# The Latest Trend in Buttock Aesthetics: Brazilian Buttock Lift Reversal and Buttock Reduction

## TL;DR

This paper examines the rising trend of Brazilian Buttock Lift (BBL) revisions and buttock reductions, showing they are safe and effective procedures with high patient satisfaction.

## Contribution

The study provides new insights into the safety and outcomes of BBL revision and buttock reduction procedures based on recent clinical experience.

## Key findings

- 123 patients underwent BBL revision or buttock reduction with a 1% complication rate.
- 63% of procedures were performed under local anesthesia with oral sedation.
- 90% of BBL revision patients had additional surgical procedures.

## Abstract

The global popularity of Brazilian buttock lift (BBL) has led to a rise in the need for large volume fat transfer and disproportionate buttock and hip contouring. Becuase of the pandemic, there has been a rise in requests for BBL revision and buttock reduction.

The authors review their experience with a recent trend in BBL revision or buttock reduction to evaluate patient outcomes and complications.

A retrospective chart review of all patients who underwent BBL revision or buttock reduction between February 2018 and December 2023 was conducted. Patient outcomes and complications were analyzed to assess the safety and outcome of performing these procedures.

A total of 123 patients were included in the study. Seventy-seven (63%) of these procedures were completed under local anesthesia with oral sedation. One hundred and eleven patients (90%) of patients undergoing BBL revision also included additional surgical procedures. The most common patient-reported dissatisfaction is residual adiposity in 10%, skin laxity in 6%, and persistent asymmetry in 4% in the study. The study revealed a 1% complication rate.

BBL revision or buttock reduction is an increasingly popular body contouring procedure. It can be performed safely as an outpatient procedure by a well-trained and experienced plastic surgeon. The authors predict a significant rise in these procedures. In the author's experience, these procedures are associated with a very low rate of complications and a high level of patient satisfaction.

(Therapeutic)