Male Gluteal Contouring with Fat Grafting

During the past decade, gluteal contouring with fat grafting, also known as the Brazilian Butt Lift (BBL), has exhibited the fastest growth of any plastic surgery procedure. Despite this growth, gluteal contouring with fat grafting is still a relatively uncommon procedure in males. Esthetic goals in a patient requesting a masculine gluteal silhouette differ from the feminine form. Male anatomy also presents some challenges which can potentially increase the difficulty of safely and consistently performing fat grafting in the appropriate anatomic plane. Masculine BBL surgery should be performed by experienced surgeons and with intraoperative ultrasound visualization to confirm the placement of the fat graft at all times. Ultrasound guided gluteal fat grafting can protect the patient and the surgeon to avoid the fatal consequences of intramuscular fat graft injections.