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Plus size BBL is possible, but how does it work?

Everything you need to know about before getting a plus size BBL

Are you considering getting a BBL, but afraid that your BMI might be a little higher than the average range? Don’t worry! Plus size BBL got you. Thanks to the plus size BBL, patients who are higher on the BMI scale can get BBL and reach their desired shapes.

Regardless of BMI, weight, or age, there is always an option for everyone in the world of cosmetics. BBL is one of these operations which allows every type of woman to reach their dream body shape and make them stand out confidently.

In this article, we are going to talk about plus size Brazilian Butt Lift, learn its difference from a regular BBL, its benefits, risks, and more to give you all of the information you need on this subject.

Table of Contents

What is plus size BBL?

Plus size BBL is a surgery that is performed to improve the shape of the butt in high BMI patients. During the procedure, the plastic surgeon suctions fat from some parts of the body. Then, purifies it to make it ready for the transfer. Lastly, the surgeon injects the body fat into the butt. Thanks to this procedure, plus-size women get a body similar to an hourglass figure with a smaller waist and a curvier butt.

How different is it from traditional BBL?

Both procedures are almost the same, except for the patient type, and the amount of fat that needs to be operated on. Traditional BBL procedure is performed on patients who have a healthy to overweight BMI, or a little bit high. However, plus size BBL is performed on patients who have a high BMI. Simply it is a Brazilian Butt Lift on a plus size woman, and creating a difference in a differently shaped body may require working on more fat than a body with a lower BMI. 

Who is a good candidate for it?

Plus size BBL surgery requires 2 main criteria. The first one is the health status, and the second one is the expectation of the patient. If you meet these 2 criteria, this means you are a suitable candidate for a plus size BBL. If you are:

  • A person who wants to have a curvier, fuller butt in addition to losing some fat from other parts of the body 
  • A patient who has a BMI over 30
  • Healthy enough to undergo surgery
  • A Non-smoker or can stop smoking for a while
  • A person with realistic expectations you can easily qualify for this surgery.

Patients with a medical history

Certain pre-existing health problems may cause the surgery to be canceled. Diabetes and hypertension are 2 medical conditions that can prevent you from having this surgery, and these conditions are common among people with high BMI.

Diabetes can hinder the body’s healing system and makes the person vulnerable to infection, while hypertension is dangerous because it increases bleeding risk and heart-related complications (1) (2). But don’t worry. Even if you have these issues, you can still get plus size BBL as long as your blood sugar or blood pressure is stable, or manageable. If you would like to have more information on how to qualify for a BBL in general, we have a more detailed article on the subejct.

How much fat can be transferred in plus size BBL?

The maximum amount of fat that can be transferred is around 2000cc per buttock, however, there is no fixed answer for it. The amount of fat that can be transferred differs from patient to patient. Large volumes of fat can be injected into the butt if the patient’s skin elasticity is good and there is enough space for the fat. What you can be sure of is the surgeons will transfer the maximum amount of fat that’s safe for your butt.

Can fat be taken from any part of the body?

The fat can be removed from any part of the body, depending on the patient’s fat placement. Generally in a BBL operation, the fat is taken from the abdominal area, and lower back. The reason for that is to create a body more similar to an hourglass shape by removing the fat from the waist area. However, there is no such rule. The fat can be removed from thighs and arms, and if you wish for another body part you can discuss it with your surgeon. 

Is plus size BBL worth it?

Looking good and feeling confident with your body is important for every person but you can’t turn a blind eye to your health. You can decide whether plus size BBL is worth it or not after comparing its benefits and risks. If the benefits win, this means it will be worth it.

Is it safe?

Plus size BBL surgery can be considered safe as long as it is performed by a qualified surgeon. However, it is important to know that it is more riskier than a traditional BBL. Undergoing a surgery with a high BMI, especially over a BMI of 30 is dangerous. Heart issues, problems with the lungs, and blood clots are more likely to happen when someone’s BMI is higher than 30 (3).

Also, BBL itself has a serious risk called fat embolism caused by the wrong injection technique. It happens if fat cells enter the blood vessels and travel to the lungs and heart, and it can result in serious health issues. However, this risk can be significantly reduced by using the right technique (4). Whether you’re getting a plus size or a regular BBL, the number one safety indicators are your surgeon’s expertise and your overall health.

Benefits and risks

What about the benefits and risks? Comparing the benefits and risks is very important if you are thinking about undergoing plastic surgery. The benefits make you see what this surgical procedure will bring you, and the risks show the possible undesired effects of it. Let’s continue to get more detailed information about BBL on plus size and see what are its benefits and risks:

Benefits of plus size BBL:

  • Curvier, fuller butt
  • Smaller waist
  • Long-lasting outcomes 
  • Natural look
  • Improves self-confidence

The risks of plus size BBL:

  • Anesthesia risks
  • Infection
  • Scarring
  • Complications such as fat embolism, fat necrosis, fibrosis, or nerve damage.

The risks of plus size BBL are the same as the risks of traditional BBL. The difference is, complications such as anesthesia relates effects, infection, blood clots, and nerve damage is more likely to happen in plus size BBL patients due to the patient’s pre-existing health conditions (3). 

Recovery period

The recovery process will be the same as traditional BBL recovery as well. You will wear compression garments all day and night, sitting will be prohibited, and your butt will be swollen for a long time. However, the recovery period may be harder and longer in plus size BBL.

Firstly, anesthesia effects stay longer compared to a normal BBL. Also, obese patients have reduced blood flow, which means it is hard for oxygen to reach the damaged tissue (5). Both can slow down the healing period, making it harder to recover from plus size BBL.

Cost of plus size BBL

The average cost of a plus size BBL is $12,000. However, it can go up very easily. BBL is already an expensive surgery, and when it comes to performing it on plus-size patients, the price can become more expensive. That is because plus-size patients’ surgeries can be more complex. It is more challenging to perform a procedure on a body that has more fat tissue. A difficult operation extends the length of the surgery and this increases the cost of the procedure. 

  • (1) Goltsman, David et al. “Defining the Association between Diabetes and Plastic Surgery Outcomes: An Analysis of Nearly 40,000 Patients.” Plastic and reconstructive surgery. Global open vol. 5,8 e1461. 17 Aug. 2017, doi:10.1097/GOX.0000000000001461
  • (2) Aronow, Wilbert S. “Management of hypertension in patients undergoing surgery.” Annals of translational medicine vol. 5,10 (2017): 227. doi:10.21037/atm.2017.03.54
  • (3) Seyni-Boureima, Rimanatou et al. “A review on the anesthetic management of obese patients undergoing surgery.” BMC anesthesiology vol. 22,1 98. 5 Apr. 2022, doi:10.1186/s12871-022-01579-8
  • (4) Vasilakis, Vasileios et al. “Bilateral Sciatic Neuropathy following Gluteal Augmentation With Autologous Fat Grafting.” Plastic and reconstructive surgery. Global open vol. 6,3 e1696. 19 Mar. 2018, doi:10.1097/GOX.0000000000001696
  • (5) Ye, Jianping. “Adipose tissue vascularization: its role in chronic inflammation.” Current diabetes reports vol. 11,3 (2011): 203-10. doi:10.1007/s11892-011-0183-1
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