Brazilian butt lift (BBL): everything you need to know about body contouring

KEIT Day Hospital has 3 operating theatres, 2 inpatient wards with 10 rooms and 20 beds, an in-house laboratory, and a postoperative resuscitation room, allowing the entire surgical process to be organised within the same facility.
The operating theatres are equipped with ventilation systems featuring HEPA filters, laminar airflow above the operating table, and positive air pressure. These technologies help control air quality and reduce the risk of contamination in the surgical environment. The facilities also include electric operating tables, Surgiris LED surgical lighting systems, Karl Storz surgical instruments, and modern equipment for monitoring patients' vital signs.
The inpatient rooms are also designed to support patient safety and care during recovery. In addition to centralised oxygen supply and medical suction systems, they feature three alarm systems: a bedside device, a portable wrist-worn device, and intelligent sensors integrated into the bed and room environment. These systems alert healthcare staff when a patient requires assistance or when a situation requiring assessment is detected.

KEIT Day Hospital works with an international team of approximately 30 surgeons, including 27 Italian surgeons, specialising in plastic surgery, otolaryngology, and oral and maxillofacial surgery. A distinguishing feature of the clinic's organisation is the selection of surgeons according to their specialisation and experience in the specific procedure. For particularly complex operations, surgical teams consisting of two or more surgeons may be assembled.
For BBL, surgeon selection must take into account specific experience in liposuction and autologous fat transfer to the gluteal region. Surgical planning includes assessing fat distribution, the amount of available fat, skin quality, and the proportions between the waist, hips, and buttocks. The objective is to identify the areas to be treated with liposuction and determine the volume of fat that can be transferred safely, avoiding excessive correction and aiming for a result proportionate to the patient's body structure.
An essential aspect of BBL safety is placing fat exclusively within the subcutaneous tissue, avoiding injection into or beneath the gluteal muscle. Safety recommendations for this procedure also call for the use of real-time intraoperative ultrasound to monitor cannula positioning during fat injection. The actual availability and use of this technology must be verified against the surgical protocol adopted by the facility.
The surgeons at KEIT Day Hospital regularly attend international congresses, training courses, and conferences to update their professional knowledge and stay informed about scientific developments and surgical techniques within their respective specialities.

At KEIT Day Hospital, preparation for Brazilian Butt Lift involves a structured medical assessment process. According to the clinic's protocol, every patient undergoes at least two consultations with the surgeon, an anaesthesiology assessment, a cardiology assessment, blood and urine tests, and an electrocardiogram (ECG). These examinations are coordinated within the facility, which has an in-house laboratory for preoperative testing.
These assessments allow the medical team to evaluate the patient's overall health, identify potential risk factors, and determine their suitability for surgery and anaesthesia. For BBL, particular attention is paid to body weight stability, body mass index (BMI), the amount of fat available in donor areas, and factors that may increase the risk of complications, such as smoking, certain cardiovascular conditions, previous thromboembolic events, or coagulation disorders. The extent of the planned liposuction and the amount of adipose tissue that can be harvested and transferred without compromising safety are also assessed.
This approach allows BBL to be planned by considering not only aesthetic goals but also anatomical characteristics, procedural limitations, and individual medical conditions. When the desired volume cannot be achieved safely, the surgical plan must be adjusted to the patient's actual anatomical and clinical possibilities.

KEIT Day Hospital follows infection control protocols developed in collaboration with specialists in infectious diseases and microbiology, with organised inspections of clinical environments and sterilisation processes. Air filtration systems undergo regular maintenance and replacement, while operating theatres are cleaned and disinfected after every procedure.
During surgery, sterile single-use surgical kits and fluid-resistant materials are used to help maintain a sterile operating field. Disposable materials carry identification labels containing information about manufacturing, expiry dates, and traceability, which is recorded in the patient's medical documentation.
Surgical instruments are cleaned and sterilised after each use, following documented procedures supported by records from the equipment used. This system enables sterilisation processes to be verified and traced. The clinic also conducts periodic microbiological testing of its environments and follows antibiotic prophylaxis protocols when indicated by the medical assessment.
Together, these measures, from the management of sterile materials to sterilisation traceability and microbiological monitoring, form an essential part of the procedures adopted by KEIT Day Hospital to reduce the risk of surgical infections.

Preparedness
At KEIT Day Hospital, surgical procedures requiring general anaesthesia are performed, according to the clinic's protocol, using TIVA (Total Intravenous Anaesthesia), a technique based on the intravenous administration of anaesthetic medications. This technique may support recovery from anaesthesia and help reduce postoperative nausea and vomiting, depending on the patient's characteristics and the anaesthetic protocol used. Brazilian Butt Lift is generally performed under general anaesthesia, with an anaesthetic plan tailored to the duration of surgery, the extent of liposuction, and fluid management during the procedure.
During surgery, the anaesthesia team continuously monitors the patient's vital signs using General Electric equipment available in all three operating theatres. The facility also has centralised systems for oxygen distribution, compressed air, and medical suction, as well as equipment for difficult airway management, cardiac defibrillators, emergency medications, and backup power and medical gas supply systems.
To manage potential emergencies, KEIT Day Hospital has a postoperative resuscitation room equipped with a ventilator, multiparameter monitors, a defibrillator, intravenous infusion pumps, and other equipment for supporting vital functions. According to the clinic's reported history, this room has not yet been used to treat major complications, but it remains equipped and ready for use in the event of unforeseen circumstances.
In BBL procedures, emergency preparedness is particularly important because of the risk of pulmonary fat embolism, a rare but potentially fatal complication. Prevention requires appropriate fat injection techniques and specific monitoring during fat transfer, as well as an established pathway for immediate emergency management and transfer to an intensive care unit when necessary.

At KEIT Day Hospital, patient care continues after the surgical procedure has been completed. Patients generally spend one night at the hospital, during which they are monitored and cared for by healthcare staff. In particular circumstances, the hospital stay may be extended according to clinical needs.
After discharge, each patient is supported by four professionals: a coordinator, a nurse responsible for dressings and wound care, a doctor, and the operating surgeon. Follow-up appointments are generally scheduled at 1, 3, 6, and 12 months after surgery, allowing the medical team to monitor healing, identify potential problems, and assess how the surgical result develops over time.
For BBL, follow-up care includes assessing the areas treated with liposuction, swelling, the healing of small incisions, and changes in buttock volume following fat transfer. The surgeon also monitors potential body contour irregularities, asymmetries, or fluid collections and provides instructions on wearing compression garments, maintaining appropriate resting positions, and gradually resuming daily activities and physical exercise. Recommendations regarding direct pressure on the buttocks are personalised according to the technique used and the progress of healing. For international patients, care may continue after they return to their home country through communication with the medical team and follow-up appointments arranged according to individual needs.
KEIT Day Hospital also provides patients with an emergency contact number, available 24 hours a day, 7 days a week, to request assistance if needed after surgery.

One of the defining features of the services provided at KEIT Day Hospital is the emphasis on transparency and documentation throughout the surgical process. A complete medical record is prepared for every procedure, documenting preoperative assessments, the operation performed, the surgical techniques used, and information relating to postoperative recovery.
The clinic also uses photographic documentation taken before and after surgery to monitor the development of surgical results, in accordance with personal data protection requirements and medical confidentiality. Each patient receives a service contract, an official invoice, and an informed consent form, which is sent before surgery to allow sufficient time to review information about the procedure, potential risks, benefits, and alternative treatment options.
KEIT Day Hospital also provides an Official Guarantee Certificate, which defines the clinic's responsibilities and the conditions under which expenses may be covered in the event of complications during or after surgery, as specified in the document. The specific guarantee conditions are communicated to the patient before the operation, allowing them to understand the applicable terms and limitations of coverage in advance.