
Curves have always been a symbol of balance and beauty, but sometimes nature needs a little refinement. Flat buttocks or a lack of definition in the lower body contours are common concerns, even for patients who are active and maintain good health. Weight changes, genetics, and aging can all shift body proportions, leaving the buttocks with less definition or sagging skin. The Brazilian butt lift (BBL) is a cosmetic surgery that uses your own fat to create a fuller, rounder, and more balanced silhouette without the need for butt implants.
At James Rough, MD Plastic Surgery in Tucson, Dr. James Rough combines safe fat grafting and advanced fat transfer techniques to carefully remove fat pockets from areas such as the abdomen, thighs, or flanks, and then place purified fat into the buttocks. As a board-certified cosmetic surgeon with specialized training in gluteal augmentation, he creates natural, lasting results tailored to your desired shape.
READY TO GET STARTED?

The Brazilian butt lift is known as one of the most rapidly growing surgical procedures in the U.S. for both women and men. This butt enhancement surgery allows individuals in Tucson, AZ, a natural way to attain shapelier and more defined buttocks without having to use implants. Weight fluctuations, aging, and genetics can be the cause of a flat butt. A Brazilian butt lift adds volume to the buttocks to create a fuller, curvier look.
It is accomplished through a careful and precise fat transfer process, which utilizes a closed fat transfer system by Wells Johnson to take unwanted fat from a targeted section of your body and then move it to your buttocks. With years of advanced training and experience, board-certified plastic surgeon Dr. James Rough can create natural-looking, beautiful results at James Rough, M.D. Plastic Surgery.


In many cases, anesthesia is used for a Brazilian butt lift. It is considered an outpatient procedure and generally takes about 2 – 3 hours, depending on how much fat is extracted and transferred. Liposuction will be used first to extract fat from predetermined locations on the body, which may include the lower back, upper thighs, stomach, and flanks. The extracted fat will then be purified in a sterile closed fat transfer system. At this time, high-quality fat tissue is harvested and put into syringes. The final step is the fat transfer, where the healthy fat tissue is injected in layers using Ultrasound guidance for accuracy and safety, followed by a delicate massage to ensure the surface is smooth. This step is repeated numerous times until the desired size and shape of the buttocks have been achieved.
Brazilian butt lift surgery improves the contour of the entire lower body. It’s especially effective for patients with flat buttocks, loss of volume after weight loss, or sagging skin due to age. At the same time, liposuction removes fat from problem areas such as the abdomen, lower back, or thighs. The harvested fat is then injected into the buttocks, restoring balance and projection.
This approach not only provides buttock augmentation but also improves proportions by slimming the waist and refining the lower body. Patients often choose BBL surgery to achieve a more hourglass-shaped figure or to restore curves lost over time.

Unlike buttock implants, the Brazilian butt lift procedure uses your own fat, which means the results look and feel more natural. The fat grafting process allows for precise contouring, so Dr. Rough can enhance projection while maintaining harmony with your body.
The dual effect—removing fat from one area and placing it in another—makes this a highly versatile surgical procedure. Modern techniques, such as using blunt tip cannulas and placing the fat in the safe subcutaneous buttock augmentation layer (above the buttocks muscles and away from blood vessels), significantly reduce risks such as fat embolism. Patients enjoy long-lasting results that can improve self-esteem and confidence in clothing.
You may be a good candidate for BBL surgery if you are in good health, at a stable weight, and want a natural increase in buttock shape without buttock implants. Ideal candidates have enough fat available for transfer and good skin tone to ensure smooth contours.
This procedure may not be suitable for patients with very little body fat or those looking for dramatic enlargement beyond what fat transfer can safely achieve. Dr. Rough will review your goals, body type, and medical history to determine if Brazilian butt lift surgery is the right treatment for you.

After your BBL surgery, you’ll wear a compression garment or compression band to help minimize swelling and support healing. Patients should avoid sitting directly on the buttocks for at least two weeks, using modified positions for resting and a standing desk for any computer work. Following your cosmetic surgeon's instructions closely is key to protecting the injected fat.
The recovery period typically allows patients to return to light activity within one to two weeks. Prescription pain medication may be used for comfort in the early healing process, though most discomfort is temporary. Final contours typically appear after several months, once swelling subsides and the fat cells have stabilized.

Patients will notice a fuller, more lifted buttocks immediately after Brazilian butt lift surgery. Over the next three to six months, residual swelling resolves and the purified fat integrates into the treatment area, revealing your most refined result.
A small percentage of the transferred fat will not survive—an expected part of the process—so Dr. Rough may transfer slightly more fat than needed to achieve your ideal result. Once your final results emerge, your new shape is long-lasting, as fat cells that survive transfer remain permanently in their new location.
Patients can expect improved balance between the waist, hips, and buttocks, often achieving an hourglass-shaped figure. With a stable weight and healthy habits, the results of Brazilian butt lift surgery last for many years. For most, the outcome is not only a new shape but also a renewed sense of confidence.
Choosing the right surgeon to perform your Brazilian butt lift is essential for a safe procedure that produces natural-looking results. Dr. James Rough is a board-certified plastic surgeon with advanced training and extensive experience in gluteal fat grafting and fat transfer techniques, such as Ultrasound guidance for accurate fat placement. His approach prioritizes safety, artistry, and proportion. Patients trust Dr. Rough not only for his technical expertise but also for his compassionate, personalized care throughout every step of their BBL surgery journey. Schedule your consultation today to discuss your goals and learn whether a Brazilian butt lift is the right choice for you.

The Brazilian butt lift procedure allows men and women the chance to have the round and shapely buttocks they have always wanted. With many individuals focusing on a healthier, rounder backside, the Brazilian butt lift has quickly become one of our specialties at James Rough, M.D. Plastic Surgery. If you are looking to attain an enhanced curvature to your buttocks, we invite you to contact our practice in Tucson, AZ, to schedule your consultation with Dr. Rough.
1 of 2
The Brazilian butt lift procedure is typically performed under general anesthesia, though local anesthesia with sedation may be possible in smaller cases. Dr. Rough will discuss the safest option for your surgical procedure.
The total cost for your Brazilian butt lift (BBL) includes the costs for both liposuction and fat transfer surgery, facility fees, anesthesia, as well as pre- and post-operative care. As soon as Dr. Rough has created your treatment plan, he will be better able to estimate your costs. We want you to concentrate on choosing a surgeon you feel comfortable with, like Dr. Rough, so we'll help make your Brazilian butt lift affordable. James Rough, M.D. Plastic Surgery accepts many payment methods, and we can give you information on low-interest medical financing.
If you want to add volume to your buttocks, you get butt augmentation with either implants or a fat transfer, which is commonly called a Brazilian butt lift. During your consultation, Dr. Rough will explain both options and help you decide which best matches your body and wants. He will also evaluate your body to find the best areas to get liposuction (typically the stomach, back, or thighs). If you have a low body fat percentage, you may not be a candidate for a Brazilian butt lift.
Although some fat might be reabsorbed by your body after the Brazilian butt lift, the majority of the fat will stay in their new location for a long time. To maintain your results, you should maintain a steady weight because significant weight loss or gain will compromise the results of your Brazilian butt lift. This is why Dr. Rough highly recommends you be at or near a healthy weight before your Brazilian butt lift so it is easy for you to stay at.
Patients without enough fat may not be good candidates for fat transfer. In such cases, alternatives like buttock implants or other cosmetic surgery options may be recommended.
As with any complex procedure, there are risks, including minor complications like swelling or skin sensation changes, and rare complications such as fat embolism. Choosing a board-certified cosmetic surgeon with experience performing the Brazilian butt lift procedure is essential to ensuring a safe treatment.
Most patients return to daily routines after at least two weeks, though strenuous exercise is typically delayed for four to six weeks. Following Dr. Rough's instructions, including wearing a compression garment and not sitting on the buttocks, helps ensure the best possible outcome.

















