Ayala Plastic Surgery - John Ayala, MD
San Antonio
Ayala Plastic Surgery - John Ayala, MD is a plastic surgery practice in San Antonio, Texas, rated 5 stars across 226 Google reviews, performing 13 tracked procedures.
Liposuction of the abdomen, flanks, or thighs with transfer of that fat to the buttocks, and the cosmetic operation that demands the most careful surgeon selection of any procedure we list. Compare San Antonio clinics below and request a free consultation.
$8,000–$18,000
per procedure · USD
A general range for San Antonio, rounded for guidance. Confirm exact pricing with each clinic.
Plastic surgeons in San Antonio who list brazilian butt lift (bbl) among their procedures. Tap any surgeon to view details and request a consultation.
San Antonio
Ayala Plastic Surgery - John Ayala, MD is a plastic surgery practice in San Antonio, Texas, rated 5 stars across 226 Google reviews, performing 13 tracked procedures.
San Antonio
Ablavsky Plastic Surgery: Dr. Michael Ablavsky is a plastic surgery practice in San Antonio, Texas, rated 5 stars across 196 Google reviews, performing 14 tracked procedures.
San Antonio
Austin Plastic Surgeon - San Antonio is a plastic surgery practice in San Antonio, Texas, rated 5 stars across 66 Google reviews, performing 16 tracked procedures.
San Antonio
Baumholtz Plastic Surgery is a plastic surgery practice in San Antonio, Texas, rated 4.9 stars across 358 Google reviews, performing 15 tracked procedures.
San Antonio
Alamo Plastic Surgery - Dr. William Albright, MD is a plastic surgery practice in San Antonio, Texas, rated 4.9 stars across 302 Google reviews, performing 8 tracked procedures.
San Antonio
San Antonio Plastic Surgery Institute - Decherd & Isakson is a plastic surgery practice in San Antonio, Texas, rated 4.9 stars across 205 Google reviews, performing 14 tracked procedures.
San Antonio
The Heights Plastic Surgery Med Spa is a plastic surgery practice in San Antonio, Texas, rated 4.9 stars across 190 Google reviews, performing 2 tracked procedures.
San Antonio
Eric S. Schaffer, MD FACS is a plastic surgery practice in San Antonio, Texas, rated 4.9 stars across 185 Google reviews, performing 13 tracked procedures.
Liposuction of the abdomen, flanks, or thighs with transfer of that fat to the buttocks, and the cosmetic operation that demands the most careful surgeon selection of any procedure we list.
One procedure, though 30 to 40 percent of transferred fat is typically reabsorbed
No sitting directly on the buttocks for 2 to 3 weeks, 6 weeks before full exercise
People with enough donor fat to harvest, at a stable weight, in good health, who have researched surgeon safety practices thoroughly
Typical Brazilian Butt Lift (BBL) pricing in San Antonio runs $8,000–$18,000 per procedure. The biggest variables are the provider's experience level and the specific device or product used — newer technology and senior injectors price at the upper end. Pricing is quoted in US dollars (USD). Request a consultation from any of our listed San Antonio clinics for a personalized quote.
Initial results in 2–4 weeks, with full results developing over 3 months as collagen builds. San Antonio providers typically schedule follow-ups to track progress.
Maintenance schedules vary — most San Antonio providers recommend periodic refresh sessions every 6–12 months once optimal results are achieved.
This procedure has historically carried the highest mortality rate in cosmetic surgery, and you should understand why before considering it. Deaths occurred when fat was injected into or beneath the gluteal muscle, where it could enter large veins and travel to the lungs as a fat embolism. In response, the Multi-Society Gluteal Fat Grafting Task Force issued guidance that fat be placed only in the subcutaneous layer above the muscle, and many surgeons now use ultrasound guidance to confirm cannula position in real time. Safety has improved substantially where surgeons follow these practices. Ask any surgeon directly whether they inject subcutaneously only and whether they use ultrasound guidance. If the answer is vague, leave.
Nationally, $8,000 to $18,000 including liposuction of the donor areas, the transfer, anesthesia, and facility. This is a procedure where unusually low prices correlate with the exact practices that made it dangerous, including high-volume clinics running multiple operations a day with limited surgeon involvement. Price should be near the bottom of your decision criteria here.
Typically 60 to 70 percent, meaning 30 to 40 percent is reabsorbed in the first several months. Surgeons account for this by overfilling initially. The fat that survives past six months has established a blood supply and is permanent. Some patients choose a second session to add volume once the first has settled.
Pressure on newly transferred fat compresses it and interrupts the blood supply it needs to survive, which both reduces your result and can cause fat necrosis. Most surgeons restrict direct sitting for two to three weeks, then allow sitting on a specialized cushion that shifts weight to the thighs. This restriction is the single most demanding part of recovery and it is worth planning your work and life around before you book.
The operation requires donor fat, and very lean patients often do not have enough for a meaningful result. Some surgeons will advise gaining weight beforehand, which is a reasonable plan for some people and not for others. Gluteal implants are an alternative but carry their own higher complication rate. A surgeon who tells you that you are not a good candidate is giving you useful information rather than losing a sale.
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