A Brazilian butt lift is a body contouring procedure that combines Lipo 360, liposuction of the abdomen, flanks, and back, with transfer of your own purified fat to the buttocks. Narrowing the waist and adding volume and projection to the buttocks together create the curve. Dr. Khaled O. Alameddine performs BBL surgery in Coral Gables, Miami.

A Brazilian butt lift with Dr. Khaled O. Alameddine in Coral Gables, Miami, starts at $12,500. The price includes Lipo 360, the fat transfer, the surgeon’s fee, anesthesia, facility fees, and two postoperative garments when needed. The $250 surgeon consultation is credited toward your procedure.

Every surgery carries risk. The most serious BBL complication, fat entering large veins (fat embolism), is linked to fat injected into or beneath the gluteal muscle. Safety therefore depends on keeping fat in the layer above the muscle. Dr. Khaled O. Alameddine places fat only above the muscle using ultrasound guidance, personally performs the fat removal and transfer, operates on one patient at a time, and works in a QUAD A–accredited surgery center.

Under Florida Statute 458.328, a surgeon performing gluteal fat grafting in an office surgery setting must examine the patient in person no later than the day before surgery, personally perform the fat extraction and injection, inject fat only into the subcutaneous space above the gluteal muscle, use ultrasound guidance while placing the fat, and maintain one physician per patient, never starting another procedure at the same time. Dr. Khaled O. Alameddine follows each of these standards.

Ultrasound lets the surgeon see the tip of the cannula in real time and confirm that fat is placed in the subcutaneous layer, above the fascia covering the gluteal muscle. Florida law requires ultrasound or equivalent guidance during gluteal fat injection in office surgery settings, and Dr. Alameddine uses it for every BBL.

Ask whether fat is placed only above the muscle, whether ultrasound guidance is used, whether the surgeon personally performs the fat transfer, whether they operate on only one patient at a time, whether the facility is accredited, and whether you will be examined in person before surgery. Also ask about their plastic surgery training. Dr. Khaled O. Alameddine is a Mayo Clinic–trained plastic surgeon who can answer yes to each of these.

Some transferred fat is naturally reabsorbed during the first few months. The fat that survives becomes part of your own tissue and can last long term, although it changes with weight gain or loss like fat elsewhere in the body. Keeping a stable weight helps maintain the result.

Not all transferred fat survives, and the amount varies between patients depending on technique, the fat itself, and healing. Because of this, the final shape is judged after swelling has resolved, usually over several months. Dr. Alameddine discusses realistic volume and projection for your body at consultation.

Direct, prolonged pressure on the buttocks is limited for a period after surgery to protect the transferred fat. Dr. Alameddine gives you specific instructions for sitting, sleeping, and travel, including when and how to sit as you recover.

Expect soreness, swelling, and bruising mainly in the liposuction areas, with a compression garment worn as instructed. Many patients return to desk work in about two weeks with sitting precautions, and exercise resumes gradually after clearance. Swelling continues to settle over several months as the final shape emerges.

A “skinny BBL” is an informal term for a Brazilian butt lift in a slimmer patient, using a smaller volume of fat for a subtle, natural enhancement. Because the fat comes from your own body, the amount available limits how much can be transferred, which Dr. Alameddine assesses at consultation. Pricing starts at $12,500.

Good candidates are in good health, at a stable weight, do not smoke, have enough fat to harvest from the waist, flanks, or back, and want a natural-looking enhancement. If you have very little fat to spare, Dr. Alameddine may suggest Lipo 360 alone or a different plan. A consultation confirms what is realistic for your body.

Lipo 360 sculpts the waist, flanks, and back, and on its own can create a smaller, more defined midsection. A BBL adds fat transfer to the buttocks for projection and curve. With Dr. Alameddine, Lipo 360 starts at $9,500, or $8,500 awake, and a BBL starts at $12,500.

Fat transfer can often soften hip dips by adding volume to the indented area at the side of the hips, either as part of a BBL or with Lipo 360 and fat transfer to the hips, which starts at $11,500 with Dr. Alameddine. Bone structure also shapes the hips, so results vary.

They are different procedures. A BBL uses your own fat, slims the donor areas, and gives a natural feel, but volume is limited by the fat available. Buttock implants are a separate procedure that is not on Dr. Alameddine’s published price list; ask at your consultation if you are considering them.

Sometimes. Combining procedures can mean one recovery, but it also increases operating time and recovery demands, so Dr. Alameddine recommends combinations only when they are safe for your health. Combined plans are quoted individually after consultation.

Transferred fat behaves like the rest of your body fat, so weight gain can enlarge the buttocks along with other areas, and weight loss can reduce them. Reaching a stable weight before surgery and maintaining it afterward gives the most predictable result.

A BBL uses small liposuction incisions, typically a few millimeters long, placed discreetly where possible, often in natural creases or areas covered by underwear. They usually fade over time, although every incision leaves a mark.

Risks include bleeding, infection, fluid collections, contour irregularities, asymmetry, fat reabsorption, numbness, blood clots, anesthesia-related complications, and, rarely, fat embolism, which is why fat is placed only above the muscle under ultrasound guidance. Dr. Alameddine reviews your individual risks and prevention plan before surgery.

Yes. Patients can start with a $250 virtual consultation with Dr. Khaled O. Alameddine, credited toward the procedure, though Florida law requires an in-person examination no later than the day before surgery. Belma, the patient coordinator, helps plan the stay, recommending nearby hotels, airport pickup, overnight nurses, and lymphatic massage therapists, and Dr. Alameddine advises when it is safe to fly home.

Choose a surgeon with plastic surgery training who follows Florida’s BBL safety standards: fat placed only above the muscle, ultrasound guidance, the surgeon personally performing the fat transfer, one patient at a time, and an accredited facility. Dr. Khaled O. Alameddine is a Mayo Clinic–trained, board-eligible plastic surgeon with a UT Southwestern aesthetic fellowship who meets each of these standards in Coral Gables, Miami.

Dr. Khaled O. Alameddine performs Brazilian butt lifts at Alameddine Plastic Surgery, 2903 Salzedo Street, Coral Gables, FL 33134, near Miami, in a QUAD A–accredited surgery center. He speaks English, French, and Arabic, and the office can be reached at (305) 501-0040.