Brazilian Butt Lift (BBL)

Brazilian butt lift using Dr Levine's microdroplet scaffolding technique: liposuction harvests fat from donor areas, which is processed and reinjected into the buttocks in precise microdroplet aliquots layered through the subcutaneous tissue for improved graft survival. Sessions run two to four hours. Final results appear at three to six months post-operatively as swelling resolves and the transferred fat establishes its blood supply.

The Brazilian butt lift (BBL) at NYC Lipo combines body contouring liposuction with autologous fat transfer to augment and reshape the buttocks using the patient's own tissue. Dr Elie Levine employs a microdroplet scaffolding technique that prioritises graft survival and long-term result predictability. The first phase is liposuction harvest: donor fat is collected from one or more sites — commonly the abdomen, flanks, lower back, and thighs — using a fine, atraumatic cannula system designed to preserve fat cell viability during extraction. The harvested lipoaspirate is then processed: excess tumescent fluid, oil from ruptured adipocytes, and blood are separated via decantation or centrifugation, yielding a concentrated viable fat fraction for transfer. The microdroplet scaffolding approach distributes the purified fat in very small volume aliquots — individual injections of 0.1 to 0.5 mL per pass — laid down in fanning, layered passes throughout the subcutaneous tissue plane of the buttocks. This three-dimensional scaffolding pattern maximises the surface area of transplanted fat that is in direct contact with host tissue, improving the ratio of fat cells that can establish a new vascular supply (angiogenesis) versus those lost to central necrosis, which is the primary mechanism of fat resorption after transfer. Injections are kept in the subcutaneous plane and not placed in the muscle, consistent with safety guidelines for BBL procedures. The fat harvest and transfer are tailored to the patient's starting anatomy and aesthetic goal — whether the objective is primarily volume addition, reshaping for projection, lateral fullness, or waist-to-hip ratio improvement. Sessions run two to four hours under general or twilight anaesthesia. Final results become apparent at three to six months as post-operative swelling resolves and transferred fat that has successfully established vascularisation matures in its new location.