What Are the Side Effects of a BBL?

A Brazilian Butt Lift (BBL) is one of the most sought-after cosmetic procedures for enhancing the shape and volume of the buttocks. By using a patient’s own fat, the procedure creates natural-looking results with the added benefit of body contouring. However, as with any surgical procedure, there are potential risks and side effects that patients should be aware of before making a decision.

Understanding both the benefits and potential complications of a BBL is crucial to ensuring a safe and successful outcome. Below, we’ll explore the side effects of BBL surgery and whether this procedure is right for you.

Woman holding her buttocks concerned about the risks of a Brazilian Butt Lift surgery.
Understanding the potential risks associated with a Brazilian butt lift is crucial before deciding on this cosmetic surgery procedure.

BBL Surgery Side Effects

Although a BBL is generally very safe when performed by an expert, just like with any other surgery, there are a few potential complications that can arise due to various factors. These can be influenced by the patient’s overall health, post-operative care, and, most importantly, the skill and experience of the surgeon performing the procedure. Below are some of the most common side effects associated with a BBL:

1. Post-Operative Pain

Experiencing some degree of pain and discomfort after a BBL is completely normal, as the body adjusts to the fat transfer and healing process. Most patients describe the sensation as soreness or tenderness, similar to muscle aches after an intense workout. The discomfort is typically more noticeable when sitting or lying down, as these positions put pressure on the treated areas.

Pain management is a key part of recovery, and surgeons often prescribe medication to help alleviate discomfort during the first few days. Wearing a compression garment as directed and following post-operative care instructions can also significantly reduce pain and aid in a smooth healing process. While mild soreness may persist for a few weeks, most patients find the discomfort manageable and well worth the final results.

2. Infection and Necrosis

As with any surgical procedure, infection is a potential risk after a BBL, particularly if post-operative care instructions are not followed. Symptoms of infection include redness, warmth, increased pain, and discharge from the incision sites. While most infections are mild and can be treated with antibiotics, severe cases may require medical intervention to prevent complications.

Necrosis, or the death of fat cells, can occur if the transferred fat does not establish a proper blood supply. This risk is significantly reduced when the procedure is performed by an experienced surgeon who follows proper fat grafting techniques. Choosing a board-certified specialist and maintaining strict hygiene during recovery can help minimize the risk of infection and necrosis, ensuring a safer and more successful healing process.

3. Fat Embolism

Fat embolism is a rare but serious complication that can occur when fat enters the bloodstream and travels to the lungs or other organs. This risk is significantly increased when fat is injected too deeply or directly into muscle tissue, which is why technique and precision are crucial when performing a BBL.

A skilled, board-certified surgeon follows strict safety protocols to ensure fat is placed only in the subcutaneous layer, greatly reducing the risk of embolism. Symptoms of fat embolism include difficulty breathing, chest pain, and confusion—if any of these occur, immediate medical attention is necessary. Choosing a highly experienced surgeon is the best way to mitigate this risk and ensure a safe, successful outcome.

4. Changes in Sensation

Some patients experience temporary changes in sensation in the treated areas following a BBL. This can include numbness, tingling, or heightened sensitivity, particularly in the buttocks and liposuctioned areas. These changes occur as a result of nerve irritation and swelling during the healing process.

In most cases, sensation gradually returns to normal over a few weeks to months as the nerves regenerate. However, in rare cases, prolonged numbness or sensitivity may persist. Working with an experienced surgeon who carefully plans fat placement and avoids excessive pressure on nerves can help minimize this risk. Following post-operative instructions, including gentle movement and massage techniques as recommended by your surgeon, can also aid in restoring normal sensation more quickly.

5. The “BBL Smell”

Some patients report noticing an unusual odor, often referred to as the “BBL smell,” during the healing process. This scent is commonly described as musty or slightly sour, but it should not be overpowering. It is typically a result of trapped moisture, compression garments, and healing tissues.

You may notice the odor more prominently after sweating, wearing tight clothing for extended periods, or sitting for long durations. However, if the smell is accompanied by symptoms such as redness, swelling, fever, or excessive discharge, it could indicate an infection. If you experience any of these signs, it is important to contact your surgeon promptly to ensure proper care and avoid complications.

6. Botched Results

One of the biggest concerns surrounding BBL procedures is the potential for botched results, which can lead to an unnatural or asymmetrical appearance. When performed by an inexperienced or unqualified surgeon, fat may be unevenly distributed, creating lumpy or disproportionate results. In some cases, too much fat may be removed from donor areas, leaving the body looking unbalanced.

Choosing a board-certified plastic surgeon with extensive experience in BBL procedures is crucial to avoiding these issues. A skilled surgeon will use precise techniques to ensure smooth, symmetrical fat distribution, creating natural-looking and aesthetically pleasing results. Proper patient selection, advanced surgical techniques, and post-operative care all play a role in minimizing risks and achieving the best outcome.

So, Is Getting a BBL Worth It?

While every surgery comes with its risks, the Brazilian Butt Lift remains one of the most effective procedures for achieving a more sculpted, curvier figure. Many women across the U.S. undergo BBL surgery each year, experiencing life-changing transformations that enhance their confidence and body proportions. When performed correctly, a BBL can provide long-lasting, natural-looking results that complement your overall shape.

The key to a successful and safe outcome lies in selecting the right surgeon. Choosing an experienced, board-certified plastic surgeon ensures that you receive the best possible results while minimizing risks. By working with a specialist who follows the latest safety techniques, you can achieve your dream silhouette without unnecessary complications.

Patient Results

Brazilian Butt Lift Before and After Photos in Montvale, NJ, Patient 16708

* All patients are unique and individual results may vary.

Who Should Perform My BBL?

When considering a Brazilian Butt Lift, selecting a highly skilled and board-certified plastic surgeon is the most important decision you can make. The success and safety of your procedure depend on the expertise of the surgeon performing it. A qualified professional will follow the safest techniques, ensuring long-lasting, natural-looking results while minimizing potential risks.

Dr. Samuel Beran, a board-certified plastic surgeon with years of experience in body contouring procedures, is dedicated to delivering exceptional BBL results. With a commitment to patient safety and precision, Dr. Beran ensures that each procedure is performed with the highest standards of care. If you are considering a BBL, call us today at (845) 863-1772 to schedule a consultation and take the next step toward achieving your ideal silhouette.