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BBL with Fillers vs. BBL with Fat Grafting: Understanding the Key Differences

In recent years, the Brazilian Butt Lift (BBL) has surged in popularity, becoming one of the most sought-after cosmetic procedures worldwide. Women (and increasingly, men) desire a shapely, lifted, and well-proportioned derrière, and the BBL promises to deliver just that. However, within the realm of BBL procedures, there are two primary techniques: BBL with fillers and BBL with fat grafting. While both aim to enhance the buttocks, they differ significantly in their approach, longevity, and overall results.

At Harley Elite Academy, we offer comprehensive training courses (Advances and Masterclass) in both fat grafting and fillers, available both online and in our clinic. The online option is gaining popularity, particularly among candidates from the Caribbean and the US.

BBL with Fillers:

BBL with fillers, also known as the non-surgical BBL, involves the injection of dermal fillers such as hyaluronic acid or collagen into the buttocks to enhance volume and shape. Unlike BBL with fat grafting, this procedure doesn’t require liposuction to harvest fat from other areas of the body. Instead, the filler is directly injected into the buttocks to achieve the desired augmentation.


  1. Non-invasive: BBL with fillers is a non-surgical procedure, making it an appealing option for individuals who are hesitant about undergoing surgery.
  2. Immediate results: Patients can typically see immediate results after the procedure, enjoying a fuller and more lifted appearance without the downtime associated with surgery.
  3. Adjustable: Since fillers can be precisely injected, the surgeon has more control over the shape and volume of the buttocks, allowing for customized results tailored to the patient’s preferences.


  1. Temporary results: The results of BBL with fillers are temporary, lasting anywhere from several months to a couple of years, depending on the type of filler used and individual metabolism.
  2. Requires maintenance: To maintain the desired results, patients may need periodic touch-up sessions as the filler gradually dissipates over time.
  3. Limited volume enhancement: Compared to fat grafting, BBL with fillers may offer less dramatic volume enhancement, particularly for patients seeking significant augmentation.

BBL with Fat Grafting:

BBL with fat grafting, also known as the surgical BBL, involves a more intricate process of fat transfer. This procedure begins with liposuction to harvest excess fat from areas such as the abdomen, flanks, or thighs. The harvested fat is then purified before being injected into various layers of the buttocks to enhance volume, contour, and shape.


  1. Natural results: Since the patient’s own fat is used for augmentation, BBL with fat grafting provides a more natural look and feel compared to fillers.
  2. Permanent results: The fat cells that survive the transfer process become a permanent part of the buttocks, offering long-lasting results that can potentially endure for years.
  3. Dual benefits: Liposuction used during the procedure allows for contouring of other body areas, providing additional aesthetic benefits beyond buttock augmentation.


  1. Surgical procedure: BBL with fat grafting is a surgical procedure that requires anesthesia, incisions, and a period of recovery. Patients should be prepared for downtime and potential post-operative discomfort.
  2. Variable fat retention: Not all transferred fat cells survive in their new location, leading to some degree of volume loss over time. Multiple sessions may be needed to achieve the desired level of augmentation.
  3. Risk of complications: As with any surgical procedure, there are inherent risks, including infection, bleeding, and asymmetry, which should be discussed with a qualified plastic surgeon beforehand.

Choosing the Right Option:

Ultimately, the choice between BBL with fillers and BBL with fat grafting depends on individual preferences, anatomical considerations, and desired outcomes. While BBL with fillers offers a non-invasive and immediate solution with temporary results, BBL with fat grafting provides a more permanent enhancement with a surgical approach and longer recovery.

It’s crucial to  undergo your BBL Training with a skilled surgeon who can effectively guide you through the learning process.

In order to take the fat grafting course you need to be a Surgeon.

In order to take the BBL fillers training course you need to be a Registered Medical Professional.

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