Your questions, answered.
Designing Your Ideal Silhouette
Creating the perfect gluteal shape requires an artistic eye and a deep understanding of anatomy. It is not just about size; it is about the Waist-to-Hip Ratio, the transition from the lower back, and the smoothness of the hip dips.
Dr. Bravo offers two distinct pathways to achieve your goals:
Option 1: Ultra Safe BBL (Fat Transfer)
For patients with sufficient donor fat (in the abdomen, flanks, or thighs), this is the gold standard for natural enhancement.
How it works: We harvest fat via 360° Liposuction and transfer it to the buttocks using ultrasound guidance to monitor fat placement.
Best for: Patients looking for moderate volume and significant body contouring.
Learn More: Read about ultrasound-guided BBL
Option 2: Hybrid Gluteal Augmentation (Implants + Fat)
For patients who are lean (BMI < 23) or those desiring high projection that fat alone cannot achieve, the Hybrid approach is the ultimate solution.
Why "Hybrid" is Superior to Implants Alone: Traditional buttock implants often look fake because they are too round and cannot fill the "hip dips" (the sides of the hips). Dr. Bravo solves this by combining two techniques:
Implants for Core Projection: An intramuscular implant provides the central volume and "pop" that creates a sporty, lifted look.
Fat Grafting for Softness: We layer your own fat around the implant and into the hip dips. This may soften the implant edges and improve the transition between areas, but visible or palpable edges and contour irregularities can still occur.
The "Safe" Technique
Safety is our priority.
Implant Placement: Dr. Bravo places the implant inside the muscle (Intramuscular). The aim is to provide tissue coverage; the implant may still be visible or palpable.
Ultrasound Guidance: Just like in our BBL, we use real-time ultrasound to monitor fat placement in the subcutaneous space. This safety measure does not eliminate surgical risks.
Recovery
Sitting: You must avoid sitting directly on the buttocks for 2 weeks. You will be given a special BBL pillow to sit on your thighs.
Garments: A compression garment must be worn for 6 weeks to support the liposuction areas and the new gluteal shape.
Activity: Light walking is encouraged immediately. Gym and heavy lifting can resume after 6 weeks.
