Los Angeles, CA | (310) 275-4170

WHAT MAKES DR. KENNETH HUGHES AND HIS BRAZILIAN BUTTLIFT (BBL) DIFFERENT?

Real Patients of Dr. Kenneth Hughes


Dr. Kenneth Hughes performs approximately FIVE HUNDRED (500) Brazilian buttlifts (BBLs) EVERY YEAR in the Los Angeles and Beverly Hills areas. The demand for these procedures is extraordinarily high, and Dr. Hughes sees patients from almost every state in the US, Canada, Ireland, England, France, Norway, Belgium, Netherlands, Germany, United Arab Emirates, Iraq, Saudi Arabia, China, India, the Philippines, Australia, Nigeria, and more. About 50% of Dr. Hughes’s patients come from out of state for his expert services.

SO WHAT MAKES DR. KENNETH HUGHES AND HIS BBL SPECIAL?

PERSONAL ATTENTION AND RELIABLE RESULTS

1) Personal Attention

You will NOT find a plastic surgeon more available to his patients through email or by phone. This applies not only to the preoperative period but also to the postoperative period as well. Many doctors or plastic surgeons are available before surgery, and many are great salesmen who can be very charming and can tell you exactly what you want to hear. Dr. Kenneth Hughes will give you the facts and will be HONEST with you, even if it upsets the patient or causes the patient to go elsewhere.

Dr. Kenneth Hughes really wants patients to get the best possible result by preserving his surgical result of the table. The key is to follow all of the postoperative instructions and stay in close contact with Dr. Hughes after surgery. Dr. Kenneth Hughes answers all of his own emails (even on weekends and holidays), and the after hours urgent line rings to Dr. Hughes’s personal cell phone. There are no middle men or answering services. Just YOU and Dr. Kenneth Hughes, the plastic surgeon – THAT IS ALL.

2) Reliable Results

Dr. Kenneth Hughes performs the buttock lift or buttock augmentation to create whatever shape or silhouette you desire. The operation is a straightforward outpatient procedure in which up to 5 liters of fat are liposuctioned through only a few tiny incisions in discrete locations. The fat is purified in the operating room by gravity sedimentation and transferred to syringes. The fat is injected above the gluteus muscles and superficially under the skin into the fat and surrounding tissue of the buttocks. Dr. Kenneth Hughes DOES NOT inject fat into the muscle to all but eliminate the risk for fat embolus and death (although this rate is not zero). Precise placement of the fat is necessary to help reduce the risk for fat pooling and resulting fat necrosis and/or infection. Frequently, Dr. Hughes transfers 1200 cc to 2000 cc or MORE per buttock to give the most dramatic transformation possible. Dr. Hughes also performs fat transfers to the hips of 200 cc to 400 cc or MORE per side. These significant results are sought by local patients in the Los Angeles and Beverly Hills areas to be sure, but Dr. Kenneth Hughes has become one of the world’s most popular butt augmentation surgeons.

In patients who are thin and lack the required fat to produce a significant volumetric improvement with the Brazilian buttlift or BBL, Dr. Kenneth Hughes offers buttock implant surgery with solid, silicone implants. The butt implant surgery produces a significant and long-lasting improvement, and the resultant volume change that is predictable and reliable.

The New Brazilian Butt Lift Technique Part 2

This procedure involves using liposuction on areas of excess skin like the abdomen, and then transferring it to the buttocks or hips. As a background, Dr. Kenneth Benjamin Hughes is a board-certified plastic surgeon in Los Angeles, who has performed thousands of Brazilian butt lifts (BBL). Four years ago, Dr. Hughes developed a new fat grafting technique due to his concerns about the safety of intramuscular injections and the development of fat emboli (little pieces of fat migrate through the bloodstream and potentially block function of certain organs including the lungs). Before the turning point in 2015, Dr. Kenneth Hughes along with the vast majority of board-certified plastic surgeons in the United States, transferred at least a portion of the fat to the buttocks into the muscular tissue.

This technique had been adopted to produce greater fat survival rates due to the enhanced vascularity of muscle tissue. At that time, this method of injection was the standard of care and remained the standard of care until less than 2 years ago with no formal recommendation until August 2018. At this time in 2019, the plastic surgery community as a whole knows that intramuscular injection of fat into the buttocks can lead to fat embolus. The current theory is that larger diameter vessels in the muscles allows for a small risk of intravascular introduction of fat. Some of these fat emboli do not cause respiratory collapse, but can lead to significant morbidity even if the patient recovers. These emboli can migrate throughout the body affecting other organs. Some of these fat emboli will even lead to patient death.

In an effort to reduce the incidence of fat emboli, Dr. Kenneth Hughes developed a subdermal fat transfer method for the Brazilian butt lift. In this subdermal method, Dr. Hughes places fat directly under the skin, visualizing the tip of the fat transfer cannula at all times. There were many unanswered questions at the point in 2015 when this subdermal method was introduced. How would the subdermal technique affect the percentage of fat graft that would take or live? What was the likelihood for fat pooling, fat necrosis or fat death, and infection? However, these complications could be managed, whereas the complication of fat embolus could not be managed in any meaningful way.

Over the past 4 years, Dr. Kenneth Hughes has performed the fat transfer and Brazilian butt lift procedures with the subdermal transfer method. Dr. Hughes tabulated complications for this subdermal method. Of the approximately 1500 patients, infection occurred only 3% of the time. There were no instances of fat necrosis with this method of transfer. The fat resorption rate was believed to be greater though no MRI testing or volumetric analysis to confirm was performed. There were no instances of fat emboli observed with this method so far.

In 2017, The Report on Mortality from Gluteal Fat Grafting:
Recommendations from the ASERF Task Force by M. Mark Mofid, MD, et al was published. They tried to determine the incidence of fatal and nonfatal pulmonary fat embolism associated with Brazilian buttlift or BBL. In their study, surgeons reported 32 deaths from pulmonary fat emboli as well as 103 pulmonary fat emboli that did not lead to death. They also recommended against fat injections into the deep muscle, using cannulae smaller than 4 mm, and pointing the injection cannula downwards. These are all technical maneuvers, which Dr. Kenneth Hughes put into practice in 2015.

To see more of Dr. Kenneth Benjamin Hughes:

How to Recover from Liposuction

Dr. Kenneth Benjamin Hughes, a Los Angeles plastic surgeon, has performed thousands of liposuction procedures for patients from all over the world. Liposuction remains the most popular plastic surgery procedure among men and women alike in the United States. Liposuction is performed hundreds of thousands of times each year in the U.S., and patients may not know the best possible route to take for the optimal result. Patients can absolutely make or break the final result.

One of the most important decisions a patient must make is the selection of the best plastic surgeon to perform the liposuction procedure. Beyond this, the final result is largely the result of adherence to postoperative protocols to prevent complications that can largely be avoided. The number one complication in liposuction procedures, other than irregularity, is fluid collection formation or seroma formation. This complication can largely be prevented by the proper application and wearing of a compression garment. The liposuction of the abdomen has the highest rate of fluid collection and compression of the abdomen is paramount to success.

To further reduce the risk of fluid collection, no strenuous activity should be performed for about 6 weeks. This includes exercise or lifting anything greater than 5 or 10 lbs. Patients should always be instructed that smoking drastically increases the rate of fluid collection, and smokers should not smoke within a month of liposuction procedures at the very least.

For more information on liposuction and the management of complications following liposuction, please visit Dr. Kenneth Benjamin Hughes’s websites:

Postoperative Care Following Brazilian Butt Lift Surgery

Over the past decade, Dr. Kenneth Benjamin Hughes has seen the popularity of buttock augmentation procedures increase substantially. Board-certified plastic surgeons have two available methods for buttock augmentation: fat grafting to the buttocks (Brazilian butt lift) and butt implant surgery (solid silicone implants). The butt implant surgery remains a distant second to the Brazilian butt lift in terms of popularity, even though Dr. Kenneth Hughes has performed and does perform many butt implant surgeries and butt implant revisions.

The Brazilian butt lift procedure involves extracting fat from the areas of excess like the abdomen, sides, back, arms, or thighs and transferring that fat to the buttocks and hips. The results are generally very good with excellent patient satisfaction rates. There are complications which patients should be made aware of. This includes, fluid collection, bleeding, infection, blood clots, fat embolus, fat necrosis or fat death, asymmetry, etc. However, one of the most important factors to ensure great results in this operation is the ability of the patient to adhere to a strict postoperative protocol.

All plastic surgeons will have different recommendations in the postoperative period, but Dr. Kenneth Hughes typically provides helpful advice in the form of these five tips:

1) Always come to follow-up visits – so that Dr. Hughes can assess how you are doing and evaluate for fluid collections, infection, or other issues.
2) Wear your compression garment 24/7 for the first 6 weeks – Dr. Kenneth Hughes will show you how to place the garment, and he expects you to wear it as instructed to reduce the risk of fluid collection formation.
3) Avoid exercise and lifting anything greater than 5 to 10 lbs. for 6 weeks – exercise or strenuous activity can lead to postoperative bleeding and fluid collections due to increases in blood pressure.
4) Adequate nutrition – the patient should not be dieting but maintaining a calorie surplus with at least 100 grams of protein a day to ensure appropriate healing in the postoperative hyper-metabolic state.
5) No showering until Dr. Hughes instructs you to do so – getting incisions wet can open the incisions and allow for transit of patient’s bacterial skin flora into the areas of surgery leading to an infection.

Each case will be different as each patient is unique and has unique considerations, and Dr. Kenneth Hughes will customize a plan for you.

For more information, please visit Dr. Kenneth Benjamin Hughes at:

Frequently Asked Questions (FAQs):

Q. Saggy BBL – What can I do to improve this condition? I really don’r want to go under the knife for it again.

A. Require before and after photos, data regarding amount of fat harvested and injected, type, and duration of wear of compression garment, weight fluctuations, and general health to comment on path ahead.

Q. How bad are the scars after lipo with fat transfer to the buttocks? Does lipo give you loose skin in the stomach area?

A. In my practice, the liposuction or liposculpture procedure involves making a few small (4 mm) incisions through which instruments called cannulae are inserted to remove the fat in a very precise fashion. Many varieties of liposuction are available including ultrasonic, smart lipo, laser liposuction vaser lipo, power assisted liposuction, and conventional tumescent liposuction. The results depend very little on the method used and very much on the surgeon selected.

Liposuction may not create a greater problem with skin laxity, but liposuction will not improve the skin quality. The skin can tighten after liposuction as the swelling continues to resolve over three to six months after surgery.

Q. Lumps and bumps after BBL/LIPO. Is this just a process of healing or should I be worried? It looks disgusting. (Photos)

A. At 11 days following liposuction, lumps are common. Even after 6 weeks lumps are common. Massage may help, but time will be the best treatment. You may not see your long term results for at least 6 months. Much of this depends upon the extensiveness of the liposuction and the size of the area treated.

Q. BL with only 200cc/cheek, will all fat survive?

A. For most of my patients, I tell them that at 6 weeks there is still a great deal of swelling in the abdomen, sides, and back (or wherever the liposuction was performed); and they will only look better in 6 months. About 50% of the fat that is transferred lives and becomes a part of you. This will hold stable as long as there is no weight fluctuation.

Q. I had open heart transplant surgery 2 years ago. Can I get a BBL and tummy tuck?

A. Having had heart transplant surgery does not automatically exclude you from being evaluated as a candidate for a BBL and TT. You would have to receive medical clearance from all the specialists involved in your surgery and treating you now. Your PS, anesthesiologist, and surgical team would need to review medical history, lab work, medications, etc. to determine is the surgery would be worth the risks.

Q. Which shaped BBL would be best for me: heart or bubble? (photo)

A. One photo cannot be employed to determine the best butt shape for you. You need to be seen in person or provide additional photos via Skype for you and your board certified plastic surgeon to discuss your end goals and the likelihood of achieving them based upon your fat reserves and anatomy.

Q. Is a BBL more dangerous for a thin patient? Are they at higher risk due to more muscle than fat in buttock area?

A. No. The thinner patient requires an expert at liposuction to remove as much fat as possible while leaving the skin smooth. There are a lot of women who can get nice results despite thinking that there is not enough fat.

Q. Will a BBL make my stretch marks off of my abdomen look better or they will stay the same? (Photos)

A. Removal of skin is the most effective stretchmark treatment available.

Q. Should I put on more weight to achieve my desired look? (photos)

A. Gaining weight is often counterproductive. If you gain weight that is fat, some of the fat will likely be associated with the buttocks. In almost every case, I do not recommend weight gain prior to a BBL. I think it is better to maintain your stable weight.

Q. Does BMI matter for a BBL when you could be more muscle than fat?

A. BMI is just one measure of your fitness for surgery; current health is also important. In my practice I look for a BMI approximating 30 to lessen the risks of complications during and after surgery and to enhance the results of the procedures. A BMI of 35 is probably the upper limit that a plastic surgeon would consider for this procedure.

Gaining weight is often counterproductive. If you gain weight that is fat, some of the fat will likely be associated with the buttocks. In almost every case, I do not recommend weight gain prior to a BBL. I think it is better to maintain your stable weight and be within 10 pounds of your weight goal for three months or more prior to the BBL.

Q. Is 500cc enough to make a big difference? (photos)

A. An exam would provide a better way to evaluate you for the procedure. You may notice the enhancement you are seeking with 250cc fat SURVIVAL in each buttock if the liposuction creates more contours to give the illusion that your buttocks are larger. You and your PS will have to determine whether the fat harvest and transfer will provide a significant improvement.

Q. If I gain 10 pounds for a BBL, do I have to maintain that weight I put on after surgery?

A. Gaining weight is often counterproductive. If you gain weight that is fat, some of the fat will likely be associated with the buttocks. In almost every case, I do not recommend weight gain prior to a BBL. I think it is better to maintain your stable weight.

Q. Is there a certain limit on the amount of fat tat can be transferred in a bbl?

A. For safety reasons, 5000 cc is the generally accepted upper limit for liposuction in an outpatient setting, with the transfer being less than that. Depending upon how much the buttock will stretch, you may be able to inject 2000 cc per buttock.

Q. Ride Back after BBL – Is a 45 minute drive back too long to take after the surgery?

A. This is a question which should be answered by the board certified plastic surgeon who is to perform your lipo and BBL. My post-operative protocols may be different than your PS’s and I will not have the benefit of knowing the extent of your surgery and seeing you in person to know how you are recovering. My LVN helps all my patients matriculate from the recovery room to their mode of transportation to ensure that they are comfortable and safe. He reclines the seat at a 45 degree angle and places a folded pillow under their thighs.

Q. Can a bbl and tummy tuck be performed at the same time? If so how long after having a baby would be considered “safe”?

A. A patient could have surgery as early as 3 months following an uneventful childbirth, but each individual recovers differently. Therefore, depending upon how quickly a patient returns to a stable weight, a patient may want to schedule consultations with board certified plastic surgeons who are experts at both procedures at about 2 months after delivery.

Sometimes, the tummy tuck and Brazilian buttlift (BBL) can be done at the same time. Sometimes, the liposuction and BBL is needed before the tummy tuck to produce a better result. In a patient with a particularly thick upper abdominal flap, a patient will get a better result with liposuction and BBL first. If the patient has a hernia or an overwhelming amount of skin, the tummy tuck may be necessary before liposuction is performed.

Q. I have low hemoglobin. Is it possible to get an iron infusion before a BBL surgery this month?

A. Have your labs repeated a few days before your scheduled surgery. If they remain low, ask your PS if he/she recommends that you postpone your BBL until they reach a satisfactory level. Besides eating dark leafy veggies, liver, lentils, almonds, dried apricots, beets, and other high iron foods, your PS or internist could prescribe iron pills and Vitamin C based upon the cause of the anemia.
Kenneth Hughes, MD, ABPS Board Certified Plastic Surgeon
Los Angeles, CA

Q. Am I too skinny for a BBL? Should I get butt implants? (photos)

A. Gaining weight is often counterproductive. If you gain weight that is fat, some of the fat will likely be associated with the buttocks. In almost every case, I do not recommend weight gain prior to a BBL. I think it is better to maintain your stable weight. The thinner patient requires an expert at liposuction to remove as much fat as possible while leaving the skin smooth.
Kenneth Hughes, MD, ABPS Board Certified Plastic Surgeon
Los Angeles,CA

Q. Do majority of BBLs result in a cellulite looking appearance on the butt?

A. Fat transferred to the buttocks can and does improve dimpling. In the thousands of BBLs I have performed, I have not found the buttocks to look saggy as you heal. In general, the dimpling, which is different from true cellulite, is improved with the BBL and typically resolves with time as the fat becomes part of your body and swelling subsides.
Kenneth Hughes, MD, ABPS Board Certified Plastic Surgeon
Los Angeles, CA

Q. Is it possible that my body rejected or reabsorbed the fat? (Photos)

A. Your body did not reject the fat. The results you experienced are typical: at about six weeks 50% of the fat transferred has an established blood supply and is viable. The revision implies that there is less fat than the first time, and scar tissue will make the surgery much more difficult on the surgeon. The percentage of fat survival in the BBL the second time should be about the same. Photos show major improvement in contours from lipo.
Kenneth Hughes, MD, ABPS Board Certified Plastic Surgeon
Los Angeles, CA

Q. Am I a candidate for a BBl? I’m 5’9 and 122lbs. I’m 30 years old. I’m looking to get work done in March of 2020. (photo)

A. Gaining weight is often counterproductive. If you gain weight that is fat, some of the fat will likely be associated with the buttocks. In almost every case, I do not recommend weight gain prior to a BBL. I think it is better to maintain your stable weight. The thinner patient requires an expert at liposuction to remove as much fat as possible while leaving the skin smooth. Recommend that you discuss realistic results with a board certified plastic surgeon who performs hundreds of BBLs annually with great results.
Kenneth Hughes, MD, ABPS Board Certified Plastic Surgeon
Los Angeles, CA

Q. Is it normal to still have firmness in the butt 10 weeks post-op? (Photos)

A. From my perspective, I hardly ever see fat necrosis after the BBL procedure. I think that this may soften with time. If there is a large area, it is less likely to soften. If you are uncomfortable and want it removed, follow up with your PS.
Kenneth Hughes, MD, ABPS Board Certified Plastic Surgeon
Los Angeles, CA

Q. What type of massages should I be having and how many do I need?

A. This is more plastic surgeon preference than anything else. Lymphatic massage is OK, but I do not think it is mandatory. Recommend that you follow your board certified plastic surgeon’s post-operative guidelines.
Kenneth Hughes, MD, ABPS Board Certified Plastic Surgeon
Los Angeles, CA

Q. Can I get a Lipo360 and BBL with round one to achieve this look? I’m 20 years old and my BMI is 32.6. (photos)

A. BMI is just one measure of your fitness for surgery; current health is also important. In my practice I look for a BMI approximating 30 to lessen the risks of complications during and after surgery and to enhance the results of the procedures. It is best to be within 10 pounds of your weight goal for three months prior to the BBL.
Kenneth Hughes, MD, ABPS Board Certified Plastic Surgeon
Los Angeles, CA

Q. 360 lipo BBL 3 1/2 months ago. Why does my stomach look like this? (photos)

A. Liposuction will not improve the skin, but it can create a dramatic improvement in the way a person looks. It will not alter the underlying musculoskeletal anatomy or help with any amount of significant laxity. Recommend that you wait six to 12 months after BBL recovery and then consider a tummy tuck to address the laxity on your abdomen.
Kenneth Hughes, MD, ABPS Board Certified Plastic Surgeon
Los Angeles, CA

Q. 3And what can I do to lose the fluid on my lower abdomen?

A. Recovery from BBL is patient dependent. Much of this depends upon the amount of liposuction performed and the amount of fat transferred. The fluid in your lower abdomen, if not present as a collection, should be absorbed. Usually by 3 months, the swelling is minimal and totally resolved by 6 months.
Follow whatever post-operative protocols, such as wearing your compression garment, were provided by your PS for optimum recovery.
Kenneth Hughes, MD, ABPS Board Certified Plastic Surgeon
Los Angeles, CA

Q. Would I be a candidate for a fat transfer? (Photo)

A. Sometimes, individuals will have problem areas that are relatively exercise and diet resistant. These are the focus areas for your PS to lipo. Liposuction will remove the excess fat on your sides, abdomen, and thighs and make the waist as small as possible. The fat harvested can be transferred to the buttocks to ensure optimal fat viability and projection.
Kenneth Hughes, MD, ABPS Board Certified Plastic Surgeon
Los Angeles, CA

Q. Can drastic results from a BBL be achieved if the patient is going under local anesthesia?

A. You do not necessarily need general anesthesia, but I do think it is a better patient experience. I have performed many of these procedures with local and sedation, but it is certainly not for everyone and risk benefit analysis must be performed for each patient.
This procedure can be extraordinarily painful for the patient. You want the most dramatic transformation possible, and you do not want to be in pain. You also only want to have the procedure performed once.
Surgery time will vary greatly by skill level of the plastic surgeon, the number of areas liposuctioned, and the amount of fat transferred.
Kenneth Hughes, MD, ABPS Board Certified Plastic Surgeon
Los Angeles, CA

Q. Are there certain things I should ask for when discussing what I am looking for. More of a fitness model look?

A. Having been an athlete and natural bodybuilder for over 20 years, I share my wealth of knowledge and experience in nutrition and exercise regimens with my patients. I carefully evaluate my patient’s anatomy and goals and then tailor the results to an individual’s preference and specification.
I would recommend that you evaluate the following in selecting a PS that understands the BBL look you are seeking: (1) before and after photos on the board certified plastic surgeon’s website, (2) personal time with the PS through email or Skype before and after meeting in person. (3) Patient reviews to obtain an understanding of the types of procedures the PS performs and his/her availability to answer your questions pre and post operatively. Good communication is critical.
Kenneth Hughes, MD, ABPS Board Certified Plastic Surgeon
Los Angeles, CA

Q. How would the post op process work if you have a patient coming from another state?

A. Ask for your board certified plastic surgeon’s opinion regarding flying from Chicago to LA following BBL surgery. I recommend that my BBL patients remain in LA for at least a week in a near-by location for follow-up and recuperation. With an uneventful surgery and recovery, you may not need to return to Chicago for follow up exams and treatment. Otherwise, you may find that local PSs may have different post-operative protocols and are reluctant to assume responsibility for your care should an emergency arise and you cannot return to Chicago in a timely fashion.
Kenneth Hughes, MD, ABPS Board Certified Plastic Surgeon
Los Angeles, CA

Q. Can the fat for a BBL come from thighs, back and arms instead of my abdomen?

A. Fat can be taken from many different areas of the body including abdomen, sides, back, bra rolls, thighs, arms, underarms, etc. You have to consider not only which areas will have perhaps the best fat, but also you have to consider which donor sites will have the fewest problems afterward with the liposuction. In general, the abdomen and thighs are preferred, but, if those sites are not available, other areas can be used. Most lipomas do not need to be removed, unless they are painful or need formal diagnosis.
Kenneth Hughes, MD, ABPS Board Certified Plastic Surgeon
Los Angeles, CA

Q.I’m at my 5 week post op and I feel like my butt looks boxy. Is this the final result? Advice?

A. Recovery from BBL is patient dependent. Much of this depends upon the amount of liposuction performed and the amount of fat transferred. I have observed that between 4 and 6 weeks the buttocks tend to stabilize in volume. Usually by 3 months, the swelling is minimal and totally resolved by 6 months. Suggest that you follow up with your PS to discuss your concerns and gain approval to start exercising such as squats. At six weeks, my BBL patients can return to the gym.
Kenneth Hughes, MD, ABPS Board Certified Plastic Surgeon
Los Angeles, CA

Q.Will my butt continue to shrink? It’s been 18 days post BBL.

A. Recovery from BBL is patient dependent. Much of this depends upon the amount of liposuction performed and the amount of fat transferred. I have observed that between 4 and 6 weeks the buttocks tend to stabilize in volume. Usually by 3 months, the swelling is minimal and totally resolved by 6 months. Suggest that you follow up with your PS to discuss your concerns.
Kenneth Hughes, MD, ABPS Board Certified Plastic Surgeon
Los Angeles, CA

Q.Can a BBL transform an original boxy shape booty into a round projected booty?

A. Is the 1600cc fat or aspirate? Give yourself six months to heal before addressing a revision. Pre-operative photos (minus clothing) showing frontal, side, and back views would be helpful in making a recommendation. The percentage of fat survival in the BBL the second time should be about the same as the first.
Kenneth Hughes, MD, ABPS Board Certified Plastic Surgeon
Los Angeles, CA

Q.an all this be corrected with the right compression garment or is it to late?

A. It is of paramount importance that the patient follow postoperative instructions to the letter and that the compression garment is worn as instructed. Wait until six months have elapsed to consider a revision.
Kenneth Hughes, MD, ABPS Board Certified Plastic Surgeon
Los Angeles, CA