Introduction The aesthetic features of the buttocks play an essential role in defining your physical beauty, body outline, femininity, and self-esteem. Women want to have bigger, projected, and shapelier behinds. However, not all women get buttocks with such features naturally. Many women suffer from a condition whereby the buttocks are smaller, flatter, or lack projection. It makes them look less feminine and aesthetically unwelcoming. If you are looking for a plastic surgery procedure to augment your buttocks, chances are you already know that there are two plastic surgery options to achieve this goal: the Brazilian butt lift (BBL) and buttock implant surgery. BBL is also known as fat transfer to the buttocks, and it uses your body fat to enhance your derriere. On the other hand, butt implant surgery uses external implants to make the buttocks fuller. Many women find it difficult to decide whether they should get the BBL or butt implants. Below, I will explain as to which of these approaches may be best for you. Is the Brazilian butt lift (BBL) best for me? The BBL is an effective and popular plastic surgery procedure in the US, with tens of thousands of women getting the procedure every year. Also known as fat transfer to the buttocks, the BBL has a high patient satisfaction rate and is a safer alternative to butt implant surgery. However, not all women can qualify for this procedure. The BBL is best for you if you desire to make your buttocks shapelier and add mild projection to your backside, instead of making the buttocks considerably bigger. Even though this procedure does not make the buttocks large, it enhances the buttocks naturally. The BBL delivers natural results because it does not use external objects like gluteal implants to augment the buttocks. Instead, it uses the excess fat available in your body areas like the abdomen, sides, flanks, and upper back to add some projection and shape to your backside. The use of your body fat makes the buttocks naturally augmented. Your buttocks will look completely natural after the procedure. What this means is that the BBL is best for patients who have excess fat in the body that can be used as donor fat and want to achieve natural results. The BBL is relatively safer than butt implant surgery because it does not involve incisions on the buttocks and the use of artificial objects. It is less traumatic and less risky than a butt augmentation with implants. If you are not ready to take more risks with butt implant surgery, then the BBL is the best option for you given you are not looking to make your buttocks large. So, how does the BBL deliver the results? The Brazilian butt lift is a less risky but major operation. Many women think it is as simple as getting a haircut. The fact is that it involves incisions on the fat donor areas, which makes it a significant procedure. After the operation, the patient has to go through a complete recovery process. To get satisfactory results with the BBL, you should choose an experienced and board-certified plastic surgeon to do the procedure. The plastic surgeon will determine your candidacy for the BBL during the pre-operative consultation. He will examine your buttocks, assess your overall health, ask about your goals, identify the fat donor areas in your body, and then tell you whether you are a good candidate for fat transfer surgery. Be sure to have realistic goals and share your complete health history with the plastic surgeon to qualify for the procedure. Also, you should not be pregnant at the time of undergoing the procedure. The BBL is performed under general anesthesia because it is a significant procedure. It can also be performed under IV sedation with local anesthesia. A board-certified anesthesiologist will administer the anesthesia, after which the plastic surgeon will begin the procedure. He will place tiny incisions on the fat donor sites and then use liposuction to remove the excess fat from those areas. During liposuction, a hollow tube called a cannula is inserted into the fat donor area through the incisions and moved back and forth. This helps dislodge the fat from the nearby areas. The fat is then removed with a special syringe or suction pump. In the next step, the plastic surgeon will process and purify the fat in a centrifuge. He will spin the fat at high speed in a centrifuge so that the impurities, dead and damaged fat cells, and blood and fluids are removed and only the healthy and living fat cells are retained for transfer to the buttocks. The plastic surgeon will then carefully inject the fat cells into the buttocks by using a special needle. He will use his sense of aesthetics and artistry to carve the buttocks into the desired shape and add mild projection to the buttocks. This step is time-consuming and calls for attention to detail. After injecting the fat cells into the buttocks, the procedure will come to an end and your recovery will begin. The results will not be visible immediately. The recovery period can comprise of many weeks, and the results will come to the fore after many weeks and even months. When the results eventually emerge, you will see that your buttocks have gained mild projection and have become shapelier. Your overall body outline will be curvaceous and aesthetically welcoming as well. The BBL is best for patients who want to get shapelier buttocks with mild projection and natural results. You will need to have excess body fat to qualify for this procedure. However, keep in mind that the results of the BBL are subject to changes and not permanent. Factors like massive weight loss can reverse the results. This is the reason why patients are told to avoid massive weight loss after the surgery and instead keep their weight stable. Is butt implant surgery best for me? Buttock implant surgery is best for patients who want to get considerably bigger and voluptuous buttocks. If your buttocks are smaller and the condition is affecting your self-esteem, you may consider undergoing butt implant surgery. Buttock implants come in different sizes, which means you can get a butt size that you are comfortable with. Butt implants are artificial objects made of semi-solid silicone material. These objects are permanent. Once you get the implants, they will remain in your buttocks permanently unless rare but severe complications like capsular contracture occur. However, this procedure is highly invasive and involves major incisions on the derriere. This also makes the surgery relatively riskier. It also involves more side effects. The results achieved with gluteal implants are not entirely natural because external objects are used to deliver the results. However, if the right implant size is chosen, the buttocks may still look considerably natural. If you ready to take extra risks for a bigger butt, then this surgery is best for you. After the procedure, your buttocks will look sensual, voluptuous, and large. The surgeon will determine your candidacy for this procedure during the consultation session. He will also discuss with you the implant size options and help you choose a suitable implant. Butt implant surgery is performed under general anesthesia because it is a traumatic procedure. A board-certified anesthesiologist will administer the anesthesia, after which you will be fully asleep. The plastic surgeon will then start the procedure by making one or two incisions on the buttocks. The incision is placed in the buttock crease so that the resulting scars can be hidden. After making the incisions, the plastic surgeon will insert the pre-selected implants into the buttocks through the incisions. He will then place the implants under, within, or over the gluteal muscle. In most cases, the implants are put under or within the gluteal muscle so that the risks are minimized and the results are better. After putting the implants in the desired location, the plastic surgeon will suture and close the incisions. Your recovery will kick off right after the surgery and continue for weeks to follow. The primary recovery period comprises the first two weeks, whereas complete recovery can take six weeks. The results of the surgery will emerge entirely within the first ten weeks. Your buttocks will become more prominent and voluptuous when the results appear. The good news is that the outcomes are permanent. Conclusion The BBL is best for patients who want to make their buttocks shapelier, with mild projection and natural results. If you have excess, unwanted fat in your body, you may qualify for the surgery. However, the results are not permanent. On the other hand, butt implant surgery is best for you if you want to get considerably bigger buttocks with lasting results. However, the results will not be as natural as that of the BBL. Moreover, butt implant surgery is riskier as compared to the BBL.