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Dr. Livia Berkei in a white coat. Cross your arms and smile friendly

Livia Berkei

Assistant Doctor at Dr. Berkei

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Body

Brazilian butt lift (BBL): How butt surgery in Frankfurt creates new curves

6.6.2025
Frankfurt am Main
Reading time:
Zeit
min.
Side view of the lower body of a woman in white underwear with accentuated, well-shaped buttocks — symbolic image of an aesthetic result after a Brazilian butt lift (BBL).

Now for your dream body with the butt lift

Brazilian Butt Lift (BBL) in Frankfurt — For a harmoniously rounded silhouette

A well-shaped butt is no longer just a symbol of sportiness, youth and femininity, it has also become an expression of aesthetic self-determination. The Brazilian butt lift, also known as BBL, is one of the most sought after treatments in modern body contouring. The body's own fat tissue is used to gently build up and model the buttocks and at the same time define the core of the body.

Many of our patients come to our practice in Frankfurt with the desire to accentuate their silhouette, reduce problem areas and finally feel completely comfortable in the mirror again. Dr. Julia Berkei and her team combine surgical expertise with a deep understanding of proportions and natural results.

The following article gives you a comprehensive insight into the process, benefits, risks and aftercare of a Brazilian butt lift, based on medical precision and aesthetic experience.

What is a Brazilian butt lift?

The Brazilian butt lift, BBL for short, is a body-shaping procedure in which the body's own fat is removed from specific regions (e.g. abdomen, flanks, thighs), processed and injected into the buttock region. The aim is a natural increase in volume in the butt area, combined with a harmonization of the entire body contour.

In technical language, people often talk about a BBL Buttock Lift. However, this does not mean anything other than the colloquial BBL.

In contrast to buttock implants, BBL offers numerous advantages: no foreign bodies, a lower complication rate, a softer feel and an aesthetically very natural result. The procedure therefore combines two wishes in one: the reduction of unloved fat deposits and the emphasis on feminine curves.

In our practice in Goethe city of Frankfurt, we use precise technology with fine cannulas to remove the fat as gently as possible and place it in several layers in the buttock area. The result is a uniform, dimensionally stable result, tailored to your individual proportions and wishes.

Who is a Brazilian butt lift suitable for?

A Brazilian butt lift is not only an aesthetic procedure, but also an option for anyone looking for a more harmonious silhouette. The method is particularly suitable for women who suffer from flat, sunken or asymmetrically shaped buttocks, whether due to genetic predisposition, aging processes or severe changes in weight.

Suitable candidates for a BBL body are:

  • Women with sufficient fat, e.g. on the stomach, waist, thighs or back, the required fat is obtained and processed by liposuction.
  • Patients with stable weight, because severe fluctuations after the procedure can influence the outcome in the long term.
  • Women who have butt augmentation without implants Wish that the body's own fat offers a particularly natural and body-friendly option.
  • People with realistic expectationswho aim for a subtle to significant improvement in the shape of their buttocks.
  • Patients with sagging gluteal tissue, which has lost volume as a result of aging or pregnancy, and the autologous fat can be used specifically where it was previously lacking.

In our practice in Frankfurt, we experience time and again how a Brazilian butt lift strengthens self-confidence. It is often not only external changes, but also a new body awareness that our patients experience positively in the long term.

Important to know:
A BBL is not a substitute for sport or a healthy lifestyle, but a targeted supplement when certain areas of the body cannot be shaped as desired. Even very slim women with little fat tissue can benefit from the procedure in certain cases; here, the removal takes place in several smaller areas. We will clarify whether the method is individually suitable in a personal consultation.

Process in our practice in Frankfurt

A Brazilian Butt Lift (BBL) is more than just a butt augmentation, it is a holistic procedure for body contouring. In our private practice in Frankfurt, we attach great importance to safety, aesthetics and a natural-looking result. Each treatment is preceded by detailed advice, which takes into account your individual anatomy, wishes and expectations.

The actual BBL OP, i.e. the surgical procedure, takes place under general anesthesia. Dr. Berkei removes fat from typical donor regions such as the abdomen, flanks or thighs. This autologous fat is processed and then injected into the buttocks in precisely modelled layers for a round, firm and more feminine shape. The advantage: It is a Butt augmentation without an implant, which makes the result look and feel particularly natural.

Brazilian Butt Lift (BBL) methods

A Brazilian butt lift is not the same as Brazilian butt lift, because different methods are used depending on the starting position, body shape and desired destination. In our practice in Frankfurt, we offer both classic and alternative procedures to harmoniously shape the buttocks and achieve the best results for every patient.

1. Classic BBL with autologous fat (autologous fat transplantation)
The most well-known and proven method: With this technique, fat is absorbed in typical problem areas such as stomach, hips, or thighs sucked off, specially prepared and then injected precisely into the buttock. The advantage: The overall body silhouette is harmonized and the result looks particularly natural.

2. Hyaluron-BBL (BBL without surgery)
For patients with low levels of their own fat or who want a gentle alternative, we offer a BBL with hyaluronic acid on. This method is minimally invasive, requires no general anesthesia and produces immediately visible results, with a volume effect of approximately 12 to 18 months.

3. Hybrid method: autologous fat + hyaluronic acid
In individual cases, we combine both processes to combine the best of two worlds. In this way, the volume can be additionally stabilized or specifically modelled, ideal for asymmetrical buttocks or for post-correction after a classic BBL.

We advise each patient individually and decide together which method is most suitable. Decisive are Anatomy, Expectations, and Medical Requirements.

What makes our BBL so special

In our practice in Frankfurt, we follow Brazilian Butt Lift (BBL) a different, safety-oriented and aesthetically sophisticated approach than many conventional clinics. While elsewhere, up to 1-2 liters of fat per buttock half are often injected, we deliberately work with significantly lower volumes: maximum 400—500 milliliters per side, and with good reason.

Less is more for natural, harmonious results

Our focus is not on disproportionate volume increases, but on a targeted, elegant body contouringthat matches your silhouette. The result should be neither excessive nor artificial, but feminine, defined and Brazilian in the best sense of the word. We do not achieve this through quantity, but through precision.

Fine contouring instead of risky deep injections

Safety aspects are paramount to us. That is why when injecting autologous fat, we focus on superficial layers of adipose tissue and in particular on the lateral regions of the buttocks and the upper buttocks. This technique specifically accentuates the curve and ensures an aesthetically balanced transition to the hips and thighs.

Critical structures such as anal vascular plexus, (a network of veins in the area of the anal canal and rectum), are consistently avoided. In this way, we reduce the risk of complications such as fat embolism to a minimum. Our philosophy: maximum safety, minimal invasiveness, natural design.

Individual planning & holistic concept

Before everyone Brazilian Buttock Lift Let us analyse your anatomy holistically: Where are fat deposits located? What is your body proportion? Which outline should be emphasized? The result is a tailor-made concept, from liposuction to injection, for a result that underlines your personality instead of overlapping it.

How long does the result of a Brazilian butt lift last?

The results of a Brazilian Butt Lift can last for many years with proper aftercare and a stable lifestyle. Unlike implants, you work with BBL with the body's own adipose tissue, which is fully reintegrated into your natural system after the procedure. But what does that mean in practice?

What happens after surgery?

Immediately after Brazilian Buttock Lift If some of the transplanted autologous fat is broken down by the body, this is completely normal and is included in the planning process. Usually Around 60-80 percent of injected fat cells survive permanent, provided that healing is uncomplicated and aftercare is consistently followed.

When will the final result be visible?

After round 6—8 weeks The first healing phase is complete. Most patients are already seeing significant changes here. that final result However, it usually only appears after about 3—6 monthswhen swelling subsides and all remaining fat cells are stably integrated.

What influences shelf life?

The following factors determine how long the result remains visible:

  • lifestyle: Severe weight changes or diets can reduce the volume of fat cells.
  • sports: Regular exercise supports blood flow and tissue stability, but should only be resumed after approval by a specialist.
  • sustenance: A balanced, nutrient-rich diet can positively influence the regeneration process and cell stability.
  • aftercare: Wearing compression underwear, proper storage (prone position!) and avoiding pressure on the buttocks in the first few weeks is crucial for a lasting good result.

Does the BBL have to be repeated?

Not necessarily, for many patients, a single procedure is sufficient for a lasting satisfactory result. However, if you want an even greater emphasis or only had fat cells available to a limited extent, you can BBL surgery after approximately 6—12 months repeat safely.

Healing process & aftercare after a Brazilian butt lift

A BBL not only requires surgical skills, but the healing process also plays a decisive role in a reliable, long-term aesthetic result. In our practice in Frankfurt, we will closely accompany you through every phase of healing.

Right after surgery

After the procedure, you will receive a special compression garments, which should be worn over six weeks. This supports the new tissue, promotes swelling and protects the transplant areas. Am The following day of surgery The first follow-up with wound inspection and individual consultation is carried out at home for the first few days.

Sleeping & sitting: What needs to be considered?

In the first two weeks, you should avoid any pressure on the buttocks. This means that sitting and lying on your back should be avoided as much as possible, sleep in a prone or lateral position, and use special relief cushions when sitting. This is the only way for transplanted fat cells to optimally store and survive.

Body care & everyday life

Two days after surgery, you can go back Take a shower carefully. Use mild, fragrance-free products and avoid rubbing on the treated areas. The compression clothing can be removed briefly for cleaning, but should otherwise be worn consistently.

Loose clothing, loose fabrics and breathable materials are recommended for the first few weeks. Easy walks improve blood circulation and speed up regeneration.

Sports, sauna & sun

  • sports: Physically demanding activities, especially with heavy buttock load, should be carried out for at least 4-6 weeks pause.
  • sauna & swimming pool: Only possible after complete healing and after consultation with the doctor, usually after approximately 4 weeks.
  • insolation: Direct UV exposure of affected areas (including in the solarium) please at least 6 weeks avoid. After that, a high sun protection factor (SPF 50+) is essential.

aftercare appointments

In addition to checks the following day, we also plan regular checks in our practice individually tailored aftercare appointmentsto check the healing process, symmetry and complexion. If you have any questions or uncertainties, we are always available.

Risks & side effects of a Brazilian butt lift

As with any surgical procedure, there are also Brazilian Butt Lift (BBL) certain risks. In our practice in Frankfurt, as already mentioned, we therefore attach great importance to Safety, precision and gentle technologyto reduce potential complications to a minimum.

General surgical risks

As with any operation performed under general anesthesia, there may be side effects, such as:

  • bruises
  • temporary swelling
  • infections
  • wound healing disorders
  • Intolerances to medications or anesthesia

These complications are rare; if they are identified early, they can usually be treated well.

Specific risks with BBL

There at Brazilian Buttock Lift If autologous fat is injected into the buttock region, there are additional risks, which are particularly relevant if carried out improperly:

  • Irregular fat distribution or knot formation
  • fat absorption: Some of the injected fat is broken down by the body in the first few weeks
  • fat embolism: When injected deep, fat can get into larger blood vessels, a serious but very rare complication

Why BBL is particularly safe with us

In our practice, we use a particularly safe injection technology, in which the fat is targeted in the superficial tissue layers and lateral areas is brought in, i.e. away from deep-lying vascular bundles such as the anal plexuswhere the risk of fat embolism is increased.

We also limit the amount of fat to maximum 400—500 ml per side, which not only results in a more natural way, but also significantly reduces the risk of complications compared to conventional methods with up to 2 liters per side.

Individual education & aftercare

Already in Consultation We openly explain all potential risks. Structured aftercare helps to identify and treat irregularities at an early stage.

Before-and-after results: Realistic insights into the Brazilian butt lift

The results of a Brazilian Butt Lifts are usually visible after just a few weeks. With the right technique, patience during the healing phase and conscious use of one's own body, a harmonious, feminine silhouette, which does not look artificial, but rather accentuates it naturally.

What you can expect

  • The butt appears rounder, defined and raised
  • The waist works through the liposuction slimmer and accentuates the hourglass shape
  • Transitions between buttocks, thighs, and flanks become softer and more feminine

Kleine Fettpölsterchen disappear on the stomach, back or legs

Before and after pictures

Many patients want a realistic impression before they decide on the procedure. That is why we show you in our Practice in Frankfurt gladly anonymized before and after photos, for which we have the written consent of the respective patients. This allows you to compare different initial situations with the possible outcome.

Important note about image presentation

In Germany, for legal reasons, it is not allowed to publicly show before and after pictures of purely aesthetic procedures. The situation is different with our Swiss website, which we are currently setting up: Such image comparisons may be displayed there in compliance with the legal framework.

If you are interested in a BBL, we recommend a personal consultation, where we can respond individually to your wishes and show you appropriate image examples.

Costs and financing of a Brazilian butt lift

Die Costs for a Brazilian butt lift vary depending on initial findings, extent of liposuction, desired volume and individual anatomical conditions. In our practice in Frankfurt, after a detailed consultation, we create a transparent cost plan, which breaks down all services in detail.

What influences costs?

  • number and circumference of liposuction areas (e.g. abdomen, flanks, thighs)
  • Amount of transplanted autologous fat
  • Difficulty and duration of the procedure
  • Desired shape of the buttocks
  • Combination with other treatments (e.g. skin tightening)

Is the Brazilian butt lift covered by health insurance?

Since a BBL is a aesthetic procedure without medical indication Statutory and private health insurance companies generally do not act, cover any costs. However, we are happy to assist you with a individual financing option.

Financing options

  • Flexible installment payments via specialized partner institutions
  • Monthly installments can be planned depending on the budget
  • Easy processing, discreet and reliable

Our team will be happy to advise you personally and show you various models with which you can achieve your desired treatment, without financial hurdles.

FAQ — Frequently asked questions about Brazilian Butt Lift

What is a Brazilian butt lift (BBL)?

A Brazilian butt lift is an aesthetic procedure for butt enlargement and body contouring using your own fat. The body's own fat is obtained through liposuction, processed and injected specifically into the buttock region in order to optimize volume, shape and contour.

What does “BBL Buttock” actually mean?

The term is composed of the acronym “BBL” for “Brazilian butt lift” and the English word “buttock” for buttock. What is meant is simply a Brazilian buttock lift, one of the most popular methods of aesthetic surgery worldwide.

How does BBL surgery work?

First, excess fat is sucked off defined areas of the body, such as the abdomen, flanks or thighs. This adipose tissue is then processed and injected into the buttocks, specifically into superficial layers and especially into the side areas, to achieve a naturally rounded shape.

How long does the result of a BBL last?

The majority of transplanted fat cells grow permanently, provided that attention is paid to stable weight management and a healthy lifestyle. The final result is visible after around 3—6 months.

Is a BBL dangerous?

As with any surgical procedure, there are risks. However, our method deliberately avoids deep fat injections near the plexus venosus (anal venous plexus), where larger vessels run. In doing so, we minimize the risk of serious complications such as fat embolism.

How much fat can be used for a BBL?

In contrast to the classic method, which injects up to 1-2 liters of fat per side, we deliberately use a maximum of 400—500 ml per half of buttock, for a natural, harmonious and safe silhouette.

When will I be socially acceptable again after a BBL?

Usually after 10—14 days. Sports, saunas or heavy physical activity should be avoided for about 6 weeks. Prolonged sitting should also be reduced in the early days and, if necessary, supported with a relief cushion.

How long does the operation take?

A Brazilian butt lift usually takes between 3 and 5 hours, depending on the extent of the liposuction and the desired result.

Can BBL be combined with other procedures?

Yes BBL is often combined with breast augmentation, abdominoplasty or further liposuction, for example as part of a mommy makeover.

More than
12,000
surgeries
More than
27 years
of experience
More than
36,000
patients
Over
99%
success rate
More than
12,000
surgeries
More than
27 years
of experience
More than
36,000
patients
Over
99%
success rate
More than
12,000
surgeries
More than
27 years
of experience
More than
36,000
patients
Over
99%
success rate

Change starts now

Whether it's fine corrections or comprehensive changes — The path to a new body feeling, more radiance or youthful freshness starts right now. The practice clinic of Dr. med. Julia Berkei focuses on your wishes — with the highest level of expertise, an eye for natural results and a treatment concept that is as individual as you are.

Get personal advice and discover how modern aesthetic medicine can change the way you feel about life in the long term.

Dr. Julia Berkei stands in a white doctor's coat with slightly outstretched hands and a friendly smile against a neutral background.

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