1 wk
Back to work for most patients
~2–3 wks
No sitting directly on your buttocks.
~6 mos
Final shape once transferred fat settles
How it works
A BBL is a fat transfer. There is no implant and nothing synthetic, the material is your own tissue, moved from where you do not want it to where you do.
HARVEST
Where the fat comes from
LipoSelection uses ultrasound energy to break up and emulsify fat while leaving nerve tissue, blood vessels, and connective tissue intact. Unlike traditional liposuction it targets fat cells specifically. The usual donor areas are the stomach, hips, waist, and thighs.
REFINE
What happens in between
The harvested fat is processed and refined before it goes anywhere. Sculpting the donor areas is not a side effect, it is half the result, and it is why the figure change reads as more than just the buttocks.
TRANSFER
Where it goes
The refined fat is injected into the upper region of the buttock, which is what creates the lifted appearance. Some of it will naturally be reabsorbed by your body over the following months.
Traditional butt lift or Brazillian
There are several types of butt lift. Which one suits you depends largely on whether you have enough excess fat elsewhere on your body to transfer.
Brazillian butt lift
Fat is harvested, refined, and re-injected. No open incisions, so scarring is virtually non-existent, and it typically achieves subtler, more natural results. The conservative option where you have fat to spare.
- Best for: enough donor fat available
- Incision: none open
- Recovery: shorter
Traditional butt lift
Incisions are made in the treatment area to remove sagging skin or excess fat, then the underlying muscles are repositioned and lifted for a firmer result. The option when you do not have enough fat elsewhere to transfer.
- Best for: not enough donor fat, sagging skin
- Incision: open
- Recovery: longer
Are you a candidate?
The best candidates for a Brazilian butt lift have:
- Buttocks that are flat in appearance, or small or sagging
- A healthy blood supply to the buttocks
- A substantial area available for fat harvesting; without enough donor fat, a BBL is not possible.
- Overall good health
Not enough donor fat?
A BBL needs fat to transfer, and not everyone has enough to spare. If that is you, a traditional butt lift is the alternative; incisions in the treatment area, excess skin and fat removed, and the underlying muscles repositioned and lifted. It asks more of you in recovery, but it does not depend on having fat elsewhere.

What to expect on procedure day
The fat is harvested with LipoSelection from the stomach, hips, waist, or thighs, processed and refined, then injected into the upper region of the buttock. Because some of the transferred fat is naturally reabsorbed, more is injected than the final result requires.
Recovery and results
A BBL asks less downtime than a traditional butt lift, but the restrictions afterward are more demanding than any other procedure here, and they are not optional. Following them is what determines how much of the transferred fat survives.

- FIRST WEEK
Swelling, bruising, and discomfort in the buttocks and in the donor areas where the fat was taken. Mild medication eases the inflammation, which should subside within a week. Short walks around the house stimulate blood flow and encourage healing, but do not overexert yourself. Most patients return to work at about a week. - FIRST 2 WEEKS
Surgical tape holds your buttocks in their new position. You wear it for about two weeks, changing it as instructed, along with compression bandages or garments. - FIRST 3 WEEKS
Do not sit directly on your buttocks. This is the one that matters most; it preserves your results and minimizes how many fat cells your body reabsorbs. Rest in a reclining position whenever possible. - WEEKS 3 TO 4
Regular exercise usually resumes, or when advised. No alcohol or tobacco throughout; both compromise healing. - FIRST 6 WEEKS
Sleep on your stomach. Special cushions are available that reduce pressure on your backside during this period.
Why choose a board-certified surgeon
The surgeon you choose matters more for this procedure than for almost any other. A Brazilian butt lift places fat only in the subcutaneous layer, above the muscle, because injection into or beneath the gluteal muscle risks fat entering the bloodstream. Dr. Pournik’s board certification, his years operating on the abdomen and deep tissue planes, and his conservative approach to technique all work to keep that margin wide.
A BBL carries more risk than most cosmetic procedures, and that’s worth saying plainly. Dr. Pournik reviews your specific risks, your anatomy, and how much fat is safe to transfer at consultation, so you can decide with full, honest information.
WHAT SETS DR. POURNIK APART?
- Board certified by the American Board of Surgery
- Approximately 1,800 cosmetic procedures during fellowship at one of the country’s highest-volume body contouring centers
- Twelve years of transplant surgery and deep abdominal anatomy experience
- Staged approach to complex cases, prioritizing safety over doing everything at once

Combining with other procedures
A BBL already includes liposuction; the fat has to come from somewhere, and the donor areas get sculpted in the process. That means love handles or a flatter tummy can be part of the same operation, which tends to make the overall change read as more dramatic than the buttocks alone would. Some patients pair it with breast augmentation or a tummy tuck.
- Liposuction
- Breast Augmentation
- Tummy Tuck

WHY CHOOSE DR. POURNIK
Homayoun Pournik, MD
- Fellowship-Trained Cosmetic Surgeon
For twelve years, Dr. Pournik performed some of the most technically demanding surgery in modern medicine, such as removing kidneys from living donors with robotic precision and transplanting them into patients whose lives depended on it. He completed around 300 organ transplants and became the first surgeon to perform robotic kidney transplant in both California and North Carolina.
That precision is what he now brings to cosmetic surgery. His fellowship, through the American Academy of Cosmetic Surgery at one of the country’s highest-volume body contouring centers, took in roughly 1,800 procedures in a single year such as breast augmentation, lift, and reduction among them, including refinements for asymmetry and post-weight-loss reconstruction.
“It’s very hard to scare me in the operating room, because I’ve taken the engine out and put it back in.”
He asks every patient the same question at every follow-up, day one, one week, six months out. Are you happy? “Nobody knows their body better than the patient,” he says. “I see them for five minutes. They’re seeing themselves for the rest of their life.”
BOARD CERTIFICATIONS & AFFILIATIONS

REAL PATIENTS
Before & After
CONTACT US
Start with a consultation
A consultation is where you find out whether a BBL suits you, whether you have enough donor fat, whether your goals are achievable, and what the recovery will genuinely ask of you. Bring your questions about technique. They are the right ones to ask.
Frequently asked questions
The most common donor areas are the stomach, hips, waist, and thighs. LipoSelection harvests it using ultrasound energy, which breaks up and emulsifies fat while leaving nerve tissue, blood vessels, and connective tissue intact.
About three weeks. Avoiding sitting directly on your buttocks preserves your results and minimizes how many fat cells your body reabsorbs. Rest in a reclining position whenever possible, and sleep on your stomach for about six weeks — special cushions are available to reduce pressure during that period.
Usually about a week. Regular exercise typically resumes at three to four weeks.
No. Some of the re-injected fat is naturally reabsorbed by your body, which is why more is transferred than the final result needs. How closely you follow the post-op restrictions affects how much survives.
Possibly not. A BBL needs a substantial area available for fat harvesting. Without enough donor fat, a traditional butt lift is the alternative.
No. Because the fat is your own tissue rather than an implant or a filler, there is no chance of an allergic reaction.
(501) 224-1044

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