Casey Holmes, M.D., performs Brazilian Butt Lift surgery at Aesthetic Surgery Center. Dr. Holmes is a board-certified plastic surgeon (American Board of Plastic Surgery) with advanced fellowship training in aesthetic and reconstructive plastic surgery of the face, breast, and body. He has been featured among Naples Illustrated magazine’s “Top Doctors” from 2024 through 2026 and treats every patient with the same care given to a member of his own family. Dr. Holmes performs Brazilian Butt Lift procedures at the practice’s AAAASF-accredited surgical facility.
Key Points to Know About a BBL with Dr. Holmes
- A Brazilian Butt Lift uses the patient’s own fat, harvested through liposuction, to enhance the shape and proportion of the buttocks and hips.
- Dr. Holmes designs every procedure around the patient’s anatomy, donor fat availability, and aesthetic goals.
- A Skinny BBL option is available for leaner patients seeking subtle contouring rather than a size increase.
- Recovery requires avoiding direct pressure on the buttocks for several weeks so transferred fat cells can establish a blood supply.
- All BBL procedures are performed at Aesthetic Surgery Center’s AAAASF-accredited surgical facility.
Our Achievements
What a Brazilian Butt Lift Can Address
The Brazilian Butt Lift, often shortened to BBL, is a body contouring procedure that uses fat transfer rather than implants to reshape the buttocks. Liposuction removes fat from areas where it tends to accumulate, such as the abdomen, flanks, lower back, or thighs. That fat is then carefully processed and reinjected into the buttocks and hips to improve volume, projection, and overall contour.
The procedure is well-suited for patients who would like to:
- Add modest volume or projection to the buttocks
- Smooth hip dips or address asymmetry between sides
- Improve the proportion between the waist, hips, and lower body
- Refine the silhouette by removing stubborn fat from donor areas
- Achieve a softer, more rounded contour without an implant
Because the fat is taken from the patient’s own body, the result tends to feel and look natural. Dr. Holmes evaluates each patient individually to determine whether a BBL alone, or a BBL combined with another body contouring procedure, will best meet the patient’s goals.
Candidates for Brazilian Butt Lift Surgery
A consultation with Dr. Holmes is the only way to determine candidacy, but several general considerations apply. Good candidates are typically in good overall health, near a stable weight, and have enough donor fat in areas such as the abdomen, flanks, or thighs to support the transfer.
Patients should be nonsmokers or willing to stop tobacco use well in advance of surgery, maintain stable weight before and after the procedure, and have realistic expectations about what fat transfer can achieve. Significant weight fluctuations after surgery can affect long-term results.
Dr. Holmes always emphasizes a result that looks proportionate to the rest of the body rather than exaggerated. The volume of fat transferred and the placement strategy depend entirely on each patient’s frame, donor fat availability, and goals.
-
- Real patient
4.8(52)
5(82)
4.9(72)
4.9(57)
The Skinny BBL Option
For leaner patients with limited donor fat, Dr. Holmes offers a more conservative approach sometimes referred to as a Skinny BBL. This variation is designed for fit individuals, often those with a lower BMI, who want to refine their proportions rather than significantly increase size. Many Skinny BBL patients have lost weight and want to address areas where their frame has become disproportionate or angular.
The technique calls for greater precision than a standard BBL. Dr. Holmes uses small, finely calibrated cannulas to harvest fat from the abdomen, flanks, or back, then carefully processes and places it to enhance shape, soften hip dips, and create a smoother contour that complements a smaller frame. Because donor fat is more limited in these patients, every step is approached with extra attention to detail to maximize the volume of viable fat available for transfer.
The goal of a Skinny BBL is subtle, natural enhancement, not dramatic volume change. Patients who choose this approach are typically looking for refinement and balance rather than a noticeable size difference, and the result is intended to look proportionate on a leaner body type.
How a Brazilian Butt Lift Is Performed
Dr. Holmes performs the Brazilian Butt Lift in three coordinated stages within a single procedure.
Liposuction of Donor Sites
The first stage uses liposuction to harvest fat from the predetermined donor areas. Common sites include the abdomen, flanks, lower back, and thighs. Removing fat from these areas serves two purposes at once: it provides the material needed for transfer and improves contour where fat has been stubborn to diet and exercise. Small incisions are made in discreet locations to allow the cannula to access the fat layer.
Fat Processing
Once harvested, the fat is processed to separate viable fat cells from fluid, blood, and other components that should not be reinjected. Careful handling at this stage is essential, since the goal is to preserve as many healthy fat cells as possible so they can survive in their new location. The processed fat is then prepared for placement.
Strategic Fat Placement
Dr. Holmes injects the processed fat into the buttocks and, when appropriate, the hips. This is all done using ultrasound guidance to ensure exact placement and safety. Placement is done in small, controlled amounts at multiple depths and angles. This layered technique helps the fat establish a new blood supply from surrounding tissue and contributes to a smoother, more natural-looking result. The total number of injection points and the volume placed depend entirely on the patient’s anatomy and goals.
The full procedure generally takes several hours, depending on how many donor areas are addressed and how much fat is being transferred.
CALL TODAY TO SCHEDULE YOUR CONSULTATION
Recovery and Aftercare
Following the procedure, patients are given specific instructions to support healing and protect the transferred fat cells. The first three weeks are the most important, since the newly placed fat is still establishing its blood supply during this period.
The First Three Weeks
Patients should not sit directly on the buttocks or lie flat on the back for at least three weeks after surgery. Sitting and lying create pressure that can compromise circulation to the transferred fat and reduce how much of it survives long term. Patients may sleep on the stomach or sides during this period.
A specially designed BBL pillow can be used if sitting becomes unavoidable. These cushions support the thighs so the buttocks hang free, eliminating direct pressure on the area where fat was placed.
Patients should also avoid squatting, deep stretching, and driving for the first three weeks. Light walking is encouraged early on to support circulation and reduce the risk of clots.
Weeks Three Through Eight
After the initial three-week period, sitting becomes more permissible, but prolonged sitting (longer than about two hours at a time) should still be avoided for an additional two weeks. Most patients can return to non-strenuous daily activities within about a week, while more vigorous exercise is reintroduced gradually based on Dr. Holmes’s guidance. Compression garments are typically worn for up to two months.
Common Side Effects
Swelling, bruising, soreness, and temporary numbness in the donor and treated areas are normal in the early recovery period. These effects subside over time. Final contour continues to refine over several months as swelling resolves and the surviving fat settles into place.
Long-Term Results and What to Expect
Some loss of grafted fat is expected in the months following surgery, since not every transferred fat cell will establish a blood supply. The fat cells that do survive can remain in their new location for many years, provided the patient maintains a stable weight. Significant weight gain or loss after surgery can change the appearance of the result, since the transferred fat behaves like the fat anywhere else on the body.
Patients should also be aware of potential risks. As with any surgical procedure, possible complications can include infection, contour irregularities, lumpiness, asymmetric results, and changes in skin sensation. Fat embolism, while rare, is a more serious risk associated with this procedure specifically and is one of the reasons surgeon selection and surgical technique are so important. Dr. Holmes follows established safety protocols and performs all BBL procedures at the AAAASF-accredited surgical facility, where rigorous standards for equipment, staffing, and patient monitoring are maintained.
Cost of Brazilian Butt Lift Surgery in Naples, FL
The cost of a Brazilian Butt Lift varies depending on the scope of the procedure, the amount of fat being transferred, and whether the procedure is performed in the office or in the operating room with full anesthesia. Skinny BBL cases generally fall within a narrower range, while more extensive procedures with larger volume transfer fall on the higher end.
A formal pricing proposal is provided after consultation, when Dr. Holmes can review the patient’s anatomy, donor fat availability, and specific goals. Pricing typically includes the surgical facility and anesthesia fees where applicable.
Schedule a Brazilian Butt Lift Consultation in Naples, FL
To learn whether a Brazilian Butt Lift is the right approach for your goals, schedule a consultation with Casey Holmes, M.D., at Aesthetic Surgery Center in Naples, FL.
Why choose Aesthetic Surgery Center
Dr. Anurag Agarwal, M.D., F.A.C.S.
- Double board-certified facial plastic surgeon by the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology – Head and Neck Surgery.
- Oral examiner and Board of Directors for the American Board of Facial Plastic and Reconstructive Surgery
- Former President of the Florida Society of Facial Plastic and Reconstructive Surgery
- Received his Doctor of Medicine at Philadelphia’s MCP-Hahnemann School of Medicine in 1999 and was elected to the Alpha Omega Alpha Honor Society.
- In 2016, Dr. Agarwal was honored at the annual American Academy of Facial Plastic and Reconstructive Surgery national meeting.
- Board-certified plastic surgeon by the American Board of Plastic Surgery.
- Attended medical school at UNMC (University of Nebraska Medical College).
- Was elected to the Alpha Omega Alpha Honor Society.
- Member of The Aesthetic Society, the Florida Medical Association, and Collier County Medical Society.
- General surgery residency at Loyola University Medical Center in Maywood, IL
- Plastic surgery residency at Cleveland Clinic Florida