Dr. Saber’s Blog

What You Need to Know About a Brazilian Butt Lift (BBL) Reduction

The Brazilian butt lift (BBL), which combines abdominal liposuction and a fat transfer around the glutes, is one of the most iconic plastic surgery procedures of the past decade. And yet, in the last couple of years, I’ve seen a noticeable uptick in consultations for the opposite procedure – the BBL reduction or even BBL reversal.

These requests did not happen in a vacuum. A quick look at the latest social media trends reveals that many designers and influencers are once again opting for slimmer figures. Online news sites spent weeks speculating about Kim Kardashian’s BBL reduction and collecting before-and-after pics of other celebrities’ changing figures.

But this doesn’t mean BBLs are out! I continue to see patients who are interested in butt augmentation surgery. Some may find themselves requesting a reversal in a few years – or may ask for more radical body contouring procedures instead. Ultimately, desired body shapes are as unique as bodies themselves, so it’s important to have a frank conversation regarding the effects of realistic expectations, capricious trends, and even natural aging on our mutual surgical goals.

What You Need to Know About a Brazilian Butt Lift (BBL) Reduction

Why do people want BBL reductions?

It would be far too easy to dismiss the latest requests on BBL reversals as people “following the fashions.” This diminishes the value of cosmetic surgery itself and infantilizes the patients (who are primarily women) who request the procedure.

In reality, most patients who want to go back on their buttock augmentation do so for a combination of reasons. These include:

  • Posture problems and even pain resulting from carrying a larger behind.
  • Weight gain after surgery makes the “final result” look different after a few years.
  • A change in their ideals and goals.
  • Unsatisfactory, asymmetric, or disproportionate BBL results.

A frequent statement I’ve noticed during consultations for this procedure is, “I didn’t think this through.” Sometimes, this goes back to the patient’s unrealistic expectations about their body. More often than not, it comes back to issues that would not have been obvious for a patient but should’ve been brought up by the surgeon. Unfortunately, the effects of butt augmentation on posture or the realities of aging are not always discussed as clearly as they should be.

As a plastic surgeon, I want my patients to feel more confident and secure after the final bandages come off. We can’t always ensure this satisfaction will last long term – but I always try.

BBL reversals: Five questions to consider beforehand

When I design a body sculpting plan, many factors come into play. But before we can discuss which parts to remove or which areas of the body to enhance, I need to make sure my patient is clear on five basic things.

1. How do BBL reductions work?

Reversing a previous BBL procedure usually involves combining surgical techniques to remove the old fat grafting and reshape the buttocks into a smaller, symmetrical form.

Most of the work is done via liposuction: through tiny incisions, we insert thin cannulas into the problem areas to “suction” away the excess fat. Next, we lift the buttocks, followed by skin tightening or “tucking.” The task of reshaping the buttocks requires a custom-made strategy for each patient: I will need to consider the original grafts’ location, the post-BBL size of the buttocks, and the patient’s skin elasticity. The result should look like a natural, smaller version of the butt with no saggy skin, dimples, or cellulite.

That said, a BBL reversal is always a bit more complicated than a first-time liposuction procedure, as I will need to work around the existing scar tissue. Most surgeons strive to perform BBLs using small incisions in hard-to-spot places, but even if they’re not visible from the outside, fat grafting leaves behind a lot of scars that can make traditional liposuction tricky.

2. What are the risks of a BBL reduction?

All cosmetic procedures carry risks, although an experienced surgeon can minimize most of them. Reversing a BBL carries most of the same risks as a regular liposuction. Risks may include numbness in the affected areas, infection, or temporary pockets of fluid under the skin. BBL reversals are usually done under general anesthesia, which also carries its own risks, especially for patients who are overweight or have pre-existing cardiovascular conditions.

One specifically serious but thankfully rare complication of liposuctions is pulmonary fat embolisms or PFE. This occurs when a small “bubble” of fat makes its way into the lungs immediately after surgery. A PFE can be fatal if untreated, which is why I like to keep a close eye on my patients immediately after any fat removal procedure.

Compared to first-time liposuctions, a BBL reversal also carries a higher risk of bleeding or of leaving behind contour irregularities. If the original BBL involved a large amount of fat grafting, we will also have a higher risk of seeing stretch marks or saggy skin in the buttocks – but these are treatable, and we can plan and perform a mini-tuck to counteract them.

3. What is the recovery from a BBL reduction like?

The recovery times after a BBL reduction vary widely and depend on how large the original BBL was and how much fat we removed during the second procedure. Other factors, such as a patient’s general health condition, their age, and whether they smoke, can all lengthen the recovery process.

At the very least, most patients can expect:

  • A few days sleeping sideways or on their stomach
  • Around 10 days with significant bruising and swelling
  • Having to wear compression garments for up to a month

We won’t be able to see the final results of the procedure until the swelling goes away completely, which may take six weeks or more.

4. Can I prevent the need for a BBL reduction?

Yes, but this is easier said than done.

The path to preventing a BBL reversal starts when we first plan for the original butt enhancement. For less experienced surgeons, the discussion around long-term expectations is a thorny one, so they avoid it or skim through it. But those awkward 10 minutes now could save us so much pain in the future!

After the procedure, the story changes. Sometimes, weight loss alone can be enough to “shrink” the buttocks after a BBL. This is generally safer and often cheaper than a second cosmetic surgery. But once again, there are a lot of factors that will affect this. Here, patients who are on the fence should consider a few things:

  • A caloric deficit will eventually shrink any fat cells grafted into the area, but it will not eliminate them – so the butt can always grow back.
  • There is no way to tell your body which fat cells to shrink first, so you can’t precisely “localize” these results.
  • The older you are, the harder weight loss will be, and you will be at a higher risk of ending up with saggy skin or asymmetric buttocks.
  • The larger the original BBL, the harder it will be to reverse via natural weight loss.

5. How soon is too soon for a BBL reduction?

The popularity of BBLs has also increased the amount of surgeons offering them – and of patients who are left unsatisfied with the results. Following an overambitious BBL, some may want it gone right away.

Unfortunately, this is far from safe and may not even be necessary. It is not uncommon for BBLs to “shrink” within the first six months after the surgery, as not all the implanted fat cells will “take.” Until that happens, we won’t be able to see the full extent of any asymmetry or determine what needs to be done.

The body needs time to heal properly after a BBL surgery, and I need to see the final results to design an efficient surgical plan. As a result, most board-certified plastic surgeons will not perform a BBL reduction until at least six months after the original surgical procedure.

Why is Dr. Saber the best choice for BBL reduction surgery?

Dr. Sepideh Saber, MD, FACS, is an American Board of Plastic Surgery-certified plastic surgeon practicing in the greater Los Angeles area. After completing medical school at Stanford University, she trained at the University of Southern California and at New York University in plastic surgery, hand surgery, and microsurgery. This experience allows her to provide safe and predictable results for BBL reversals, tummy tucks, reverse tummy tucks, or breast augmentation procedures.

Her philosophy of care is built equally on expertise and empathy. At her practice, any surgery is carefully planned to ensure patients from all walks of life can receive compassionate care that addresses their physical and mental concerns.

To request a consultation, call (877) 205-4100 or schedule a consultation online.

The practice of Dr. Saber is located in Encino, CA for patients throughout the Los Angeles area. We are also convenient to Encino, Woodland Hills, Sherman Oaks, Calabasas, Burbank, Glendale, Hidden Hills, Agoura Hills, Northridge, North Hollywood, Malibu, Topanga, Canoga Park, Reseda, Valley Glen, Chatsworth, West Hills, Winnetka, Universal City, Bel Air, Beverly Hills, Downtown Los Angeles, Silverlake, and Echo Park.

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    Dr. Sepideh Saber, MD, FACS

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    I was fortunate to find Dr. Saber after researching board-certified surgeons who specialize in breast cancer reconstruction revision surgery. I knew I was in good hands from the moment I spoke with the lovely and efficient Marlene, Dr Saber's office manager. Dr Saber patiently listened to my concerns and, after examining me, explained what I could realistically expect the outcome to be from another surgery. She also explained to me that she would need to review my previous surgery notes before we could discuss a possible further surgery, which I found comforting and highly ethical. I also discussed a couple of other procedures that I would like done, including fat removal from my large upper arms that had caused me great embarrassment for several years. Dr. Saber is an excellent surgeon who is incredibly kind and genuine. She truly understands the female body and the emotional aspect of body insecurities yet, she is transparent about what can and cannot be done and takes time to discuss realistic expectations and outcomes. My breast reconstruction revision surgery will take place in the New Year, but in the meantime, I have the most fabulous upper arms that I recently flaunted in a strapless dress (something I have not done in years). Dr Saber is truly one of a kind, and I still cannot believe how fortunate I am to have found her. I highly recommend Dr Saber.

    Linda DeCarlo November 29, 2023

    I don’t have enough wonderful words to describe Dr Saber and Marlene! I had a tummy tuck done this year and from start to finish the entire experience was amazing. Marlene is always so helpful and works so hard to make every detail a breeze for you. When I had my consultation with Dr Saber I was at a point of complete agony with my body. She instantly took that stress and frustration off my shoulders! As a woman not being heard by doctors for years I left that consultation with happy tears knowing I had finally found my Dr. It was a major surgery and I felt completely zen and at peace going in because she really does make you feel that safe. I didn’t think I would ever look the way I do now! She gave me the gift of having the body I kept fighting for. I will never stop recommending her.

    Monica Prusa October 9, 2023

    I saw Dr. Saber when I broke my wrist. I ended up having to have surgery. She did an excellent job and I am healing nicely. She was very professional, but was also very kind and compassionate. I would highly recommend her!!

    Sandy Schaupp September 13, 2022

    I LOVED DR SABER!!! There are a few reasons why I chose her. One was because she’s a female Doctor that was my goal who also did a good job (which I was able to confirm with all her before and after photos) and what sold me was my safety in mind. She made me feel like I was in the best hands ever along with Marlene who coordinated everything THANK YOU LADIES! Dr Saber helped me get back the body I have always desired. I had a lot of stomach fat from weight gain and I lost weight so a lot of my weight was in my front lower and upper abdomen. Now I have a super beautiful curvy body like an hourglass after a tummy tuck and lipo she did. She understood the assignment hahaha . I’m 32 years old no kids just wanted to enjoy my younger body looking and feeling beautiful and she really took good care of me. Even after hours I had an emergency due to my fault but she was there and got back to me very quickly and I’m very grateful. I also think her work says a lot because I stopped taking pain medication on the 3rd day after surgery and was fine with very minimal pain I was able to tolerate the healing process. Highly recommend going with her I just had a wonderful experience and would do it all over again if I had too. Maybe after I have kids. Thanks Dr Saber and team <3

    STEPHANIE d July 15, 2022

    Dr.Saber is by far one of the best plastic surgeons. I love how she takes her time to explain any procedure to the patients understanding. She always makes sure to answers any and all questions.From fillers to body contours she’s the one you want.

    Katherine Melara February 15, 2022

    Dr Saber is amazing! She is caring and very informative. I went in for fillers and she explained procedure step by step. I highly recommend her and look forward to future visits.

    Amanda Vazquez December 18, 2020

    Dr. Saber was friendly, knowledgeable and professional. She took time to listen, answer all my questions and was forthright in her recommendations. Her staff was friendly and helpful. I was very happy with the results and plan on going back. If you are looking for a first rate professional experience look no further she is the doctor for you!

    T R December 18, 2020

    Dr. Saber is one of a kind plastic surgeon with a heart of gold. She is a well verse plastic surgeon that puts her patient's needs before anything else. She genuinely cares about every single patient, and her work speaks for itself. I notice every post-operative result on her Instagram (@saberplasticsurgery) the patients have this glow that radiates through. I have been going to Dr. Saber for my Botox for the past 3 years, and love the results every time. I know who I will be going to for any future plastic surgery needs, and will confidently refer family and friends to Dr. Saber for any Botox, fillers, and plastic surgery consultations.

    Rudy Garcia December 16, 2020

    I have nothing but great things to say about Dr. Saber! I am so pleased with my results from a breast augmentation she performed on me back in late June! She answered all my questions and concerns before and after my surgery. She’s very easy to get in contact with and she’s so nice. She made feel so comfortable throughout the whole process. 100/10 Lover her work!!

    Amanda Villegas October 15, 2020

    Dr Saber is hands down the best surgeon! She took her time answering my questions and explained procedure in detail. After doing liposuction six months ago, I am extremely happy with my results and I appreciate her so much.

    Marlene Cosentino October 15, 2020

    Dr. Saber is so kind and thorough with her patients! She is an amazing doctor and genuinely cars about everyone she comes in contact with. I would recommend her to anyone for any hand surgery or cosmetic procedure.

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