A Brazilian Butt Lift is the term given to a procedure intended to re-sculpt and reshape the buttock region. Historically certain cultures such as the Latin American culture have favored larger and shapelier buttocks as a symbol of beauty. In contrast western norms have historically regarded a smaller buttock as more aesthetically pleasing. Over the last several years pop culture and fashion trends have brought attention to the aesthetic benefits of a more shapely and sculpted buttock. This trend combined with newer refined and dependable surgical techniques have made the Brazilian Butt Lift one of the more requested surgical procedures. In the course of a Brazilian Butt Lift fat is harvested by liposuction from areas of excess. This fat is then processed and purified and then carefully reinjected into areas where the fat is considered deficient. This ability to rearrange the fat allows the surgeon to artistically create a shapelier and sculpted buttock. Newer techniques in fat harvesting, purification and injection result in more dependable survival of the transferred fat. Commonly up to 80% of the transferred fat survives contributing to the final result. Although some results are immediate the final result is usually not realized for 3-4 months. Very often the term “butt lift” (not Brazilian Butt Lift) refers to excision of skin along the upper order of the buttocks. This procedure will remove loose skin and lift the buttocks without increasing the volume. Sometimes gluteal implants are used if there is not enough fat available.