Fat transfer (BBL)
Your own fat, harvested with WAL from abdomen or flanks and transferred with high viability: total naturalness and a double benefit — where it leaves and where it arrives.
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BBL & implant cases
Real buttock augmentation results by Dr. César Padilla at Quirónsalud Málaga Hospital.
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Buttock augmentation
Why it happens
A flat or low-projection buttock is rarely a gym problem: shape depends on bone structure, fat distribution and genetics. Major weight loss also takes its toll — the buttock loses fat, firmness and position.
Modern surgery offers two routes — your own fat (the Brazilian Butt Lift) and implants — and the choice between them is anatomical, not a catalogue pick.
Techniques
Your own fat, harvested with WAL from abdomen or flanks and transferred with high viability: total naturalness and a double benefit — where it leaves and where it arrives.
For slim patients without donor fat: specific implants guaranteeing meaningful augmentation, with the incision hidden in the intergluteal fold.
Implant for projection plus fat for contour, when neither route alone would deliver both.
Augmentation integrated with tummy tuck or liposuction: the abdomen’s excess perfects the buttock in one operation.
Before surgery
Your consultation starts with a thorough assessment of your anatomy and goals, followed by a photographic study used to plan the procedure and compare your results later on.
Practical points that apply to every surgery: arrive at a stable weight, have your medication reviewed (antiplatelets and anticoagulants are usually paused beforehand, always together with your doctor) and stop smoking well in advance.
Specific here: the assessment determines donor fat availability — without enough, BBL is not possible and the honest alternative is implants. Tobacco is especially critical for the survival of transferred fat.
The pre-operative tests and the anaesthesia assessment are completed at Quirónsalud Málaga Hospital.
Recovery
The peculiarity of buttock surgery is one: sitting. The rest is easier than feared.
Intense muscle-soreness feeling, not pain, thanks to nerve blocks and analgesia at Quirónsalud. Garment on; rest on your front or side.
Avoid prolonged direct sitting for 10–14 days; BBL pillows allow short supported sits without compromising the graft.
Progressive return to routine and work; swelling recedes and the contour starts to define.
The graft has taken: the surviving fat — 70–80% with WAL+EVL — is permanent.
Definitive result, stable volume and recovered donor areas.
Scars
With fat transfer, the marks are liposuction’s own: 3–4 mm incisions in hidden folds. With implants, the incision sits in the intergluteal fold — naturally concealed, even in swimwear.
Surgical honesty
No biopolymers or dubious ‘acids’ here: your own fat or certified implants. Anything else is a risk no buttock justifies.
Part of the transferred fat is reabsorbed — that is biology. With WAL+EVL 70–80% survives, and that is planned for at infiltration.
Without enough donor fat there is no BBL: the honest alternative is implants. Technique is chosen at the examination, not on Instagram.
The buttock has a muscular component that remains yours. Surgery provides the shape; the tone is your part.
Patient information
Every surgery carries risks and this one is no exception. You will go through them in detail during your consultation and in writing in the informed-consent form; this is the honest summary.
Expected — not a complication
Uncommon
Safety first: fat infiltration follows safe planes in a full hospital setting. Distrust bargains and out-of-theatre injections — in buttock surgery more than anywhere.
Hospital
Consultation, surgery and post-operative follow-up in a leading hospital: state-of-the-art operating rooms, ICU and private rooms.
12
Operating rooms
24 h
ER & ICU
100 %
Private rooms
Price
A personal, closed quote after your first consultation, covering the operating room at Quirónsalud Málaga, the stay, garments and every follow-up visit. It varies with the route — fat, implants or combined — and the liposuction areas involved.
About cheap offers. You will see plenty. Our honest advice: research and choose your surgeon first, and only then compare prices — never the other way round.
FAQS
It depends on your anatomy: with spare fat elsewhere, transfer (BBL) wins on naturalness; in very slim patients implants are the honest option for meaningful volume.
Once the graft has taken — around the third month — the surviving fat (70–80% with the WAL+EVL technique) is permanent.
Avoid prolonged direct sitting for the first 10–14 days; BBL pillows help with short sits. After that, progressively back to normal.
The anaesthetic protocol is decided at your consultation, with the assessment of the anaesthesia team at Quirónsalud Málaga Hospital as part of the pre-operative workup.
Content reviewed by
Dr. César Padilla
Specialist in Plastic, Aesthetic and Reconstructive Surgery
Member of the Spanish Society of Plastic, Reconstructive and Aesthetic Surgery (SECPRE)
15+ years of practice · Quirónsalud Málaga Hospital
Last content review: August 2026
