The Brazilian butt lift is a procedure performed to achieve a perkier butt. It is both a lifting and augmentation procedure that uses the patient’s own fat cells. The BBL entails liposuction followed by fat transfer to the buttocks. After general anesthetic is administered, the plastic surgeon will start by inserting cannulas in the areas to be treated with liposuction. We call these the donor areas and usually it is the flanks and the abdominal wall, but it could also be the thighs. The donor areas are sculpted with liposuction, and the fat cells are then put through a thorough purification process to eliminate the damaged cells and also blood and other impurities. The healthy fat cells are then injected into the buttocks, in different layers, and at different depths. All three stages of the procedure (liposuction, fat processing, fat injection) are important for the success of the BBL. Achieving satisfactory results is only possible when all three stages have been performed according to the highest standards and if the patient can follow the recommendations of the plastic surgeon to the letter. Not sitting on the buttocks or lying on the back for a minimum of three weeks is important for the success of the procedure. Otherwise, the fat cells injected might die. Even if the procedure is performed correctly and the patient follows the instructions, a certain amount of the fat cells injected (up to 30 or 40%) will be reabsorbed by the body in the first two months following the procedure. This means that three months down the line, the buttocks will be a bit smaller than it was immediately after the procedure. This is the reason why some patients might desire to get implants after a BBL. The BBL only gives a moderate augmentation of the buttocks. For patients who desire a more considerable improvement in size, implants are recommended. Undergoing butt implant surgery after getting a BBL is not as uncommon as you might think. Many patients try the least invasive method for butt augmentation first only to decide they want a more dramatic improvement, and the only solution is butt implant surgery. It is safe to get implants after getting a BBL; however, you need to keep in mind that while fat transfer adds volume to different areas of the buttocks and treats the rear end as a whole, butt implant surgery only addresses the upper part of the buttocks where the gluteal muscles are. As implants can only be inserted into or under the gluteal muscles, the plastic surgeon has limited options when it comes to the placement of the gluteal implants. This means that the patient will enjoy a more considerable projection after getting implants, but the sides and the lower part of the buttocks won’t be much affected.