Dr. de Clermont-TonnerrePlastic Surgeon

Paris 16th & Pontoise (95)

Brazilian Butt Lift

BBL — Buttock Augmentation by Fat Transfer — Paris 16th & Pontoise

The Brazilian Butt Lift (BBL) is a surgical technique that augments and reshapes the buttocks using your own fat, harvested by liposuction from donor areas. With no implants or foreign body, the result is natural in both feel and appearance. Performed in Paris 16th and Pontoise by Dr. de Clermont-Tonnerre, following the strictest safety protocols. International patients are warmly welcomed.

Book a Consultation

Safety — A word on BBL technique

Dr. de Clermont-Tonnerre performs BBL exclusively using superficial subcutaneous fat injection, in strict accordance with the 2019 ISAPS international safety task force guidelines. Fat is never injected into the gluteal muscle or deep planes, eliminating the primary risk of fat embolism. This approach ensures maximum safety without compromising results.

Step by step

How the procedure works

01

Consultation and assessment

Evaluation of your morphology, available donor areas and expected result. Discussion of expectations and anatomical limitations.

02

Liposuction of donor areas

Fat aspiration from excess areas (abdomen, flanks, back, thighs) using tumescent technique.

03

Fat purification

Centrifugation and purification of aspirated fat to select viable fat cells.

04

Injection into the buttocks

Injection of purified fat in multiple layers in the subcutaneous planes of the buttocks (exclusively superficial injection for safety).

05

Post-operative follow-up

Compression garment for 4 to 6 weeks. Avoid sitting directly on the buttocks for 4 to 6 weeks (use of BBL cushions).

At a glance

Duration
2 to 4 hours
Anaesthesia
General
Hospitalisation
1 night
Time off work
10 to 14 days
Sitting
Avoided for 4 to 6 weeks
Final result
At 6 months

Benefits

  • Autologous fat: no implants or foreign body
  • Double benefit: liposuction + buttock augmentation
  • Natural result in feel and appearance
  • Global silhouette reshaping
  • Minimal scarring
  • Lasting improvement of the figure

Risks

  • Fat embolism (rare but serious risk, prevented by superficial technique)
  • Partial resorption of injected fat (30 to 40%)
  • Surface irregularities
  • Haematoma or seroma
  • Insufficient result if fat reserves are inadequate
  • Recurrence if significant post-op weight loss

Insurance & Reimbursement

The Brazilian Butt Lift is a cosmetic procedure. It is not reimbursedby the French health system and remains entirely the patient's responsibility.

Expected Results

A BBL delivers a global silhouette reshaping: donor areas are refined by liposuction whilst the buttocks gain volume and definition. The result is natural, long-lasting, and improves as the fat integrates definitively (3 to 6 months).

Résultats

Avant / Après

Brazilian Butt Lift (BBL)

Photos de patients du Dr. de Clermont-Tonnerre, partagées avec leur accord. Les résultats varient selon les individus et leur morphologie.

Brazilian Butt Lift (BBL) before and after — Dr. de Clermont-Tonnerre Paris

Frequently Asked Questions

What is a Brazilian Butt Lift (BBL)?+
A Brazilian Butt Lift (BBL) is a surgical technique that augments and reshapes the buttocks using your own fat. It combines liposuction from donor areas (abdomen, flanks, thighs) with fat grafting to the buttocks. The key advantage is the absence of any foreign body, delivering a result that is natural both in appearance and feel.
Is a BBL safe? What are the specific risks?+
A BBL is a procedure that demands specific expertise. The principal risk is pulmonary fat embolism, potentially serious, if fat is injected into deep planes. To minimise this risk, Dr. de Clermont-Tonnerre injects fat exclusively in the superficial subcutaneous planes, in strict accordance with international safety guidelines (ISAPS, 2019). Rigorous patient selection and precise technique are essential.
How much fat survives after a BBL?+
Approximately 60 to 80% of injected fat survives long-term. The remainder is naturally reabsorbed by the body over the first 3 to 6 months. The surgeon therefore injects a slightly larger volume than desired in order to anticipate this resorption.
How much fat is needed to perform a BBL?+
Sufficient fat reserves in the donor areas are essential. In general, at least 500 to 800 ml of fat must be aspirated to achieve a meaningful result. The surgeon assesses during the consultation whether your morphology allows the procedure to be performed under optimal conditions.
Can you sit normally after a BBL?+
No, it is recommended not to sit directly on the buttocks for 4 to 6 weeks to allow the transferred fat to integrate correctly. Specially designed BBL cushions allow you to sit on your thighs rather than on the buttocks during this period.
What is the difference between a BBL and buttock implants?+
A BBL uses your own fat (autologous lipofilling), with no foreign body. It delivers a highly natural result in both appearance and feel, and simultaneously reshapes the donor areas. Buttock implants, by contrast, use solid silicone prostheses placed within the gluteus maximus muscle. They are indicated when the patient has insufficient fat reserves or desires a greater volume. Both techniques can be combined.
Who are the ideal candidates for a BBL?+
The best candidates for a BBL are people with flat or poorly defined buttocks, and sufficient fat reserves in the donor areas (abdomen, flanks, thighs). A stable weight for at least 6 months, good general health and realistic expectations are essential. Patients who are very slim or whose BMI is below 20 generally do not have enough fat for this procedure.
Are the results of a BBL permanent?+
Results are long-lasting once the resorption period has passed (3 to 6 months). The permanently integrated fat behaves like normal adipose tissue: it fluctuates with weight changes. Weight gain may increase buttock volume; weight loss may reduce it. At a stable weight, the result is durable.
What is the recovery time after a BBL?+
Time off work is 10 to 14 days for a sedentary job. The main constraint is avoiding sitting directly on the buttocks for 4 to 6 weeks. Driving is also inadvisable during this period. Return to sport is permitted after 6 to 8 weeks. The final result is visible at 6 months.
What is the fat survival rate after a BBL?+
On average, 50 to 60% of injected fat integrates permanently. The remainder is progressively reabsorbed over 3 to 6 months. This rate varies depending on surgical technique, graft quality, strict adherence to post-operative instructions (no sitting directly on the buttocks) and patient factors (smoking, diabetes). The surgeon therefore injects a slightly larger volume than expected to compensate for natural resorption.

Patient Testimonials

★★★★★

“I always had narrow hips and little definition. The BBL with Dr. de Clermont-Tonnerre completely transformed my figure. The result is very natural and I love my new shape. Follow-up was excellent.”

Anaïs

★★★★★

“Recovery is a little restrictive (no sitting), but the result is absolutely worth it. At 4 months my buttocks are rounded and natural. The surgeon was very professional and explained all the risks clearly.”

Inès

★★★★★

“I was worried about BBL risks, but Dr. de Clermont-Tonnerre reassured me about the safety techniques used. The operation went perfectly. I am delighted with the shape achieved and the overall reshaping of my silhouette.”

Fatima

⭐ View all Google reviews

See also

Body surgery — all proceduresLiposuction / HD LipoTummy TuckBody LiftThigh LiftArm LiftButtock ImplantsFees & pricing
Book on DoctolibView fees