Brazilian Butt Lift and Buttock Augmentation in Berlin

What methods are available for the Brazilian Butt Lift / buttock augmentation?

In principle, the buttocks can be minimally enlarged and lifted through targeted training. If further augmentation is desired, enlargement using autologous fat or implants is recommended. These methods for buttock augmentation can be performed both in isolation and in combination. Autologous fat transplantation in Berlin is performed in our plastic surgery practice clinic using the Coleman method, with reported survival rates of around 85%.

What are the advantages of the Brazilian Butt Lift / buttock augmentation with autologous fat compared to other methods?

As part of an autologous fat treatment or transplantation for buttock augmentation, fat is removed from certain fat depots in the body to be reinjected into other body areas. This means no synthetic material is injected into the body, so the tissue feels soft and natural. However, autologous fat, like other fat cells in the body, is subject to extreme weight fluctuations and lasts approximately 3-10 years depending on the location and quantity. These figures are purely individual and difficult to predict.

With buttock augmentation using implants, a slight foreign body sensation occurs initially, which subsides over time. By inserting a silicone implant, one also incurs the usual risks (e.g., capsular contracture) etc., as with breast augmentation surgery, but achieves a long-lasting and consistent result.

When is autologous fat transplantation recommended for buttock augmentation / Brazilian Butt Lift?

Autologous fat transplantation in Berlin for buttock augmentation is always recommended when a natural volume increase is desired. Certainly, sufficient fat depots must be available to harvest and thus transplant an adequate amount of fat. Autologous fat transplantation is difficult for very slender patients, so we ask these patients to gain an appropriate amount of weight to obtain enough fat.

How much autologous fat should be available for a buttock augmentation / Brazilian Butt Lift to be worthwhile?

For buttock augmentation, quantities of 200ml of pure fat per side are recommended. To obtain this, sufficient fat depots must be present. Optimal quantities are around 300-400 ml per side to achieve a visible volume difference.

Where is the fat for buttock augmentation / Brazilian Butt Lift liposuctioned from?

The fat for buttock augmentation or Brazilian Butt Lift is liposuctioned from areas where fat accumulations are found – typically the abdomen and hips, as well as inner thighs and knees. To better contour the buttocks, we also perform liposuction above and below the buttocks (in the banana fold).

Should one gain weight for buttock augmentation / Brazilian Butt Lift?

If there is not enough fat available for buttock augmentation or a Brazilian Butt Lift using autologous fat, i.e., if we expect to harvest very little fat, we usually recommend a weight gain of at least 5kg. If this is not possible or no fat is available, one should consider implant insertion.

What do I need to consider before buttock augmentation surgery?

Before buttock augmentation surgery, you should not pay attention to anything regarding the buttocks. You should feel healthy before the surgery and not eat anything 6 hours before the procedure or drink anything 2 hours before the procedure.

What can I do before the procedure to optimize the buttock augmentation result?

To optimize the buttock augmentation result or to ensure sufficient fat reserves for autologous fat transplantation, we recommend a slight weight gain if fat reserves are low. The timing of the surgery should ideally be planned so that long periods of sitting (long car journeys, flights, etc.) are avoided during the first 7 days.

What preliminary examinations are necessary for buttock augmentation?

Prior to buttock augmentation, a detailed consultation should take place in our plastic surgery practice in Berlin.

During this, you will discuss your wishes and ideas with Dr. Rippmann and Christian Roessing. Any potential fat reserves for liposuction will be selected, and any necessary weight gain will be discussed.

You will receive all necessary documents and can already reserve a surgery appointment. If you wish for a second consultation or want to clarify further questions, we are available by phone or on-site at any time.

Approximately 2 weeks before the operation, we will perform a blood draw, or you can alternatively fax us a blood report from your family doctor.

How much time off should I take?

Depending on your professional activity, we recommend taking about 2 weeks off from daily routine.

What role do regularly taken medications play? Which medications should not be taken before surgery?

As before any surgical procedure, you should avoid blood-thinning medications before surgery (e.g., ASS (Aspirin preparations), etc.). For other co-existing conditions for which you regularly take medication, we would ask you to discuss further intake with your family doctor, with us, or with the anesthetist.

Which stimulants should be avoided before buttock augmentation?

Before buttock augmentation surgery, you should refrain from extensive consumption of tobacco products or significantly reduce it. This can lead to wound healing disorders and negatively affect the tendency for hematoma formation.

How does the Brazilian Butt Lift / buttock augmentation surgery proceed?

After you arrive at our surgical center in Berlin, you will be escorted to one of the patient rooms (single room). All further preparations will take place there.

You will speak in detail with both the surgeon and the anesthetist again. We will gladly answer any remaining questions you may have. Once all preparations are complete and all documents are finalized, you will be taken to our operating room. There, we will begin all surgical preparatory measures.

The areas to be liposuctioned are first sterilely washed and draped. You will be positioned on your stomach or back, depending on the area. A fluid (tumescent solution without the addition of local anesthetics) is first injected into the corresponding areas through tiny incisions. This causes the fat tissue to loosen and reduces bleeding tendency through appropriate additives.

After harvesting, the fat is specially processed (Coleman technique) so that we can inject pure fat cells. Thus, the fat can be introduced atraumatically through tiny cannula incisions using a blunt cannula.

At the end of the operation, the liposuction incision sites are closed with a single button suture, and you will be fitted with a compression garment. This garment has cutouts in the areas where we injected the fat to apply as little pressure as possible to the transplanted fat.

After the surgery, you will be taken to your room, positioned on your stomach, and can recover there. Qualified professionals are on-site around the clock to provide you with warm and comprehensive care.

On the day of surgery or the following day, Dr. Rippmann or Christian Roessing will visit you, explain the course of the surgery, and answer any further questions. You can go home with an escort on the following day and will receive a prescription for painkillers and an antibiotic from us for the subsequent days.

How long does buttock augmentation take?

Depending on the combination (autologous fat +/- implants), buttock augmentation surgery at Metropolitan Aesthetics in Berlin takes approximately 2-4 hours. The more autologous fat is to be liposuctioned and processed, the longer the operation duration.

Is general anesthesia necessary for buttock augmentation?

Since many areas are usually liposuctioned during buttock augmentation, and these can be very painful, we only perform this operation under general anesthesia. As no local anesthetic is used during autologous fat harvesting, there is no other option.

Is a clinic stay necessary?

As part of buttock augmentation surgery, an overnight stay in our practice clinic in Berlin should be planned. Since several areas are usually liposuctioned and you should initially lie on your stomach, we recommend that you stay with us for care the night after the operation.

What happens after the Brazilian Butt Lift or buttock augmentation?

How is the buttock bandaged after augmentation?

The buttock itself is not bandaged after augmentation, but you will be fitted with a compression garment after the operation. Over the areas where autologous fat was injected, the garment is pressure-relieved and has cutouts there.

How long must the compression garment be worn?

The compression garment must be worn for 4-6 weeks after buttock augmentation, similar to liposuction. During the first 1-2 weeks, you should ensure that as little pressure as possible is applied to the injected fat cells.

Does the result of the procedure last forever or only for a certain period?

The longevity of autologous fat is very individual. Corresponding scientific data describe a durability between several years to decades. Generally, it must be mentioned that with the Coleman technique we use, about 80% of the transplanted fat takes. The healing process occurs within the first 2 weeks, so it is important to ensure that as little pressure as possible is applied to the corresponding areas during this time.

Do swelling and/or hematomas occur?

After the operation, swelling and hematomas will certainly occur, both in the areas that were liposuctioned and in the areas of the buttocks injected with fat. These will also feel somewhat swollen and hardened during the first two weeks, but this will significantly improve every day.

What pain can be expected after the Brazilian Butt Lift / buttock augmentation and how long does it last?

Pain is naturally to be expected after buttock augmentation; it is usually somewhat more uncomfortable in the liposuctioned areas and feels like severe muscle soreness. The buttocks may still feel tight at first. However, you will be mobile with light physical rest and will be provided with sufficient painkillers by us.

How long do swelling and/or hematomas persist?

Swelling and bruises last approximately 2 weeks. A reduction in swelling is also associated with a reduction in pain.

Can I sit without problems after the surgery?

Initially, sitting will still cause you problems, but the pain will steadily decrease over time.

Do I have to sleep on my stomach afterwards and for how long? Is bed rest required?

After an autologous fat transplantation to the buttocks here in Berlin, you will be positioned on your stomach to prevent possible pressure on the buttocks. You should avoid prolonged sitting (more than 1 hour) and lying on your back for the next 1-2 weeks. Since the autologous fat is very sensitive in the first week, any pressure can lead to an unsatisfactory surgical result.

When can I drive again? Should I avoid prolonged sitting, such as in an office?

You should avoid long car journeys for the first week. In principle, the recommendation is not to sit for longer than one hour during the first postoperative week, as the transplanted autologous fat is very pressure-sensitive. Thus, extensive pressure during the first 7-10 days can disrupt the autologous fat's healing process and lead to an unsatisfactory postoperative result.

When is the result of buttock augmentation / Brazilian Butt Lift final?

The surgical result after buttock augmentation can be considered final after approximately 4 weeks. Some liposuctioned areas may still need a little more time to de-swell, where the final postoperative result is visible after approximately 4 months.

How should I behave after the surgery? Can I support the healing process?

After the surgery, depending on the extent of liposuction and the amount of fat injected, you should allow yourself plenty of rest. Listen to your body and do not overexert it during the first few days. You can move around in your daily life as usual; it is not necessary to spend the entire day in bed. If you wish to shower, this is generally possible without the garment; you can also briefly wash the garment – however, we ask you to wear the compression garment as much as possible around the clock. Please note that for the first 7-10 days, you should sit on your buttocks as little as possible and avoid direct pressure on them. Try to adjust your sleeping habits accordingly.

After 4-7 days, you can additionally massage the liposuctioned areas with a firming body lotion; in some cases, lymphatic drainage is also recommended. As part of the postoperative care, we will gladly answer all your questions and look forward to an optimal postoperative result.

Are there visible scars after buttock augmentation?

Both during fat liposuction and during injection, only tiny scars are created, caused by the cannula punctures. These are, if necessary, closed with a fine suture at the end, resulting in only minimal, barely visible scars. We strive to place them as inconspicuously as possible (in the bikini area/buttock crease, etc.).

When can I return to work?

Depending on your workplace, you can safely return to work after 1-2 weeks. However, you should avoid prolonged sitting activities, especially during the first week.

When can I exercise again?

Light exercise is allowed again after 2-3 weeks, but an extensive cardio workout is only recommended after 2 months, as you are working against the swelling that occurred during the surgery.

When can I have sex again?

We recommend abstaining from sex for at least 1-2 weeks.

What should I do if I am dissatisfied with the correction result?

During follow-up appointments with us in Berlin, we will see you regularly and assess the postoperative result together with you. Should you not be satisfied with the surgical result, we would ask you to let us know. Together, we will certainly find ways to permanently satisfy you.

What does a Brazilian Butt Lift or buttock augmentation cost?

The costs of buttock augmentation at Metropolitan Aesthetics in Berlin are calculated individually. A combination of autologous fat transplantation and buttock implants would incur additional costs.

Does health insurance cover the costs of a Brazilian Butt Lift / buttock augmentation?

Buttock augmentation is not covered by statutory or private health insurance and must be paid for by the patient.

What financing options are available for the Brazilian Butt Lift / buttock augmentation?

We work with an external credit institution; financing models are applied for through Medipay. We will gladly provide you with all necessary documents during the consultation in Berlin.

How risky is a Brazilian Butt Lift or buttock augmentation?

The risks and complication rates for buttock augmentation using autologous fat are very low. During liposuction, hematomas and swelling will certainly occur, but these will subside over time. Due to the transplantation of the body's own tissue, no rejection reactions are to be expected.

In the context of buttock augmentation with implants, rare complications such as infections, capsular contracture, or implant displacement can occur. This must be considered when choosing the surgical procedure. We will clarify in detail with you during a personal consultation which type of buttock augmentation you desire or which we recommend in your individual case, and what complications may arise from it.

What are the most common complications?

The most common complications are bruises in the liposuctioned areas. Furthermore, temporary swelling and hardening may occur in the areas where the fat was injected. This is initially normal and disappears after approximately 1-2 weeks.

How high is the risk of dents forming or the buttocks not looking even?

The risk of dents forming or the buttocks not looking even is relatively low.

What are oil cysts, how can they form, and how can they be avoided?

If fat does not integrate into the target tissue and dissolves, oil cysts can form. These are often reabsorbed (dissolved) by the body itself over time and thus disappear on their own. Very rarely is it necessary to puncture and thus drain an oil cyst.

How high is the risk of inflammation?

Due to the smallest access points, the risk of inflammation is very low. During and after the operation, you will receive an antibiotic to prevent possible infections.