How do you perform BBL surgeries at Heights Plastic Surgery? January 25, 2023 A Brazilian butt lift is an outpatient procedure that typically takes about 2 to 3 hours to complete. To begin, a general anesthetic will be administered to ensure you are comfortable and pain-free throughout your surgery. Dr. Downey or Dr. Bullocks will then perform gentle liposuction to remove fat from the chosen donor areas of the body, typically the back, flanks, arms, or abdomen. The harvested fat is collected and purified to ensure only healthy tissue and cells are used for transfer into the buttocks. The fat is then strategically and carefully injected into areas of the buttocks that require lift and reshaping. Butt implants may be used at this time to enhance the results of your Brazilian butt lift procedure.