What is a Brazilian Butt Lift? An augmented silhouette the natural way

A Brazilian Butt Lift, or BBL can provide a thinner waist and a rounder, more balanced figure, perfect for those who have age-related changes or wish they had a shapely, more proportional physique. After a Brazilian butt lift in Tampa, the final look is an elegant, curvaceous silhouette. BBLs are essentially a fat transfer procedure; fatty tissue is gently extracted from areas with excess fat, purified, and then redistributed in the butt and hips. Extraction areas are typically the hips, waist, tummy, and thighs. The phrase BBL might conjure images of an exaggerated butt and intense curves, but that doesn’t have to be the case. Using the body’s own fat results in a more natural look and a safer surgery and recovery. Dr. Markelov specializes in awake BBL, which means he performs the procedure without the need for general anesthesia. Performing a BBL while awake is more interactive since the patient can turn and position themselves during the procedure. They can also see the fat being removed and their results in real-time.

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Why choose Dr. Markelov for a BBL in Tampa? A keen eye for detail

Dr. Markelov spent many years undergoing extensive training to become the exemplary plastic surgeon he is today. He has won multiple awards, presented at conferences around the world, and has been published many times over. Here are a few select highlights of his career:

  • Holds double board-certification
  • Winnfer of the Patients’ Choice Award 
  • Completed his plastic surgery training at the University of Pittsburgh Medical Center, one of the top programs in the country
  • Awarded multiple times for teaching other surgeons at his alma mater Drexel University College of Medicine at Easton Hospital

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About Awake BBL

  • Reduce risks of general anesthesia
  • Safer procedure
  • Reduced risks of deep vein thrombosis 
  • Faster recovery
  • Utilizes ultrasound technology 

One of the most feared and deadly complications of BBL is fat embolism. This is especially common in blind procedures when fat is accidentally injected into the buttock muscles and below, which causes fat migration into gluteal blood vessels. Ultrasound imaging makes the procedure much safer and significantly reduces the risk of fat embolism. Dr. Markelov has extensive training in using ultrasound imaging during the procedure, making this a great addition to the safety protocols used in awake BBL. We utilize multiple safety protocols, such as unique patient positioning and the use of a special curved cannula, to eliminate the risk of fat embolism.

Understanding the Awake Ultra Safe BBL Technique

Awake Ultra Safe BBL refers to a specialized Brazilian Butt Lift (BBL) procedure designed to prioritize safety and precision. The term encompasses innovative techniques such as SAFE Liposuction and Ultra BBL.

SAFE Liposuction, also known as SAFE BBL, employs a method called Suction Assisted Fat Equalization. This technique utilizes specialized cannulas to release and evenly distribute fat, thereby achieving a smoother appearance and minimizing contour deformities.

On the other hand, Ultra BBL utilizes ultrasound technology during the fat transfer process. Traditionally, fat injection relied on palpation, but with recent advancements, handheld ultrasound devices allow for real-time visualization of fat placement. This ensures precise distribution, enhancing both safety and cosmetic outcomes.

Dr. Markelov specializes in Awake Ultra Safe BBL procedures, focusing on minimizing the risks associated with anesthesia by utilizing Safe liposuction techniques with ultrasound guidance. Additionally, he caters to patients with various body types, including Skinny or Fit BBL for those with a lower body mass index (BMI).

Awake Liposuction 360 with Hip Dip Correction

Hip dip correction

“Hip dip” is a term used to describe the indentations between the upper curve of the hips and the tops of the thighs. Hip dips typically develop in cases where the skin on the sides of the hips is tightly connected to the deeper layers of the thigh bone.Ultimately, what determines the visibility of a hip dip is the patient’s fat distribution. 

While this condition poses no risk to a patient’s health, it is often a cosmetic concern that they would like to address. Dr. Markelov performs hip dip correction on his patients from all over Florida and beyond, helping them achieve a hip region that is curved and smooth. Patients are awake throughout the procedure and given an anesthetic to keep them calm and comfortable. Dr. Markelov uses ultrasound guidance in every hip dip correction procedure, ensuring that his patients are safe every step of the way.


This procedure is performed under general or local anesthesia. Using liposuction, the fat is harvested via tiny access points in areas with excess fat. The fatty tissue is purified and processed. The patient’s fat is then injected into the target area, at which point Dr. Markelov sculpts the buttock shape and size. Following those steps, liposuction around the hips and thighs is performed to further contour the area and create a proportional, aesthetically pleasing waist-to-hip ratio; the result is a more voluptuous figure overall. 

This procedure is always customized to the patient’s body goals; some want a classic hourglass figure, while others prefer a more athletic look. Dr. Markelov works closely with each patient to ensure they achieve the aesthetic they desire. Not only does Dr. Markelov’s approach make this procedure exponentially safer, but it also streamlines recovery. He does not use drains, meaning our patients can return to work and normal activities much faster.

How to Fix Hip Dips in One Procedure

Awake Brazilian Butt Lift Procedure

Brazilian Butt Lift Before & After Photos

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Who is an ideal candidate? A curvy and proportional body

If you are in good health and want to improve the appearance of your buttocks, trunk and lower body, you are an excellent candidate for a Brazilian Butt Lift in Tampa. Common donor sites include the abdomen, back, or thighs. Here are some other indicators that a BBL in Tampa may be right for you:

  • You want rounder, fuller buttocks
  • You desire a curvy figure
  • Your hips and buttocks look disproportionate to the rest of your body
  • You have maintained a stable weight for at least 6 months

Advantages of a BBL

Dr. Markelov has extensive expertise with BBLs. He carefully listens to what each patient wants their body to look like and considers their medical history before determining if the procedure is right for them. He never moves forward unless he can ensure that the results will make the patient happy.

Benefits to the procedure include:

  • Beautiful, feminine curves
  • A slimmer, more proportionate waist
  • Increased self-confidence
  • No risk of allergic reaction

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What will my recovery entail?

BBLs require significant recovery time, though Tampa Plastic Surgeon, Dr. Markelov, utilizes techniques to minimize downtime so patients can resume their normal activities faster. Light activities can be resumed pretty much the next day. The majority of our patients can return to work within 7-10 days. Typical BBL recovery looks like this:

  • Back to light activity the next day
  • Back to work in about two weeks
  • Avoid sitting for long periods of time for at least 2 weeks following a butt lift (you will be given a custom foam piece to use as needed)
  • Sleep on your abdomen or side at night for the first 4 weeks 
  • Wear a compression garment to reduce swelling for the first 4 weeks continually 

Optimal postoperative care for Brazilian Butt Lifts is vital to ensuring positive results. It is important to avoid putting pressure on the fat grafts so they can survive and settle permanently into the area. Dr. Markelov will provide detailed aftercare instructions and schedule follow-up visits to ensure healing is progressing properly.

Let AM Plastic Surgery restore your ideal body

A Brazilian Butt Lift in Tampa with Dr. Markelov can elevate your self-esteem and expand your wardrobe options. BBLs are more than just increasing the size of the buttocks to Dr. Markelov. He studies each patient’s body and sculpts the hips and butt in a way that enhances their form. Serving patients in Tampa and Clearwater, contact AM Plastic Surgery for a consultation with Dr. Markelov today.

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