A Brazilian Butt Lift (BBL) is a cosmetic procedure that enhances the size and shape of the buttocks using fat transferred from other areas of the body, such as the abdomen or flanks. While the procedure is highly effective for contouring the silhouette and adding volume, it does not directly address the underlying cause of cellulite. This common aesthetic concern, characterized by a dimpled or uneven texture, is fundamentally a structural issue within the skin’s connective tissue layer. Cellulite forms when fibrous bands, known as septae, pull the skin down toward the deeper tissue while surrounding fat cells push upward, creating the characteristic appearance.
Why Cellulite May Persist or Worsen After BBL
The BBL procedure focuses on augmenting the volume of the buttocks by injecting purified fat cells, a process that bypasses the fibrous septae responsible for cellulite dimpling. Since the fat transfer does not sever these tight connective bands, pre-existing cellulite often remains unchanged or can appear more pronounced due to the newly added volume pushing against the tethered skin. Furthermore, irregularities in the fat grafting process can sometimes mimic or exacerbate the appearance of cellulite. If transferred fat cells are not evenly distributed or do not survive, minor lumps or ripples can form beneath the skin. Additionally, the liposuction portion of the BBL can occasionally result in localized skin laxity, making existing texture issues more visible.
Non-Invasive Clinical Treatments
For patients seeking improvement without incisions or injections, non-invasive clinical treatments address mild to moderate cellulite and improve overall skin quality. Radiofrequency (RF) treatments use controlled thermal energy to heat the tissue beneath the skin’s surface, stimulating collagen production and remodeling to smooth superficial dimpling. Acoustic Wave Therapy (AWT), or shockwave therapy, employs sound waves delivered through a handheld device. The mechanical energy from these waves helps to break down the fibrous septae and improve circulation. Both RF and AWT require a series of treatments over several weeks because the tissue restructuring effects are gradual.
Minimally Invasive Procedures
For more established or severe, localized dimpling, minimally invasive procedures that physically target the fibrous septae provide the most significant and long-lasting results.
Subcision
Subcision is a technique that involves inserting a specialized needle or device beneath the skin to mechanically cut and release the tight, collagenous bands causing the dimples. This release allows the skin to spring back and smooth out, instantly eliminating the tethering effect responsible for the cellulite depression. Devices like Avéli or Cellfina utilize this subcision principle with precision to target individual dimples.
Enzyme Treatments
Another targeted approach involves enzyme treatments, such as collagenase injections, which are administered directly into the cellulite dimples. The enzymes work to chemically break down the collagen structure of the septae without causing damage to the surrounding tissue. This enzymatic breakdown effectively releases the tension, leading to a smoother skin topography over a series of treatment sessions.
Laser Treatments
Laser treatments, such as Cellulaze, provide a third option by inserting a tiny laser fiber beneath the skin through a small incision. This laser energy not only melts small pockets of fat but is also used to cut the fibrous septae. The heat from the laser contributes to skin thickening and collagen production, offering a dual benefit of releasing the bands and firming the overlying skin. These procedures require a physician and a short recovery time, but they are often considered the most effective way to address the structural root of the issue.
Long-Term Maintenance and Lifestyle Factors
Achieving a lasting reduction in cellulite after a BBL requires integrating clinical treatments with consistent lifestyle choices. Maintaining a stable body weight is crucial, as significant fluctuations cause fat cells to enlarge and push against the septae, making cellulite more apparent. Hydration is also important, as well-hydrated skin appears plumper and thicker, which helps mask the visibility of underlying dimples. Targeted exercise that builds muscle mass in the gluteal and thigh regions helps smooth surface contours by providing a firm foundation beneath the skin. Finally, high-quality topical skincare products containing ingredients like retinoids or caffeine can complement professional treatments.