• Anesthesia:
    General / local
  • Duration:
    2-3 hours
  • Pain level:
  • Recovery time:
    7 to 14 days
  • Resuming physical activities:
    3 months

Brazilian buttock lift at Phi Plastic Surgery is a procedure to augment the buttock region and to enhance an hourglass body figure. It can be performed under general anesthetic as outpatient surgery or under local anesthesia with sedation. Fat is first harvested through liposuction of other body regions, most commonly the abdomen, flanks and thighs. The aspirated fat is carefully prepared and then injected into the buttocks to create a full and round contour. The procedure uses the patient’s own fatty tissue exclusively and eliminates the need for implants.

Patients must wear a compression garment post-operatively for six weeks to reduce swelling and expedite healing. They may generally return to work within 1-2 weeks. Sitting and lying on one’s back should be minimized over the first six weeks following the Brazilian buttock lift. Exercise and strenuous activity are avoided for 3 months to allow the new fat to settle.

Patients who are good candidates for this procedure

  • Are at a stable and healthy weight
  • Have no significant medical problems
  • Non-smokers
  • Not on blood thinners
  • Have a healthy amount of fat that can be removed from other areas of the body

Patients who are poor candidates for this procedure

  • Obese (want or need to lose weight)
  • Smoker
  • Have serious medical problems
  • On blood thinners

Are you a good candidate?

Our Self Evaluation Quiz can help you decide if a Brazilian Butt Lift is the right procedure for you.

Technique for Brazilian Butt Lift

A Brazilian butt lift surgery uses fat grafting to achieve its natural-appearing results. The procedure can be performed under general anesthesia or local anesthesia with sedation, and patients go home the same day.

During surgery, Dr. Perry Gdalevitch will use liposuction to remove fat from other areas of your body, such as your flancs, stomach, and thighs. Liposuction involves making tiny incisions in the skin and then using a vacuum suction tube and a cannula to remove fat from the body.

The fat cells that have been removed from your body are purified and prepared for injection into your buttocks. Dr. Gdalevitch finishes by injecting the purified fat into specific areas of the hips and buttocks to create a more rounded, full look.

At Phi Plastic Surgery, we believe that a beautiful body can take many shapes and sizes. The Phi philosophy centers on respecting your body's proportions and helping you let your inner beauty shine.

We offer our patients the best, most advanced techniques to help them achieve their aesthetic goals.

Pre-op & post-op instructions

These pre-surgical and post-surgical instructions are provided as essential services for you. Please follow the instructions carefully to ensure optimum results. If there are instructions that need to be clarified, please feel free to contact our office as soon as possible. If some instructions are not followed, your surgery could be delayed if deemed necessary by your surgeon.


ONE MONTH before your surgery

  • Stop using contraceptive pills or hormone therapy.
  • A pre-operative visit (if necessary) approximately one month before your surgery will be scheduled to review your goals and provide you with additional information regarding your surgery.

THREE WEEKS before your surgery

  • Stop all consumption of collagen
  • Complete your preoperative tests. Be sure to complete all prescribed pre-operative tests (ECG blood tests, etc.). If all medical results and clearances of your tests are not received on time, your surgery may be delayed.
  • Prepare your surgery date: Plan to ensure a stress-free experience. Arrange your work leave and special assistance to help you with ride home. Prepare your return by organizing meals, delivery, babysitting, etc. Make sure you have someone scheduled to accompany you home after your surgery. Someone should also be on-call to help you during the first 24 hours after your surgery.

TWO WEEKS before your surgery

  • Stop the consumption of anti-inflammatory drugs.
  • A preoperative visit (if necessary), approximately two weeks before your surgery, will be scheduled to review your goals and provide you with additional information regarding your surgery.

SEVEN DAYS before your surgery

  • Stop taking any supplements or medications from the list below. These products can increase the risk of bleeding and other complications. Stop consuming any non-prescribed supplements including: Omega 3-6, nutricap, echinacea, glucosamine, fat burners, St. John’s wort. Aspirin, drugs containing aspirin or any anticoagulants such as arixtra pf, clopidogrel, plavix, coumadin, dalteparin, edoxaban, eliquis, apixaban, enoxaparin, fragmin pfsyringe, lepirudin, padaxa, dabigatran etexilate, xarelto, rivaroxaban.
  • Confirm your surgical support plan: This includes your transportation and post-surgical care, including an adult family member or a friend on-call for your support, 24 hours after your surgery.
  • Purchase any prescription provided by Dr. Gdalevitch (If applicable) and revise your pre-surgical instructions.

The day BEFORE your surgery

Prepare a bag. It should include:

  • All necessary papers
  • Your identification (RAMQ card)
  • Prescription Drugs
  • Glasses if necessary
  • Confirm the person who will assist you for the first 24 hours after surgery.
  • Take a shower. Use a non-perfumed soap. Wash your hair. Do not put cream or lotions. Do not put deodorants, hair products, perfumes, or makeup.
  • Remove any nail varnish (even if transparent) from your hands and feet, including shellac, resin, gel or acrylic. All this reduces the risk of post-surgical infections and nails are monitored for blood circulation.
  • Do not eat anything or drink any dark liquids for 8 hours before your surgery. Do not drink any light liquids 6 hours before your surgery. Anything you eat can cause cancellation of your surgery and increase the risks associated with surgery and anaesthesia. This includes sweets, mints, chewing gum, tea or coffee. You can take a very small amount of water after brushing your teeth or taking medication.
  • Relax. Enjoy a good night’s sleep and avoid stress.


  • If you wish to have oral sedation, do not eat or drink 4 hours before the surgery. Present yourself at the time confirmed to you by a staff member one week before.
  • Do not train before surgery.
  • Please bring your medications which have been prescribed to you in a bag as above.
  • Please bring your compression socks if they have been prescribed to you.
  • Do not wear any make-up, jewellery, contact lenses, hairpin or piercings: during surgery, an electric cautery is used, any piercing or jewellery can cause burns.
  • Wear light and comfortable clothing. Wear a top that opens forward. Do not wear a sweater, turtleneck or tight clothing. You can wear a skirt, but pants and a jogging jacket are ideal. Flat shoes should be worn that are easy to put on and remove (no heels). A lip balm is recommended.

post-op instructions

When you get home

You can expect to have some pain in the buttock as well as in the areas of liposuction. You should not sit on your buttocks.

To help you rest comfortably, follow these instructions:

  1. Take extra-strength Tylenol every 4 hours
  2. Take an anti-nausea medication such as Gravol 30 minutes before taking your prescribed pain medication
  3. Take your pain medication as prescribed
  4. Take your antibiotics as prescribed
  5. Try and rest by lying on your stomach
  6. Keep your garment in place
  7. Drink a lot of fluids

Contact us immediately if you experience any of the following:

  • Pain that is not controlled by the pain medication
  • Difficulty breathing
  • A fever of greater than 38.5
  • Severe nausea or vomiting
  • Hallucinations or incoherent behaviour
  • Pain or swelling of one calf
  • Excessive bleeding through your dressing
  • Incapable of urinating

The day after surgery

  • Your pain will start to dissipate after 48 hours
  • Avoid staying in bed all day, but you must avoid sitting on your buttock
  • Avoid strenuous activities
  • It is normal for the incisions to leak a reddish fluid (like cranberry juice) for 48 hours and this may stain your bed sheets.

Healing and follow up

  • Your buttocks will not be fully healed for 8 weeks
  • You will need to avoid sitting as much as possible and sit on a donut when necessary for 1 month
  • Exercise is not permitted until 3 months after surgery to prevent loss of the fat graft
  • You should be resting for at least 1 week after surgery and gradually regain daily activities after that with the exception of strenuous leg activities or exercise

Your results

During the first week, Dr. Gdalevitch will instruct you to wear a compression garment for the areas treated with liposuction to minimize swelling and fluid retention. By weeks 2-3, the pain and tenderness should subside dramatically. By week six, most of the discomfort and pain has subsided.

A Brazilian Butt Lift will help you obtain a rounder, lifted buttock and will accomplish the following:

  1. Sculpting of other body areas
  2. Increased projection and shape of the buttocks
  3. A more defined figure and curvy silhouette
  4. Increase self-confidence that comes with the enhanced buttocks shape

The end result is a rounder, more shapely and contoured buttocks.

If you want to increased projection and re-shape the buttocks area, then a Brazilian butt lift at Phi Plastic Surgery can be a great option for you.

Book a consultation with Dr. Perry Gdalevitch to discuss your goals.

View most frequently asked questions

What is a BBL?

A BBL, Brazilian butt lift, is an immensely popular procedure known as butt augmentation to enhance the firmness and fullness of your buttocks.

Can I sit after BBL surgery?

Giving your fat cells the best opportunity to establish blood supply is essential. BBL patients generally avoid direct sitting from 2 to 4 weeks; some take longer. With the help of pillows or supportive cut-outs, patients are recommended to sit with their weight on their thighs to avoid any direct pressure on their buttocks.

How many litres of fat can be removed in BBL surgery?

4 to 5 litres of fat can be removed safely by liposuction during surgery, while more than 5 litres is not considered safe in one surgery. The amount of fat removed will depend on the patient and their body goals.

How long is the recovery for Brazilian butt lift surgery?

The recovery process is usually a few weeks. For the first week, bruising and swelling are common in both the buttocks and the area where the fat was removed. Patients should avoid sitting on their bottoms for about three weeks after the procedure. However, the recovery timeline depends on the individual patient, how much fat he or she has grafted, and other factors that Dr. Perry will discuss.

If I lose weight after the surgery, will my buttock size decrease?

Changes in your weight should not significantly change the size of your buttock unless the decrease in weight is dramatic, just like regular fat.

How much does the procedure cost?

Buttock augmentation with fat grafting (brazilian buttlift)

$15,000 - $19,000

For a more beautiful and proportional you!

φ Phi is the Greek symbol that indicates the golden ratio, a ratio that is synonymous with beauty.

Dr. Perry Gdalevitch offers a unique approach that involves applying the principles of perfect proportions (phi) to help you achieve your aesthetic and reconstructive goals.

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