Many patients who want to enhance their backsides ask whether the butt lift surgery can be combined with fat transfer. To find the answer to this question, it is essential to know what specific aesthetic flaws these procedures treat and what they involve. First off, the butt lift surgery is an excisional procedure. The operation is used to treat severely saggy buttocks that can’t be treated with other procedures. The surgery involves removal of the excess skin and fat from the butt, with the goal to restore your firmer, youthful, and toned derriere. This procedure is often a good option for patients who have undergone considerable weight loss as a result of bariatric surgery or some other program. The surgery is performed under general anesthesia so the patient feels no pain or discomfort when the operation is performed. The plastic surgeon will perform incisions either on the upper or lower part of the buttocks and the length of the incision is as long as necessary to remove the excess skin. On the other hand, the fat transfer to the buttocks entails very small incisions, usually no longer than 3-5 mm. The procedure is more popularly known as the Brazilian butt lift and is used to add projection and enhance the shape of the buttocks. The surgery uses your body fat to make your butt appear fuller and shapelier. This procedure entails the use of liposuction to harvest fat from the donor areas. The fat collected by the plastic surgeon is processed and purified and then re-injected into the buttocks. When the transfer is performed, the plastic surgeon will inject fat with special syringes in different parts of the buttocks and at different depths inside the buttocks. Now, coming back to the question of whether the butt lift can be combined with fat transfer to the butt, the answer is that no, it can’t be combined with the fat transfer procedure. Many patients tend to believe this is possible because the fat transfer can be performed in association with butt implant surgery with good success rate. When the butt lift surgery is performed, the fat and skin tissues of the buttocks are detached completely from the buttocks. If we try to inject fat in a space created by surgical trauma, the fat will die. In other words, the patient can have either the surgical butt lift or the Brazilian butt lift performed at one time. At the same time, you should know that the butt augmentation with implants can be combined with fat transfer to the butt. However, whether you are a good candidate for the combined intervention depends on the aesthetic flaws existing in your buttocks and your goals and expectations. The butt lift surgery can’t be performed in combination with fat transfer to the buttocks. However, patients should know that if they want to undergo both procedures, they can schedule it months apart from each other.