A flat or deflated butt may be a result of weight loss, pregnancy, aging and gravity. Pittsburgh plastic surgeon, Dr. James Fernau, has perfected the Brazilian butt lift procedure—a cosmetic enhancement that uses fat from the patient’s own body to create a fuller, rounder looking butt. During this surgery, fat is liposuctioned from the hip rolls and abdomen, and grafted into the buttocks to obtain smooth curves and shapely lines. This procedure is ideal for patients who desire a fuller buttock, but would prefer to use a natural approach to implants. Candidates must have good skin elasticity and they must have enough body fat to extract. Dr. Fernau is a highly regarded butt augmentation surgeon who trained with one of the world’s most famous butt augmentation specialists, Dr. Raul Gonzalez in Brazil. The operation has outstanding results and high satisfaction rates among our Pittsburgh patients.
Brazilian Butt Lift Reviews
"If you are looking for great staff and doctor you need to go to Dr. Fernau, they take care of you as if you are family. His staff always put you first. They provided me their cell numbers to call if I needed to and always checked up on me after the surgery. I had liposuction, a BBL and skin tightening, my results are AMAZING! His worked cannot be matched. He transforms your body into exactly what you want and more, I am in awe of my results. He is such a perfectionist that you come out looking better than you could even imagine. I would highly recommend him you will not be disappointed. Best DOCTOR in the Steel City!"- J.F. / Healthgrades / Feb 09, 2021
"Best choice ever! Right from the start they all made me feel comfortable. - I had an amazing experience with Dr.Fernau and his staff at Accent on Body! Right from the start they all made me feel comfortable and answered all my questions with kindness. I’m very happy with my BBL results by Dr.Fernau and also my Secret RF treatment is done by his wonderful aesthetician Cindy. Thank you so much!"- G. / RealSelf / Feb 19, 2021
"Breast augmentation in April 2021. I wasn’t going to leave a review simply because that is all Dr. Fernau seemed to be concerned about me doing, but I am searching for a Dr. for a BBL and am finding that reviews are how I will determine who I go to. Prior to the practice receiving my money I felt very welcomed and like I would be in good hands. After they received my money and after the procedure I felt like a patient of a back alley practice that did not care about me as a patient. I came home and woke up to “cuff burn” on my upper arm, a warranty card for a smaller size implant that was agreed to prior to surgery after paying more for “the better implant”. Even after nurse Sheila called me and confirmed that the manufacturer had the size we agreed on in stock. I am limited in characters for this review so to keep it kind of short, I would give the results a 3 star rating because I did not get what was discussed. Treatment before the procedure was great and after was not so great. "- A. / Healthgrades / Feb 10, 2022
"Wow wow wow!!!! I don't even know where to begin... Excellent bedside manner... Nurse Sheila...is amazing and I truly felt as if she was my best friend in this entire journey and she was there every step of the way from first consult and is always in reach when needed. She is truly a beautiful wonderful soul . Now let's talk about Dr. Fernau... I have done extensive research over the last two years and finally narrowed my search down to 3 doctors to consult and scheduled Dr. Fernau first... Needless to say I cancelled the other 2 consults on the spot!!! I fell in love with his amazing down to earth personality... He makes you feel you beautiful just the way you are and most important his strong confidence made me feel secure, safe, and excited to move forward ( btw I've read a few other reviews that referred to him as arrogant.. he is NOT arrogant at all!!! it's called CONFIDENCE people!!! that's what you should expect and require when selecting a surgeon) his experience, training, results, and track record speaks for itself. I immediately felt safe and at ease... I initially wanted a 360 lipo he strongly encouraged I add a BBL and he was CONFIDENT in this suggestion and was able to provide me with his vision.... I agreed (there was absolutely no pressure)... Boy oh boy!!! I am glad I did!!! The BBL is actually my favorite part!!!This man knows his stuff... Trust him!!! I am only on day 3 And I already look AMAZING!!!! I am SOOOOO happy with the results already I don't even know what to do myself!!! I'll probably end up with at least 5 more husbands, 6 boyfriends, and more babies (just kidding lol) he did a superb job!!!! I HIGHLY RECOMMEND DR. FERNAU AND HIS TEAM!!!!!!!!!!! With that said...Thank you Dr. Fernau and Team!!!"- A.M. / Google / Mar 19, 2021
"First off I want to say that Dr. James Fernau is absolutely amazing at what he does. He is so talented/knowledgeable and it clearly shows. I am so incredibly happy with my results. I got Lipo with Renuvion and my results from that are even better than I could imagine. I then got a BBL and my results from that are fantastic. I am so truly happy with my experience with Dr. James Fernau and his wonderful staff especially Sheila she is so kind and willing to go out of her way to help you. I definitely know where I’ll be going if I want anymore procedures in the future. 10/10 experience"- A.R. / Google / Jul 06, 2022
The body will first be initially evaluated to make sure that the patient is a good candidate for the Brazilian butt lift method. It will also be assessed as to which areas will be liposuctioned. Approved by the Food and Drug Administration, liposuction is performed using the advanced HydraSolve® system to liquefy the fat. The process of selective liquefaction ensures that the liquid fat to be grafted is 100%, along with very important concentrated cells which provoke improved collagen production and more natural healing. Instead of a 60% survival of the grafted fat, HydraSolve has a 90% survival of the grafted fat. Once the needed fat is removed and prepared, Dr. Fernau then reinstates the fat little by little to make sure that the layering is done properly, effectively so the results are smooth and shapely.
This surgery is considered an outpatient procedure and general anesthesia is usually used. In some cases, IV sedation will be used. This depends on how extent the liposuction and transfer process is. The surgery lasts an average of 2 hours depending on the number of donor sites and fat layering needed. After surgery, a compression garment is worn to help with the swelling and also assist in the contouring of the buttocks. We also prescribe an Aloe Purinol medication regime to help enhance the fat transfer results. Patients are advised not to put weight on the butt area for the first 2-3 weeks following surgery. Sitting or laying down must be done with the weight mostly on the thighs. Final results, after the swelling and bruising has subsided, usually can be seen within 6-8 weeks.
A Brazilian butt lift will cost around $7,000 to $11,000. This depends on how many areas are used for liposuction to get the required volume of fat. A detailed price and treatment plan is discussed during the initial consultation.
Plan Your Procedure
- Average Cost
- $7,000 - $11,000
- Recovery Time
- 2-3 Weeks
- Average Procedure Time
- 2 Hours
- Post-op Follow-up
- 3 Weeks
- Procedure Recovery Location
Brazilian Butt Lift FAQs
When done correctly, the result of a Brazilian butt lift should look and feel natural. It is very important for those who are considering this procedure to find a plastic surgeon with good background and experience with this type of surgery. The results will be affected by the quality of how the fat to be reinstated is selected and purified, and the procedure of how it is injected.
Natural or Synthetic?
Many patients opt for fat transfers because they feel it is more safe and natural. For some, they are simply not comfortable with implants or a foreign device placed in their buttocks. When choosing whether to go natural or with implants, it’s important to understand the pros and cons to each. The one disadvantage of fat transfers is that the injected fat maybe naturally reabsorbed into the body over time, which means that a secondary surgery could become necessary later on in order to maintain max results. Implants are a permanent solution so patients will need to consider the long-term effects of surgery carefully.
Multiple Donor Sites?
Multiple donor sites for the fat grafting may include the lower backside, abdomen, love handles and the thighs. Liposuction done in these areas usually also helps contour the surrounding areas of the buttocks, which results in a gorgeous silhouette.
What If I Gain Weight?
The ideal candidates for this procedure are those who are at or very close to their goal weight. Both significant weight gain or loss will compromise the results of the surgery. Patients who have had this procedure should stick to a healthy lifestyle with proper diet and exercise.