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Dr. James Namnoum describes the Brazilian Butt Lift, or BBL, and the importance of buttock contour. The buttocks are a crucial element of the body’s contour, working in unison with the waist and thighs to decide bodily shape. Historically, this area of the physique had been overlooked and underutilized, that is besides problematic buttock implants. Thanks to the breakthrough technology of fat grafting, and celebrities like Kim Kardashian, the derrière has definitely moved to the head of the class! According to the American Society of Plastic Surgeons (ASPS), buttock augmentations increased 26% in the last year. While buttock augmentations, or Brazilian Butt Lifts (BBL), are incredibly popular, they are also often misunderstood. Dr. James Namnoum of Atlanta discusses the real purpose of a BBL: It’s not about volume; it’s about shape. BBL IS A TWO FOR ONE “The buttocks have often been under-appreciated as an element of the human physique that can be enhanced,” explains Dr. Namnoum. This outlook is rapidly changing, thanks to fat grafting. Fat grafting to various parts of the body such as the face, the hands, and the breasts is an increasingly popular and common procedure. Patients like the idea of using their own fat as opposed to an artificial filler to increase volume because: it’s natural and from your own body there is less chance of an adverse or allergic reaction In the past, buttock augmentations were performed with an implant. Now, surgeons prefer to use a patients’s own fat, and it makes perfect sense. “It’s a twofer,” says Dr. Namnoum. The surgeon removes excess fat with liposuction from an area where the patient doesn’t want it. The abdomen and thighs are two of the more popular spots. Then, he or she grafts that fat into an area where the patient needs it. BBL IS ABOUT CONTOUR, NOT JUST VOLUME There is no doubt that “celebrities guide a lot of what happens in cosmetic surgery,” says Dr. Namnoum. This is particularly true when it comes to the butt. Patients will often come in with photos of movie starts and singers whose back sides they admire. Jennifer Lopez, Beyonce and Jessica Biehl are three favorites. While these photos can be a great tool for the plastic surgeon, patients don’t always understand that a buttock augmentation is not simply about increasing volume. BBL options. A BBL is ultimately about enhancing the shape of the buttocks. Dr. Namnoum will often have patients say to him that they don’t want their butt to be any bigger. The point of a buttock augmentation is not to make a butt bigger like the name implies, but to make it more shapely. “There’s the magic,” explains Namnoum. Especially when considering that the fat providing volume is removed from the waist and outer thighs, this shifting of mass dramatically increases the buttock contour.