BBL.
Pick your Edit.
The Brazilian Butt Lift in three Edits: Mini, Main and Max.

Where we
work.
Buttocks and hips, using fat from another area.
Mini. Main.
Max.
Three BBL Edits. Your surgeon will help you choose the one that fits your goals.
- What it is
- [Definition from Dr. Spivak]
- What's included
- [To be provided]
- Price
- [To be provided]
- What it is
- [Definition from Dr. Spivak]
- What's included
- [To be provided]
- Price
- [To be provided]
- What it is
- [Definition from Dr. Spivak]
- What's included
- [To be provided]
- Price
- [To be provided]
Before
After
Before
After
Before
AfterReal
questions.
How do you prevent fat embolism?
We only place fat in the layer above the gluteal muscle, never in or below it. Because you're awake, the muscle isn't paralyzed and gives natural resistance. We also use blunt-tipped cannulas and a controlled injection system.
To date, we have had no fat embolisms.
Do you use ultrasound during a BBL?
No. There's no solid evidence that ultrasound guidance makes a BBL safer when experienced surgeons use proper technique. Constant imaging while injecting isn't practical. We rely on proven, research-based technique and awake patients instead.
Can I do a BBL and Reals™ at the same time?
Usually not. About 30% of transferred fat is naturally reabsorbed, so we place extra in each area. Very few people have enough fat for both at once.
Recovery also conflicts: after Reals™ you sleep on your back, and after a BBL you stay off it. We recommend two separate procedures so each area gets the best result. Your surgeon will advise on your situation.
I've had butt injections before. Can I get a BBL?
It depends on what was injected. If it was illegal silicone (sometimes called “biogel”), we can't do a BBL, because working near silicone carries a serious infection risk.
If it was Sculptra®, an FDA-approved filler, we can, after waiting about 4 weeks from your last session. Always tell us your full history.
I have butt implants. Can you add fat?
No. A cannula could puncture the implant, and adding fat around it raises infection risk. If you want more volume, the safer path is removing the implants first.
Can I get a BBL while I'm breastfeeding?
Yes, with a little planning. Pump and store extra milk for 4–5 days before surgery. Afterward, pump and discard your milk for about 4 days while the medication clears your system.
You can breastfeed again from day 5.
Will it help with cellulite?
Often, as a side effect. As the skin tightens around your new shape, cellulite can look smoother. It isn't guaranteed, but many patients are pleasantly surprised.
What does it cost?
Our Core package is $15,000. With the Heartfelt November discount, you can now sign up for $11,995. Your package includes All-Around Abs™ and your choice of BBL or Reals™. Extra areas are priced as add-ons. See every price. Your consultant confirms your exact quote.

