Ask SuperModelMD: Seriously Considering a Brazilian Butt Lift

Dear SuperModelMD,

I desperately want a bigger butt! All the women in my family are naturally well endowed with a round, full, and shapely butt, except for me. It upsets me that I don’t have similar curves and I’ve started to feel a lot more self-conscious about it, especially when I wear tighter form-fitting clothing. It also doesn’t help that I am constantly reminded about my lack of curves whenever I turn on the TV or go on social media— it is like every celebrity I see all of a sudden has a bigger, more voluptuous looking butt!

I’ve tried doing squats religiously and other exercises to target some of the muscles in my butt, but I am yet to see results. I even switched to a high protein diet, thinking that may help my cause, but still no results.

At this point, I don’t think any special exercises or change in diet will be helpful. I’m seriously thinking about having a butt enlargement procedure, like a Brazilian butt lift. The only thing holding me back is that I am really scared of going under the knife. This would be my very first surgery ever. Are there any major risks associated with this kind of cosmetic procedure? I need to decide soon if I will move forward with it.

~Begging for Bigger Booty

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Dear Begging for Bigger Booty,

First, you must understand what the “Brazilian butt lift” procedure entails. It is basically a fat grafting procedure in which fat may be taken from an area of the body that you may have excess amounts (like your hips, abdomen, or thighs), and that fat is then transferred to the buttocks region for the purpose of enhancement. Think of it as liposuction from one region of the body, followed by the transfer of that fat to the buttocks. This cosmetic procedure has really surged in popularity worldwide. However, it has a much higher rate of complications (including mortality) compared to other cosmetic procedures in general.

Why does it have the potential to be a risky procedure?

One possibly deadly complication that may develop is a ‘fat embolism‘. Essentially, if the harvested fat that is injected back into the buttocks is injected too deeply, it may enter blood vessels, travel into the bloodstream to reach the heart or lungs and potentially lead to death. Other possible complications of the procedure include severe infection, bleeding, and even fat necrosis (damage and death of fatty tissue).

The bottom line is there are risks involved with cosmetic surgery – even when it is performed by the most brilliantly skilled surgeon. Of course, if procedures aren’t performed properly or done by an unqualified inexperienced surgeon, then the risk of serious complications may heighten.

Nonetheless, before undergoing any cosmetic procedure, talk to your plastic surgeon at length and get a full understanding of the steps involved with the procedure and all possible (and potentially deadly) complications associated with it.

The decision to undergo plastic surgery should definitely not be taken lightly. If you decide to move forward, find a well experienced, skilled, and appropriately credentialed plastic surgeon who practices in a safe and accredited surgical center.

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Information on this Q&A column is provided for informational purposes only and is not intended as a substitute for the advice provided by your physician or other healthcare professional. You should not use the information to self diagnose, treat a health problem/disease, prescribe any medication, or for any other treatment. If you suspect you have a medical problem, contact your healthcare provider immediately.

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