Skip to main content
Frank Agullo, MD En Español Open Menu

Understanding Brazilian Butt Lift Reversal

January 03, 2024 | Brazilian Butt Lift

Insights From Dr. Frank Agullo, Md (DR. WORLDWIDE)

Actual Patient Results BBL Reversal


The Brazilian Butt Lift (BBL) has gained immense popularity for its ability to enhance the buttocks’ shape and size. However, with changing personal aesthetics or lifestyle, some individuals may opt for a BBL reversal. The trend of reversing Brazilian Butt Lifts (BBL) for slimmer figures has gained attention, influenced in part by celebrities like Kim and Khloe Kardashian, Blac Chyna, and K. Michelle, reflecting a shift in beauty ideals towards more natural body shapes. Here, we explore the BBL reversal process, focusing on the expertise offered at Southwest Plastic Surgery under the guidance of Dr. Frank Agullo, MD, also known as Dr. WorldWide.


The size of the buttock after BBL can be decreased with weight loss alone. A BBL reversal is essentially a procedure to reduce the volume of the buttocks that were previously augmented, typically involving liposuction to remove excess fat. However, it’s crucial to understand that the effects of a BBL are not just about volume; they also affect the skin and connective tissues.


  • Aesthetic Changes: Some individuals wish to tone down exaggerated curves or reduce volume for a more contoured figure.
  • Implant Issues: Often sought by those with buttock implants experiencing complications or dissatisfaction, rather than those with modest fat transfers.


  1. Liposuction: This is the primary method used to remove the excess fat from the buttocks. It’s a surgical procedure that requires careful planning and execution.
  2. Additional Considerations: Following a BBL, increased buttock volume leads to stretched skin and connective tissues. Post-liposuction, patients might face issues like sagging buttocks and increased loose skin. Addressing these concerns often requires additional procedures:
    • Renuvion J-plasma: This advanced technology uses cold helium plasma and radiofrequency energy to tighten and rejuvenate the skin. It’s minimally invasive and can significantly improve skin laxity.
    • BodyTite: This procedure also employs radiofrequency energy, but it targets deeper skin and fat layers, promoting skin contraction and contouring. It’s effective in providing a more sculpted and lifted appearance.
    • Morpheus8: A subdermal adipose remodeling device (SARD), Morpheus8 combines microneedling with radiofrequency energy. It’s particularly beneficial for its dual action – it remodels the fat while rejuvenating the skin.
    • Buttock Lift: A traditional buttock lift may be necessary in cases of significant sagging. This surgical procedure removes excess skin and fat to enhance the shape and tone of the buttocks.
    • Miami Thong Lift: A more targeted form of a buttock lift, the Miami Thong Lift focuses on lifting and reshaping the buttocks with minimal scarring. It’s particularly suitable for those seeking a more defined and youthful appearance.


  • Location of Fat: If fat was injected into or below the muscle, removal becomes risky, potentially damaging the muscles.
  • Limitations of Weight Loss: Weight loss can shrink fat cells but won’t remove them permanently from the buttocks post-BBL.


The recovery process and the final results depend on the extent of the reversal and the additional procedures performed. Generally, patients should expect some downtime, with full recovery varying from a few weeks to a few months.


Deciding to undergo a BBL reversal is a significant decision that requires thorough consultation and an individualized approach. At Southwest Plastic Surgery, we prioritize patient safety and satisfaction, ensuring that each step of the process is tailored to your unique needs and aesthetic goals.

Call us today at 915-590-7900 to schedule a consultation and take the first step towards achieving beautiful, natural-looking buttocks. Alternatively, you can fill out our contact form online.