Introduction The butt is an important area of the body for both men and women. In recent years we’ve been living under the sign of the big booty, and men and women alike have started resorting to plastic surgery to enhance the appearance of their behinds. While the procedures for butt enhancement have seen a considerable increase in demand, the techniques have gotten more and more refined and delivering increasingly better results. The Brazilian butt lift is a procedure performed mostly on women as patients need to have an excess of adipose tissue on other areas of the body that will be treated with liposuction to collect the necessary amount of fat for transfer to the buttocks. The procedure is performed in three stages: liposuction, fat purification and fat grafting to the buttocks. It is completely safe when performed by a board-certified, experienced plastic surgeon and delivers spectacular results for patients who can follow the recommendations of the plastic surgeon to the letter. The BBL is performed with the patient under general anesthesia and can last up to two hours or more, depending on the complexity of each case. Just like many other plastic surgery procedures, the BBL is highly customizable to deliver spectacular results for each patient. In this article, we will discuss four questions all patients have after a BBL. 1. How long will my recovery be? It is very common for patients undergoing plastic surgery to be concerned and ask a lot of questions regarding the recovery period. To better understand how the recovery period goes after the Brazilian butt lift, we need to have a look at what happens during the surgery and immediately after. The Brazilian butt lift is a combination of liposuction and fat grafting to the buttocks. After the patient receives the general anesthetic that will ensure her comfort during the surgery, the plastic surgeon will start making small incisions on the donor areas. Through these incisions, the liposuction cannula is inserted and back and forth movements are done. In this way, the plastic surgeon will dislodge and liquefy the fat so it can be easily suctioned out of the body. The donor areas targeted for the Brazilian butt lift are often the abdominal wall and the flanks. By reducing the thickness of the adipose layer in the area, we can make the buttocks look even better. In some cases, the patient is not confronted with an excess of fat on the tummy and the flanks, but the thighs and even the back. When this is the case, the plastic surgeon can perform liposuction on these areas instead. After liposuction is performed, the fat is purified, and only the pure and healthy fat cells are reinjected into the buttocks to give them more volume and a perky appearance. After the surgery the patient is moved to recovery and free to go home within hours after waking up from the effects of the general anesthetic. This means that the recovery process starts when the patient gets home and can last one to two weeks, depending from patient to patient. Generally speaking, patients are advised to take about two weeks off from work, but most can resume their daily activities within days after undergoing the procedure, with certain limitations. 2. What do I need to avoid during recovery? While after a few days patients can perform most of their daily activities just like before, there are things that should be avoided for at least three to six weeks after the Brazilian butt lift. Among the things you need to avoid during recovery is sitting directly on the buttocks and lying on the back as this can trigger complications such as the death of the fat cells grafted. If you sit too soon, the results might be asymmetric. Keep in mind that even three weeks after the surgery, patients are advised to use a special pillow when sitting down. Smoking is another thing that should be completely avoided during recovery. A responsible and experienced, board-certified plastic surgeon will tell you that it is essential for the success of your procedure to stop smoking three weeks before the procedure and remain a non-smoker for the same amount of time post-op. This way, you should be able to avoid certain severe complications that are associated with smoking. The lack of proper oxygenation of the tissues caused by smoking can lead to wound dehiscence and delayed wound healing, not to mention the death of the fat cells transferred as they will fail to create a blood network in due time. 3. What are possible complications after the BBL? The Brazilian butt lift is preferred by many patients exactly because it is associated with minimal risks and complications. However, it is true that no plastic surgery procedure is without risk, and the Brazilian butt lift is no different. The risks associated with the Brazilian butt lift are common to many other surgical procedures. The risk of developing an infection after the Brazilian butt lift is rather small because the incisions needed for the procedure are not very big. Moreover, the damage done to the tissues during the procedure is minor compared to other plastic surgery procedures performed on the buttocks. The risk of excessive bleeding after the BBL is also minor for the exact same reasons; however, it can be even more reduced when tumescent liposuction is performed. Swelling and bruising can naturally occur on the buttocks and the donor areas after the BBL, but these are just normal side effects of the procedure. Seromas and hematomas are rarer to occur; however, if they are small, they don’t require additional treatment as they will disappear in a few months. However, due to the lack of knowledge of the plastic surgeon or the patient’s inability to follow post-operative recommendations, the patient can be left with asymmetries on the buttocks, invisible results, and even lumps and bumps in the areas treated with liposuction. To avoid these, it is crucial to choose a talented, experienced board-certified plastic surgeon and follow his recommendations to the letter. 4. How long will the results last? Another common concern for patients undergoing the BBL is related to the sustainability of the results. Some tend to believe that the results won’t last long as we only use the patient’s own fat tissue. However, any person with an excess of adipose tissue in one or multiple areas of the body knows that it can be very difficult (if not impossible) to get rid of fat once it starts accumulating in one part of the body. The same is valid for the fat transferred to the buttocks. Once these fat cells become vascularized after they have managed to develop a blood network, they will start behaving just like the cells that were in the buttocks before the procedure. This means that if the patient can avoid considerable weight fluctuations after the Brazilian butt lift, chances are the results are permanent. Of course, it is important to understand that the buttocks are also subject to the effects of factors such as the passing of time and gravity, so the appearance of the buttocks might change in time, but not radically. Conclusion The Brazilian butt lift is just one of the procedures that can be performed on the buttocks to enhance their appearance. The procedure is preferred by patients and recommended by plastic surgeons as it delivers good, natural results while being associated with minimal risks and complications. The Brazilian butt lift entails the use of the patient’s own fat tissue that is collected from areas with an excess of fat called donor areas and injected into the buttocks to create perkiness and a lifting effect. The prerequisite condition to be able to undergo the BBL is to have a significant deposit of fat in one or multiple areas of the body that can be targeted with liposuction. For patients with a lack of fat or with a thin body frame, butt implant surgery remains the best method for butt enhancement. In this article, we have discussed four common questions patients ask after undergoing a Brazilian butt lift.