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Our Approach to Surgery is Anything but Plastic

The Brazilian butt lift (also called a “BBL,” “butt enhancement,” “gluteal augmentation,” or “buttock augmentation”) is a plastic surgery procedure that augments the gluteal region of the body. The BBL involves the removal and transfer of fat from one or more areas of the body into the buttock or the hip area. The fat is collected through liposuction, then purified by centrifuge and re-injected into the buttocks. The Brazilian butt lift surgery is considered a “same day” surgical procedure where a patient may go home the same day that the surgical procedure is performed. Many patients report that BBL produces a more aesthetically pleasing silhouette and greater volume to the backside. The BBL has a 91% “worth it” rating on Real Self.

Optimal candidates for the BBL procedure have:

  • A butt or gluteal area that is proportionally small to the overall frame
  • Saggy buttocks (as a result of weight loss or age)
  • Buttocks that differ in size and or shape
  • a flat butt
  • Buttocks that are flat or lack volume due to weight-loss surgery (such as gastric sleeve, gastric bypass, gastric balloon)
  • A BMI (body mass index) under 29, yet over 22

This body sculpting surgery may help lift the gluteal area, add volume to the buttocks, and, in some cases, create a “shelf” to the backside. Many of Dr. Brian Coan’s patients at CARE Plastic Surgery have reported that their BBL has helped feminize their overall body shape, and it may give a more youthful appearance by reducing the waistline while simultaneously adding the desired volume to the behind. Dr. Coan’s primary method for patients looking to augment or enhance their butt is via fat transfer to the buttocks. Dr. Coan prefers using a patient’s fat rather than silicone butt implants (gluteal implants). It’s important to remember that transferred fat cells will behave like the fat already in the body and are vulnerable to weight gains and losses.

To achieve the best long-lasting BBL results, Dr. Coan advises his patients to maintain their weight after their Brazilian Butt Lift procedure rather than drastically lose a considerable amount of weight. Because Dr. Coan teaches and trains other plastic surgeons in the art and science of the BBL, he is a noted cosmetic and body contouring expert and has been featured nationally as a Real Self Top Doctor every year since 2015 and featured on the Emmy award-winning show The DRS. Call (919) 883-9491 to schedule a consultation today.

During the procedure, Dr. Brian Coan will first use liposuction to remove unwanted fat from the arms, back, hips, thighs, and/or abdomen. The fat is then processed and strategically placed into different areas of the buttocks. The best candidates for a BBL have pockets of fat on the body. Patients who do not have “enough” fat may be instructed to gain weight (sometimes 10 to 20 lbs) before surgery. Dr. Coan is renowned for taking considerable time with patients to discuss and plan how to achieve their aesthetic goals. Patients often look for an “hourglass shape,” which may be achieved by contouring the patient’s abdominal area by reducing love handles and midsection fat and implementing contoured curves with fat transfer. Dr. Coan prefers to use a patient’s own fat rather than a gluteal implant, as fat ultimately gives a much softer, natural feel and result. Since no two bodies are alike, each BBL by Dr. Coan results are unique to each patient, and much time is taken to discuss the risks, benefits, and outcomes.

How much is a Brazilian Butt Lift? At CARE we DON’T Water Down Your BBL Result:

It’s common to see BBLs advertised for $4,000 or $5,000. We see major discounts offered, especially in areas where the amount of fat a plastic surgeon can transfer is dictated and limited by law, like in Florida. Here in North Carolina, we do not have the same Florida fat transfer law, and we follow the guidelines for liposuction and fat transfer safety set by the American Society for Plastic Surgeons. Our BBL procedure offers the greatest amount of fat removal safely recommended. At CARE, our plastic surgeons only augment your buttocks with purified fat, not a fat and water mix like some surgeons. While a mixture of fat and water looks more voluminous immediately after surgery, the water quickly diminishes after surgery and we consider that look to be somewhat deceptive to the long-term aesthetic.

The BBL pricing at CARE ranges from $12,500 to $17,500 and depends on the number of areas where liposuction, fat harvest, and fat transfer are performed. Call (919) 883-9491 or email us at to schedule a consultation or to speak with one of our patient care coordinators. BBL costs also are determined based on the surgeon’s expertise and the amount of time needed to perform the surgery. This is a comprehensive fee that includes all costs associated with this plastic surgery procedure. Included in this fee are the operating room fee, the anesthesia fee, all pre-operative and post-operative visits, the surgeon’s fee, nurse fees, custom surgical garments, and consultation fees are all included.

Dr. Coan was one of the first board-certified plastic surgeons in the Triangle area of North Carolina to routinely perform the BBL procedure here and has gone on to teach and train other plastic surgeons on the art and science of his revolutionary body contouring surgical procedures. Dr. Coan has performed hundreds of BBLs and has a detailed, specific, and unique treatment plan for each patient’s surgery and recovery which has resulted in many happy patients.

How to Choose a Brazilian Butt Lift Plastic Surgeon:

Because any plastic surgeon can perform the Brazilian Butt Lift, you may consider choosing a plastic surgeon who routinely performs the BBL. When considering augmentation to the gluteal area we recommend considering the following:

  • Is your plastic surgeon board certified by the American Board of Plastic Surgery?
    • This ensures that they are qualified to perform your surgery.
  • Is your plastic surgeon a member of the American Society of Plastic Surgeons?
    • The ASPS is the largest plastic surgery specialty organization in the world
  • Is your plastic surgeon a member of the American Society of Aesthetic Plastic Surgeons?
    • Membership in this society requires a plastic surgeon to have board certification and also perform numerous aesthetic surgical procedures each year
  • Does your plastic surgeon teach and train other plastic surgeons how to perform Brazilian butt lift surgery?
    • Only a plastic surgeon with considerable experience will be called upon to educate and train other plastic surgeons on how to achieve optimal BBL results
  • Are there any previous BBL patients you may speak with?
    • Feel free to ask to speak with past patients and also to view photos
  • Does your plastic surgeon perform the BBL in an accredited facility? What is accreditation?
    • Surgical suite accreditation is important as it ensures the highest level of patient safety
  • Is there a “limit” to how much fat can be transferred?
    • Some states, especially where extremely discounted pricing is offered, may not disclose a “fat transfer law” that limits the amount of fat that can be transferred

Interested in the Brazilian Butt Lift? Call (919) 335-9298 to schedule an appointment at our state-of-the-art surgical facility in Cary located just around the corner from RDU Airport with easy access for our out-of-town clients.

Brazilian Butt Lift surgery involves liposuction to remove fat on the hips, outer thigh areas, flanks, and waistline to enhance the rounded buttock effect even more. Our Brazilian Butt Lift patients from all over North Carolina enjoy how the results enhance their appearance both in and out of their clothes.

Frequently Asked Questions

Can fat transfer be removed?

Removal of fat transfer would entail liposuction of the treated areas, such as the buttocks, breasts, or face. This is typically not performed.

Can you transfer fat to your breasts?

Yes, many patients undergo fat transfer to the breasts for augmentation. This is a great way to subtly add volume to the breasts.

Does fat grafting leave scars?

The incisions with fat grafting are small, typically only a few centimeters. They tend to heal very well, also.

Does fat transfer last?

Fat transfer procedures are essentially considered permanent with certain considerations. If a patient maintains their routine lifestyle and weight, they can expect to see lasting fat transfer results. However, it is important to understand that we all continue to age, and our bodies change over time.

How common are buttock implants?

At CARE, Dr. Coan utilizes a patient's own fat rather than silicone buttock implants. He finds this is a safer option that provides an overall better aesthetic outcome.

How dangerous is liposuction?

Performed by a board-certified plastic surgeon, liposuction can be deemed relatively safe, given the patient is an appropriate candidate.

How do you give a shot in the glute?

The purified fat is re-injected into the buttock utilizing small incisions that typically heal well without issue. Dr. Coan works to place these incisions in inconspicuous areas.

Is Brazilian buttock lift permanent?

A buttock augmentation using a patient's own fat can provide permanent results if there are no major lifestyle changes, such as pregnancy, weight fluctuations, and hormonal shifts.

What will my results look like?

Upon a thorough conversation and evaluation by our double board-certified plastic surgeon, you will have the opportunity to express what your desired aesthetic outcomes are. Patient goals can vary with the individual. Some patients seek additional volume to accentuate their buttock region, while others opt for achieving a more hourglass body shape. During your consultation, Dr. Coan will both describe and demonstrate what can be achieved to meet your goals. Due to the nature of liposuction and fat transfer, it will take up to 3 months to see the final result. We emphasize the importance of patience to see your ultimate outcome, but we are excited to be with you throughout your entire journey.

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Real Testimonials

Dear Dr. Coan, Heartfelt thanks for your TLC and excellent skills ~ especially your knowledge and appreciation of micro-surgical techniques! Your feedback gave me a lot of confidence and assurance regarding my healing process. I am slowly re-introducing activity, and feeling great. Mary Ann

- Verified Care Plastic Surgery Patient

Everyone here at Care plastic surgery are completely amazing people. They all made me feel very comfortable and safe in their hands. Dr. Coan is an amazing surgeon and does his absolute best to make sure you leave here looking and feeling amazing. -Mary John

- Verified Care Plastic Surgery Patient

Dr. Coan did an AMAZING job on my BBL!

- Verified Care Plastic Surgery Patient

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