Fuller, rounder, more lifted buttocks can dramatically transform your body silhouette and boost confidence in form-fitting clothing and swimwear. At The Sayah Institute, we offer expert Brazilian Butt Lift procedures to patients throughout Los Angeles and Beverly Hills seeking natural buttock enhancement using their own body fat.
Dr. David N. Sayah is a board-certified plastic surgeon with over 26 years of experience. His specialized training from UCLA Medical Center and NYU Medical Center, combined with extensive expertise in fat grafting and body contouring techniques, allows him to create beautiful, natural-looking results that enhance buttock volume and shape while simultaneously contouring donor areas.
As a Fellow of the American College of Surgeons with published research in surgical techniques and tissue handling, Dr. Sayah delivers exceptional outcomes that create balanced, proportionate curves enhancing your overall silhouette.
Doctor Sayah and staff are so wonderful. My daughter, my bestie and me have only the best things to say about his work. Sayah is brilliant, charming, patient, and took his time to approach perfection with us all. His entire staff is wonderful, especially Jessie. He did my daughter’s and my Bestie’s breast and after I seen their results… I went for a tummy tuck, hernia repair, fillers and BBL.
In the future, my other best friend and mother are going to him….words can’t express my satisfaction with Dr. Sayah.
Artistic Vision in Body Sculpting
Dr. Sayah’s background as an oil painter and sculptor profoundly influences his approach to Brazilian Butt Lift surgery. He views body contouring as a three-dimensional art form, carefully assessing proportions, curves, and balance from every angle to create aesthetically pleasing results that complement each patient’s unique frame. With hospital privileges at Cedars-Sinai Medical Center, Saint John’s, and UCLA, he performs BBL procedures in a fully accredited surgery center using advanced fat harvesting and grafting techniques that maximize fat survival while ensuring patient safety.
“Brazilian Butt Lift represents one of the most transformative body contouring procedures available,” Dr. Sayah explains. “By strategically removing fat from areas where it’s unwanted and transferring it to the buttocks, we create an enhanced hourglass figure with natural-looking curves that appear as though they’ve always been there.”
What Is Brazilian Butt Lift Surgery?
Brazilian Butt Lift, commonly referred to as BBL, is a body contouring procedure that enhances buttock size, shape, and projection using your own fat transferred from other body areas. Unlike buttock implants which use synthetic materials, BBL creates natural augmentation by harvesting excess fat through liposuction from areas such as the abdomen, flanks, back, and thighs, purifying and processing the fat cells, and carefully injecting them into specific buttock regions to create the desired shape and volume. This dual benefit of removing unwanted fat while enhancing buttock contours makes BBL one of the most popular body sculpting procedures available.
The procedure begins with Dr. Sayah performing liposuction on donor areas to harvest adequate fat for transfer while simultaneously contouring those regions. He carefully processes the harvested fat to concentrate healthy, viable cells most likely to survive transplantation. Using specialized cannulas and precise injection techniques, he strategically places fat in multiple tissue layers throughout the buttocks to create natural projection, roundness, and lift.
The artistic placement of fat determines the final shape, whether patients desire subtle enhancement with natural curves or more dramatic augmentation with pronounced projection.The entire procedure typically takes three to four hours depending on the extent of liposuction and desired buttock enhancement.
Common Concerns Addressed by Brazilian Butt Lift
Patients seek Brazilian Butt Lift surgery to address various aesthetic concerns affecting buttock appearance, body proportions, and overall confidence.
Flat or Underdeveloped Buttocks
Some individuals naturally have minimal buttock projection and roundness despite exercise, creating a flat appearance that lacks feminine curves or athletic definition.
Loss of Volume with Aging
Natural aging causes fat redistribution and tissue deflation, leaving buttocks flat, saggy, and shapeless compared to their youthful appearance.
Post-Weight Loss Deflation
Significant weight loss often depletes buttock volume and fullness, leaving loose skin and minimal projection that undermines weight loss achievement.
Square or Boxy Shape
Rather than rounded, curvy buttocks, some patients have square-shaped buttocks with minimal distinction between the waist and hip regions, creating masculine or athletic rather than feminine contours.
Hip Dip or Lateral Depression
Indentations on the sides of the buttocks create irregular contours and prevent smooth curves from the waist through the hips and buttocks.
Buttock Asymmetry
Noticeable differences in size, shape, or projection between buttocks create imbalance that affects clothing fit and overall body proportions.
Lack of Upper Pole Fullness
Some buttocks have adequate lower volume but lack fullness in the upper regions, preventing the lifted, youthful appearance associated with attractive buttock contours.
Disproportionate Body Shape
Small buttocks combined with wider midsection or thick thighs create imbalanced proportions that make clothing selection challenging and undermine body confidence.
Inability to Enhance with Exercise
While exercise builds gluteal muscle, it cannot add the volume and soft tissue projection necessary for rounded, feminine curves, especially in patients with minimal body fat.
Desire for Hourglass Figure
Many patients seek the classic hourglass silhouette characterized by defined waist, curvy hips, and full, round buttocks that creates balanced, feminine proportions.
What to Expect with Brazilian Butt Lift Surgery
Dr. Sayah performs Brazilian Butt Lift surgery in The Sayah Institute’s fully accredited surgical facility under general anesthesia, ensuring complete comfort throughout the procedure. Before surgery begins, he marks liposuction donor sites and outlines the desired buttock contours while you are standing, allowing precise visualization of the final result he aims to achieve.
The surgery begins with tumescent liposuction from predetermined donor areas, typically including the abdomen, flanks, lower back, and thighs. Dr. Sayah carefully harvests fat using gentle techniques that preserve cell viability and maximize the percentage of cells that survive transplantation.
The harvested fat undergoes processing to remove blood, tumescent fluid, and damaged cells, concentrating the healthiest fat for transfer. He then meticulously injects purified fat into multiple levels throughout the buttocks using small cannulas, strategically placing fat to create the specific shape and projection discussed during your consultation. The multi-layer, multi-point injection technique promotes optimal fat survival and creates smooth, natural-looking contours.
Recovery and Results Timeline
Most patients return home the same day with specific post-operative instructions to ensure optimal fat survival and beautiful results:
- Initial Two to Three Weeks: Avoid sitting directly on buttocks during this critical period when fat cells establish blood supply and integrate into surrounding tissues. Special cushions allow modified sitting with weight on thighs rather than buttocks.
- Return to Work: Most individuals return to desk work within two weeks using sitting modifications, resuming normal sitting after three weeks.
- Exercise and Activities: Strenuous exercise and full activities resume after six to eight weeks once transferred fat has stabilized.
- Final Results Timeline: Initial swelling obscures results, with final contours emerging over three to six months as swelling resolves and transferred fat settles into natural position.
- Permanent Enhancement: Approximately 60 to 70 percent of transferred fat typically survives long-term, creating lasting enhancement that ages naturally with your body.
Frequently Asked Questions About Brazilian Butt Lift
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The amount of fat required varies based on current buttock size and desired enhancement. Dr. Sayah typically transfers 400 to 800cc of purified fat per buttock, requiring harvest of greater volume since processing removes unusable material. Patients with adequate fat deposits in the abdomen, flanks, back, and thighs are excellent candidates. Very thin patients with minimal body fat may not have sufficient donor fat for substantial augmentation and might consider alternative enhancement options.
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When performed by an experienced plastic surgeon like Dr. Sayah, Brazilian Butt Lift creates remarkably natural-looking enhancement. Because your own fat is used rather than synthetic implants, the feel and appearance are completely natural. Dr. Sayah’s artistic approach ensures buttock size and shape complement your overall body proportions rather than appearing disproportionate or obviously augmented.
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Fat cells that successfully establish blood supply and survive the initial three-month integration period remain permanently. These fat cells behave like fat elsewhere in your body, expanding with weight gain and shrinking with weight loss. Maintaining stable weight through healthy lifestyle optimizes long-term results. Some volume loss occurs initially as not all transferred fat survives, which Dr. Sayah accounts for by slightly over-correcting during surgery.
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You must avoid sitting directly on your buttocks for two to three weeks following surgery to protect transferred fat while it establishes blood supply. Special BBL pillows allow modified sitting with weight distributed to the thighs. You can lie on your stomach or sides during this period. While this restriction requires planning, it is crucial for optimal fat survival and long-term results.
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BBL carries risks including fat embolism, infection, bleeding, asymmetry, contour irregularities, fat necrosis, seroma formation, and anesthesia complications. Fat embolism, though rare, represents the most serious complication and occurs when fat enters blood vessels during injection. Dr. Sayah minimizes this risk through meticulous surgical technique, proper injection depth and method, and adherence to safety guidelines established by plastic surgery societies. His extensive experience and board certification ensure you receive the highest standard of surgical safety.
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BBL is frequently combined with tummy tuck, breast augmentation, or other body contouring procedures to achieve comprehensive transformation. However, combining BBL with tummy tuck presents challenges due to post-operative positioning requirements. Dr. Sayah discusses optimal staging and combination options during your consultation based on your aesthetic goals and safety considerations.
Why Choose Dr. Sayah for Brazilian Butt Lift in Los Angeles
Selecting a board-certified plastic surgeon with extensive fat grafting experience and commitment to safety protocols ensures optimal BBL results. Dr. Sayah’s qualifications include:
- Board certification by the American Board of Plastic Surgery
- Fellowship of the American College of Surgeons (FACS)
- Over 26 years of plastic surgery experience
- Medical degree from UCLA David Geffen School of Medicine, graduated top of class
- General surgery training at NYU Medical Center
- Plastic surgery residency at UCLA Medical Center
- Advanced fellowship training in endoscopic plastic surgery
- Hospital privileges at Cedars-Sinai Medical Center, Saint John’s, and UCLA
- Published research in fat grafting, surgical techniques, and body contouring
- Extensive experience with complex body sculpting procedures
- Artistic background as oil painter and sculptor
- International reputation serving patients from around the world
- Multilingual capabilities (English, French, Spanish, Farsi, Italian)
- Clinical faculty positions at Cedars-Sinai Medical Center and USC
- Member of the American Society of Plastic Surgeons
Dr. Sayah’s comprehensive training in reconstructive and aesthetic surgery, combined with his artistic sensibility, enables him to create beautiful, natural-looking buttock enhancement that complements your unique body proportions. His commitment to patient safety, adherence to established safety protocols, and meticulous surgical technique ensure you receive exceptional care and optimal outcomes.
Meet Dr. David Sayah
Dr David Sayah is a board certified plastic surgeon in Beverly Hills known for his natural approach to aesthetic surgery. With more than 26 years of experience, he combines surgical precision with artistic insight to deliver balanced and refined results. His philosophy centers on enhancing individual beauty rather than changing it.
A graduate of the UCLA School of Medicine and a Fellow of the American College of Surgeons, Dr Sayah trained at leading medical centers including NYU and UCLA. His work in wound healing and scar formation research helps patients heal beautifully with minimal scarring. Fluent in five languages, he welcomes patients from Beverly Hills, Los Angeles, and across the world who seek exceptional, natural results.
Schedule Your BBL Consultation in Beverly Hills
If you desire fuller, rounder, more lifted buttocks that enhance your natural curves and create balanced body proportions, Brazilian Butt Lift with Dr. Sayah offers natural, beautiful enhancement using your own body fat. Contact The Sayah Institute today to schedule your consultation and discover how BBL can help you achieve the curvy, confident silhouette you’ve always wanted.
