What is a Brazilian butt lift? The Brazilian butt lift (BBL) is a cosmetic procedure that uses advanced liposuction and fat grafting techniques to enhance the size and shape of the buttocks and achieve a younger and perkier contour. Men and women who come in for a Brazilian butt lift consultation typically desire slimming down their abdomen and flanks while simultaneously increasing the size of their buttocks. This procedure may be done alone or may be combined with the use of butt implants for an additional boost of volume and contours. Dr. Cara Downey and Dr. Jamal Bullocks are the leading board-certified plastic surgeon in Houston who continuously performs hundreds of successful butt lift procedures on men and women all across Texas.