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Advanced Body Contouring at Rottman Plastic Surgery
Natural-looking body contouring requires a surgeon who understands the figure as a whole. As a double board-certified plastic surgeon fellowship-trained at Georgetown University, Dr. Steven J. Rottman brings credentials that are exceptional by any measure, and his track record speaks for itself: Top Doctor every year from 2015 through 2023 by Baltimore Magazine, with over 300 five-star Google reviews from patients across the Baltimore, Maryland area. He takes the time to understand what each patient wants and communicates directly throughout the process. Schedule a consultation at Rottman Plastic Surgery to get started.
What Is a Brazilian Butt Lift?
The Brazilian butt lift is a body contouring procedure that removes fat from areas where it is unwanted and transfers it to the buttocks, adding volume and a natural lift. Unlike implants, which place a synthetic device inside the body, a Brazilian butt lift in Maryland uses your own fat to achieve the result. That fat is harvested using liposuction, typically from the abdomen, hips, thighs, or lower back, then purified and carefully injected to build a fuller, more proportionate contour. Because the fat comes from your own body, the results look and feel natural, and the body does not reject its own tissue.
Benefits of a Brazilian Butt Lift in Maryland
- Adds fullness and lift to flat or small buttocks
- Slims the abdomen, flanks, and thighs in the same procedure
- Uses your own fat, so there is no risk of rejection or implant-related complications
- No large incisions and no foreign objects placed in the body
- Can create a more balanced, proportionate silhouette
- A more flattering fit in clothing
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View GalleryAm I a Candidate for a Brazilian Butt Lift?
Ideal candidates for a Brazilian butt lift in Maryland are patients bothered by a flat, small, or asymmetrical bottom who have sufficient excess fat in areas like the abdomen, flanks, or thighs to support the transfer. Good general health and the ability to safely tolerate anesthesia are required. A BMI of 32 or lower is generally recommended, and candidates should not have significant excess loose skin on the buttocks, which is better addressed through a separate procedure. Dr. Rottman reviews each patient's anatomy and goals during the consultation to confirm candidacy and discuss realistic expectations.
Before and After Brazilian Butt Lift with Dr. Rottman
Why Choose Rottman Plastic Surgery for a Brazilian Butt Lift?
Dr. Rottman brings fellowship-level precision to every body contouring procedure he performs. His training at Georgetown University Hospital, including service as an Assistant Professor of Clinical Plastic and Reconstructive Surgery, gave him the surgical foundation his outcomes consistently reflect. Where and how the fat is placed during a Brazilian butt lift directly affects both safety and the final shape, which makes surgical experience critical at every step. That same attention to detail carries through the entire experience: patients are never rushed, and Dr. Rottman remains directly accessible from consultation through recovery.
Your Consultation
Dr. Rottman approaches every consultation as a genuine opportunity to understand what you want and give you a clear, honest sense of what is achievable. He will walk you through the procedure, explain what recovery looks like, and tell you directly whether you are a good candidate. Patients leave knowing exactly what to expect.
How Much Does a Brazilian Butt Lift Cost?
The average cost of a Brazilian butt lift in Baltimore with Dr. Rottman is approximately $16,000. This fee covers the full scope of the procedure, including liposuction of the donor areas, fat processing and transfer, anesthesia, and surgical facility fees. Exact pricing depends on each patient's anatomy and the specific areas to be treated, and will be confirmed following your personal consultation. Financing is available through CareCredit.
What to Expect from a Brazilian Butt Lift
Fat Harvesting
The procedure begins with liposuction on the areas containing the fat to be transferred. Common donor sites include the abdomen, flanks, lower back, and thighs. Fat removal slims these areas as part of the same surgery, so the midsection and flanks take on a more contoured shape even before the transfer step.
Fat Processing and Preparation
Once harvested, the fat is purified to separate healthy, viable cells from blood, fluid, and damaged tissue. Only the highest-quality fat is used in the transfer, which directly affects how well the result holds over time.
Fat Transfer and Sculpting
The purified fat is carefully injected into specific areas of the buttocks to build volume and define the final shape. Placement is deliberate and precise, guided by Dr. Rottman's judgment about how fat should be distributed to achieve a result that looks proportionate and flattering from every angle.
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Contact UsBrazilian Butt Lift Recovery
The most significant restriction during recovery is avoiding pressure on the buttocks for approximately three to four weeks. Patients sleep on their side or stomach and avoid sitting during this period, which is essential for fat integration. Most patients find the sitting restriction the hardest part of recovery. Pain is generally well-managed with medication.
Most patients return to work within two to three weeks. When sitting is unavoidable during recovery, a BBL pillow or rolled towels placed under the thighs can relieve pressure on the buttocks. Normal sitting is generally comfortable again around the eight-week mark. Dr. Rottman and his team will closely monitor your healing and guide you through a gradual return to normal activities.
Brazilian Butt Lift Results
Approximately 65 to 75 percent of the transferred fat survives and becomes a permanent part of the buttocks. In the weeks immediately following surgery, the result may appear larger than it will ultimately be, as the body naturally reabsorbs some of the transferred fat. Once swelling resolves and the fat has settled over the course of a few months, the result is stable and tends to hold for many years.
Fat Transfer vs. Buttock Implants
For patients with adequate donor fat, fat transfer is generally the preferred approach to buttock augmentation. The results look and feel natural because the fat is your own, and there is no risk of implant-related complications such as shifting or the need for future removal.
Buttock implants are an alternative for patients who lack sufficient body fat for a transfer. Implants can produce a more dramatic increase in size, but they carry a higher risk of complications and a longer, often more uncomfortable recovery. Dr. Rottman will help determine which approach is appropriate for your anatomy and goals during your consultation.
Complementary Body Contouring Procedures
- Tummy Tuck: Removes excess abdominal skin and tightens the underlying muscles, often combined with a Brazilian butt lift to create a more defined hourglass contour.
- Liposuction: Removes stubborn fat pockets throughout the body for a slimmer, more sculpted overall silhouette.
- Mommy Makeover: A customizable combination of procedures designed to address multiple areas of concern and restore pre-pregnancy body contours.
- Lower Body Lift: Removes excess skin from the abdomen, hips, and buttocks, particularly beneficial following significant weight loss.
- Fat Grafting: Uses refined fat to add subtle volume to targeted areas of the face or body.
Brazilian Butt Lift FAQ
Will I have visible scars after a Brazilian butt lift?
The incisions used for liposuction are small and placed in discreet locations. Scarring is minimal and tends to fade considerably over time. By around the six-month mark, most patients find the marks are barely noticeable.
What type of anesthesia is used?
The procedure is performed under general anesthesia. Dr. Rottman will review your health history prior to surgery and discuss anesthesia as part of your pre-operative preparation.
How do I prepare for surgery?
Stop smoking and discontinue blood-thinning medications at least two weeks before your procedure. Arrange for someone to drive you home and assist you during the first few days of recovery. Dr. Rottman's team will provide a complete pre-operative checklist tailored to your situation.
What are the risks associated with a Brazilian butt lift?
Risks include infection, asymmetry, and adverse reactions to anesthesia. The fat transfer step also carries specific considerations related to where and how the fat is placed, which is one reason surgical experience matters significantly in this procedure. Dr. Rottman will walk through all relevant risks with you at your consultation.
How does weight change after surgery affect my results?
The transferred fat behaves like fat anywhere else in the body. Significant weight loss can reduce volume in the buttocks, while weight gain may increase it. Maintaining a stable weight after surgery is the most reliable way to preserve the shape and size of your result over time.
How much volume can fat transfer realistically add?
The amount of volume achievable depends on how much fat can be safely harvested. Most patients see a meaningful increase, but fat transfer has natural limits. Dr. Rottman will give you a realistic sense of what your anatomy supports during the consultation.
Can men have a Brazilian butt lift?
Yes. The procedure is available to male patients who want to improve the shape or projection of their buttocks. Dr. Rottman treats both men and women at Rottman Plastic Surgery and tailors the approach to each patient's anatomy and goals.
What if I want more volume after my results have fully settled?
Once final results are established, some patients pursue a secondary fat transfer to build on the initial outcome. Eligibility depends on whether sufficient donor fat is available. Dr. Rottman can evaluate whether a revision is appropriate once your initial results have fully matured, generally six months or more after surgery.
A Q&A with Dr. Rottman
Brazilian Butt Lift - Should I choose a fat transfer or implants for my butt enhancement, and why?
Enhancing the appearance of your buttocks can significantly improve your body’s contour and proportion. However, selecting the best method for buttock enhancement—whether through fat transfer or buttock implants—demands careful consideration. Each option offers unique advantages and disadvantages, suited to different needs and expectations. In this guide, we’ll explore the pros and cons of both procedures to help you make an informed decision that aligns with your aesthetic goals.
Fat transfer, also known as a Brazilian Butt Lift, involves using your own body fat to augment and reshape your buttocks. The procedure begins with liposuction, during which a skilled surgeon like Dr. Steven Rottman harvests fat from other areas of your body, such as the abdomen or thighs. This fat is then purified and injected into the buttocks to achieve a fuller and more elevated appearance.
PROS
- Natural feel and look – Since the procedure uses your own body fat, the results tend to look and feel more natural compared to implants.
- Dual benefit – Fat transfer offers the added advantage of contouring areas where fat is harvested, providing an overall more sculpted appearance.
- Lower risk of rejection – The risk of your body rejecting the material is minimal since the fat used is your own.
CONS
- Variable absorption – Your body may resorb a significant portion of the transferred fat, leading to less predictable outcomes and possibly requiring additional treatments.
- Limited volume increase – There’s a limit to how much fat can be safely harvested and transferred, which might not suffice for patients desiring a significant increase in buttock size.
BUTTOCK IMPLANTS:
Buttock implants involve the surgical insertion of artificial devices into the buttocks to create volume and shape. This option is often considered by patients who lack enough body fat for a transfer or want a more noticeable butt augmentation but the cons outweigh the benefits.
CONS
- High Risk of complications – As with any surgery involving implants, there’s a risk of infection, shifting, and the need for implant removal or replacement.
- Longer recovery time – The healing process for buttock implants is generally longer and might be more uncomfortable compared to fat transfer.
Take the Next Step Toward a Fuller, More Sculpted Figure
Dr. Steven J. Rottman is a cosmetic and reconstructive plastic surgery expert who serves the men and women of Baltimore and surrounding areas.
Dr. Rottman is recognized for his approach to plastic and reconstructive surgery that gives his patients exceptional natural-looking results. Because each patient is unique, Dr. Rottman uses both traditional and advanced techniques for his procedures, and his commitment to personalized care is reflected in 300 five-star Google reviews.
Please contact us today to schedule your personal consultation for butt augmentation in Baltimore, MD with Dr. Rottman.
This information is provided for educational purposes only and does not replace a consultation with a board-certified plastic surgeon. Individual outcomes, risks, and candidacy vary from patient to patient.