that fat is collected and injected is one of the most important factors in both safety and the final results.

Fat is often taken from areas such as the abdomen, flanks, hips, or thighs. After the fat is purified, it is strategically transferred to the buttocks to create a fuller, rounder contour while also improving shape in the donor area.

What Are the Risks of a Brazilian Butt Lift?

The risks of a Brazilian butt lift include expected surgical side effects like swelling and bruising, as well as rare but serious complications such as blood clots or fat embolism. Although serious complications are uncommon, they are the reason that proper technique and careful patient selection matter so much.

What Side Effects Are Common After a BBL?

The most common side effects after a Brazilian butt lift are swelling, bruising, and soreness in both the liposuction areas and the buttocks. These effects are expected during early recovery and usually improve as healing progresses.

Because a BBL involves both liposuction and fat transfer, it is normal to have tenderness in more than one treatment area. Following your surgeon’s recovery instructions can help support healing and improve comfort during the recovery period.

What Serious Complications Can Happen After a BBL?

Serious complications after a Brazilian butt lift are rare, but they can include infection, blood clots, deep vein thrombosis, and fat embolism. These complications require prompt medical attention and are one reason it is so important to choose a qualified plastic surgeon.

While these risks are uncommon, patients should still understand them before surgery. A thorough consultation, appropriate candidacy screening, and careful surgical technique all help reduce the likelihood of serious complications.

Why Is Fat Embolism the Biggest Safety Concern in a BBL?

Fat embolism is the most serious safety concern in a Brazilian butt lift because fat placed too deeply can enter the bloodstream and cause a life-threatening blockage.

One of the main anatomical concerns is the inferior gluteal vein, a large vein located deeper in the area. When fat is placed too deeply or injected into the muscle, the risk of fat entering the bloodstream increases. The current safety-focused technique emphasizes placing fat in the subcutaneous layer above the muscle, which significantly reduces the risk of fat embolism.

How Can You Make a Brazilian Butt Lift Safer?

You can make a Brazilian butt lift safer by choosing a qualified board-certified plastic surgeon, being honest about your medical history, stopping nicotine use before and after surgery, and following all recovery instructions closely. Your safety will depend on both your surgeon’s technique and your pre- and postoperative habits.

To minimize any risk, we recommend the following:

  • Only work with a board-certified plastic surgeon. They have more training and knowledge and are dedicated to performing procedures safely. Many complications occur from procedures performed by unlicensed practitioners.
  • Stop smoking, vaping, or using nicotine products four to six weeks before and after the procedure.
  • Wear your compression garments for the specified time period.
  • Keep the incision and injection sites clean.
  • Follow your physician’s instructions, particularly those related to getting up and moving. While you never want to push yourself too much, you also don’t want to be too sedentary. Simply walking around the room periodically or light stretching can have a big impact.

Even small recovery decisions can make a meaningful difference in keeping you safe and comfortable.

Who Is a Good Candidate for a Brazilian Butt Lift?

A good candidate for a Brazilian butt lift is someone in generally good health who has enough excess fat for transfer, realistic expectations, and a willingness to follow recovery instructions. Patients who smoke, have uncontrolled medical conditions, or are not prepared for the recovery process may not be ideal candidates.

A consultation is the best way to determine whether a BBL is appropriate for your anatomy, goals, and health history. In addition to discussing your desired outcome, your surgeon should evaluate whether fat transfer is a safe and effective option for you.

Brazilian Butt Lift Safety FAQ

Why does injection technique matter so much in BBL surgery?

The injection technique matters because deeper fat placement can increase the risk of fat entering major blood vessels. Current safety recommendations emphasize placing fat in the subcutaneous layer above the muscle to reduce that risk.

Can smoking or vaping increase Brazilian butt lift risks?

Yes, smoking and vaping can increase surgical risks because nicotine can interfere with circulation and healing. Patients need to stop nicotine products before and after surgery to reduce risks.

Is a BBL safer with a board-certified plastic surgeon?

Choosing a board-certified plastic surgeon is one of the most important ways to improve safety because training, experience, and surgical judgment all affect outcomes.

Does recovery affect Brazilian butt lift results?

Yes, recovery affects both safety and results because pressure, poor healing habits, and failure to follow recovery instructions can compromise the transferred fat and slow healing. Following aftercare guidance is essential for the best outcomes.

Schedule a Brazilian Butt Lift Consultation Today

If you’d like to learn whether a BBL is right for you or ask more questions, schedule a consultation today by calling our office at  919-532-2270 or filling out the form below.

This blog post was originally published in July 2024 and has been updated for 2026.

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