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Well Beyond 40

The BBL Reality Check

Well Beyond 40

JJ Virgin

Nutrition, Fitness, Health & Fitness

4.51K Ratings

🗓️ 17 July 2026

⏱️ 10 minutes

🧾️ Download transcript

Summary

What makes BBLs one of the riskiest procedures in plastic surgery? I’m sitting down with plastic surgeon Dr. Rady Rahban to get real about one of the most talked-about and misunderstood procedures in beauty: the Brazilian Butt Lift. We break down why BBLs can be so risky, what actually happens when fat is removed and transferred, and why aggressive liposuction can create problems long after the initial “wow” moment. We also explore a new fat-transfer option that could be a total game changer for lean, fit women who want subtle volume without having enough fat to donate. (00:00) Why board certification matters, but why doing your homework still matters even more. (00:49) What a Brazilian Butt Lift actually is and why it became such a popular procedure. (01:39) Why creating even a small change in the butt requires a surprisingly large amount of fat. (02:22) Why liposuction for a BBL is often much more aggressive than standard targeted liposuction. (03:41) How BBLs became one of the deadliest procedures in plastic surgery. (04:42) Why injecting too much fat too deeply can lead to a dangerous fat embolism. (06:31) Why lean, fit women may struggle with volume loss in the face, breasts, or butt despite being in great shape. (07:32) How donor fat scaffolding may offer a new way to restore volume without traditional fat harvesting. Watch the full episode: https://youtu.be/0yLzL_GGiy8?si=qRnRDfT85adflE9Q  Full show notes (including all links mentioned): https://jjvirgin.com/drrady

Transcript

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0:00.0

There are plenty of board-certified plastic surgeons that are terrible and should have their license

0:05.7

taken away. And there are some non-board-certified, non-plastic surgeons that are reasonably

0:12.1

decent. But when you look at things, you look at things for trends and probability. And the

0:18.3

probability is that if something goes really sideways, it's often, more often,

0:24.5

usually someone who's poorly trained and unscrupulous, which is a parallel universe of plastic

0:30.4

surgeons who are non-board certified. But unfortunately, you know, just like there's bad pilots and

0:35.8

bad cops and bad priests, they're going to be bad plastic surgeons, even though they're sort of board certified.

0:41.7

That's why you must do your homework.

0:43.2

Yes.

0:43.8

So, BBLs.

0:45.7

Yes.

0:49.0

What are they?

0:50.3

And they seem like they're the big risky one.

0:54.2

Yeah.

0:54.5

Are they?

0:55.0

So BBL is Brazilian butt lift, which, as the name denotes, originated predominantly out of Brazil

1:02.4

because of their aesthetic preferences, which is fuller, rounder, bigger butts.

1:06.9

And essentially the idea is a Brazilian butt lift means that we are adding volume fat to your

1:14.5

butt, which as it fills it, makes it lifted, right? So as we put volume in your butt,

1:21.7

because it swells up, it gets bigger, it's quote unquote lifts it. Okay, got it. So the basic

1:27.2

principle is we're going to liposuction your body, and it's usually everywhere. That's what they refer to as Lipo 360. I hate all these terms, but we'll use them because that's what you're going to hear. We're going to take all the fat that we took out of your body, put it in canisters, prep it, wash it, clean it, put it

1:45.1

in syringes, and put it back in your butt. Okay, sounds pretty good. But, so number one is what

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