Dr. Bruno combines advanced liposuction with precise fat transfer to deliver natural, lasting BBL results for West Hollywood patients. His board certification, personalized approach, and specialized technique enable 70% of transferred fat cells to remain permanently, providing you with the curvier, proportionate silhouette you desire while prioritizing your safety and satisfaction.

What Is a Brazilian Butt Lift?
A Brazilian Butt Lift (BBL) uses your own body fat to enhance your buttocks naturally. Unlike implants, this dual procedure combines:
Liposuction from problem areas (abdomen, thighs, flanks)
Fat transfer to sculpt and enhance your buttocks
Body contouring for improved overall proportions
Is a BBL Right For You?
The ideal BMI for a Brazilian Butt Lift is typically between 22 and 30, with most surgeons preferring this range because it ensures sufficient fat availability for transfer while minimizing surgical risks.
Essential Requirements:
Good overall health with medical clearance
Realistic expectations for results
Follow post-op instructions (no sitting pressure for 2 weeks)
Non-smoker (or quit 2-4 weeks before/after surgery)
Sufficient fat for harvesting
Good psychological health
A BBL is ideal if you’re seeking natural enhancement, have adequate donor fat areas, and want to improve your body proportions using your own transferred fat rather than artificial implants.
Options for Patients with Limited Body Fat
Don’t have enough fat for a traditional BBL? You still have excellent enhancement options.
Strategic Weight Gain Approach: If you’re close to having adequate fat stores, Dr. Bruno may recommend gaining 5-10 pounds in a healthy, controlled manner. This modest weight increase can provide the necessary fat volume for a successful Brazilian Butt Lift while maintaining your overall health and proportions.
Alternative Enhancement Solutions: For patients with extremely low body fat, silicone butt implants offer dramatic results with a predictable outcome. These FDA-approved implants can create the fuller, rounder silhouette you desire when natural fat transfer isn’t viable.
Hybrid Technique: Dr. Bruno also offers a combination approach that maximizes your available fat through micro-liposuction while supplementing with strategically placed implants. This hybrid technique allows you to benefit from some natural fat enhancement while achieving your desired volume and shape.
During your consultation, Dr. Bruno will assess your unique anatomy and goals to recommend the most effective approach for your body type, ensuring you achieve beautiful, natural-looking results regardless of your starting point.
How Does a Brazilian Butt Lift Work?
Step 1: Fat Harvesting
Dr. Bruno performs gentle liposuction on donor areas:
Abdomen – removes stubborn belly fat
Thighs – eliminates inner/outer thigh deposits
Flanks – targets love handles
Step 2: Fat Processing
Harvested fat is carefully filtered and prepared to maximize cell survival for optimal, long-lasting results.
Step 3: Strategic Injection
Fat is precisely injected into the gluteal muscles, distributed throughout the upper and lower buttocks for natural shape and fullness.
Surgery Details:
Recovery: Same-day discharge*
Duration: 2-3 hours
Anesthesia: General anesthesia
Dr. William Bruno
BOARD CERTIFIED PLASTIC SURGEON
There’s so much more to being a great surgeon than just board certification. Not only is Dr. Bruno board-certified, but he also focuses on patient education and making sure you understand everything about the procedure of your choosing. Click the button to see what else makes Dr. William Bruno unique.
What To Expect on Surgery Day
Preparing for Your BBL: Your surgery day begins with a 12-hour fast to ensure your safety under general anesthesia. When you arrive at our West Hollywood surgical center, our team will take your vital signs and complete your pre-operative assessment to confirm you’re ready for the procedure.
During Your Surgery: Once you’re comfortably under general anesthesia, Dr. Bruno will begin your transformation. Your vital signs are continuously monitored throughout the entire procedure for your safety. The surgery starts with gentle liposuction from your predetermined donor areas, followed by careful fat processing and strategic injection into your buttocks. Our experienced surgical team ensures you receive the highest level of professional care throughout the 2-3 hour procedure.
Your Recovery Begins: After surgery, you’ll be moved to our recovery room where our nursing team will monitor you as you wake up. You’ll be positioned face-down to protect your newly enhanced buttocks – this is crucial for optimal results. Since you’ll still be feeling the effects of anesthesia, you won’t be able to drive yourself home, so make sure to arrange transportation with a trusted friend or family member ahead of time.
Peace of Mind: Dr. Bruno and his team will be with you every step of the way, ensuring your comfort and safety from the moment you arrive until you’re ready to begin your recovery at home.
Brazilian Butt Lift Before and After

*Individual results may vary
Recovery & Aftercare
The First Two Weeks – Protecting Your Investment: The initial recovery phase is crucial for achieving optimal BBL results, as your newly transferred fat cells establish their blood supply. This phase requires patience, but you’re giving your body the best chance to achieve beautiful, lasting results.
Key Requirements:
- No sitting directly on your buttocks
- Use modified sitting positions (weight on back of thighs)
- Sleep on stomach or side only
- Wear compression garment continuously
Weeks Two Through Four – Gradual Progress: As you enter the second phase of recovery, you’ll start to see initial swelling subside and get your first glimpse of your enhanced silhouette. Dr. Bruno will guide you on safely resuming normal activities while prioritizing the health of your transferred fat cells.
What to Expect:
- Continue wearing compression garment
- Gradually increase activity level
- Notice swelling reduction
- Follow Dr. Bruno’s activity guidelines
Six Months and Beyond – Your Final Results: The most exciting milestone comes at six months when your final BBL results become fully visible. By this time, approximately 70% of transferred fat cells have established permanent residence, giving you the enhanced curves you desired.
Dr. Bruno’s Commitment to Your BBL Success
Dr. Bruno’s specialized fat transfer technique achieves a remarkable 70% fat cell survival rate, significantly higher than industry averages. This means more of your investment translates into permanent, natural-looking enhancement that lasts for years to come.
What Sets Dr. Bruno Apart:
- Advanced harvesting methods that preserve fat cell integrity
- Precision injection technique for optimal fat distribution and survival
- Comprehensive aftercare program with detailed recovery protocols
- Ongoing support throughout your entire healing journey
- Proven track record with hundreds of successful BBL transformations
Dr. Bruno provides you with everything needed for optimal results, but your commitment to the recovery process is equally important. Together, we’ll ensure your BBL investment delivers the lasting transformation you desire.
Essential Success Factors:
- Follow Dr. Bruno’s detailed post-op instructions – explicitly designed for maximum fat survival
- Maintain a healthy lifestyle – protects your investment and results
- Avoid smoking/nicotine – ensures proper healing and blood flow
- Attend all follow-up appointments – allows Dr. Bruno to monitor your progress
- Use proper positioning techniques – protects transferred fat during critical healing phase
The Dr. Bruno Difference: While other surgeons may focus only on the procedure itself, Dr. Bruno’s comprehensive approach includes pre-operative planning, advanced surgical techniques, and extensive post-operative support, ensuring you achieve the beautiful, lasting results that make your BBL investment worthwhile.
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Transform Your Beauty in the Heart of West Hollywood
Dr. Bruno’s advanced Brazilian Butt Lift technique delivers an exceptional 70% fat cell survival rate, meaning your investment in confidence becomes a permanent part of who you are. While you’re contouring problem areas through liposuction, you’re simultaneously creating the curvier, more proportionate figure you’ve always wanted—all using your own natural fat. Your West Hollywood transformation awaits, and with Dr. Bruno’s proven skill and comprehensive aftercare, you’re not just getting a procedure—you’re getting a partner committed to your success. Schedule your personalized consultation today at (310) 461-3855 or request a consultation to discover why hundreds of patients trust Dr. Bruno to deliver natural, beautiful results.