Brazilian Butt Lift | Hip Reshaping

Brazilian Butt Lift in San Francisco, CA | Ethos Plastic Surgery

A Brazilian Butt Lift (BBL) is a safe cosmetic surgical procedure that involves transferring fat from other areas of the body to the buttocks to permanently enhance their shape and size. During the BBL procedure, Dr. Xu utilizes an advanced form of liposuction to remove unwanted fat from areas such as the abdomen and hips to contour the waistline, and then injects this fat into the buttocks to create a more shapely yet always natural appearance. 

It’s important to understand that buttock aesthetics are not solely about size; the shape of the waistline and hip contours surrounding the buttocks are equally significant. Additional services such as hip reshaping or Hip Flip (filling of lateral hip dips with fat transfer) and hourglass contouring ensure a comprehensive approach to help each patient realize their unique body goals. Achieving a personalized, desirable, and altogether natural look requires a plastic surgeon with a keen sense of artistry and extensive training in aesthetic plastic surgery procedures.

Harvard-trained plastic surgeon Dr. Ginger Xu has the training, expertise, attention to detail, and artistic sense to help you safely achieve your goals. During your consultation, Dr. Xu will listen to your vision and recommend the best approach to attain your desired natural-looking, long-lasting Brazilian butt lift results. You can trust that Dr. Xu will provide personalized care and attention every step of the way.

If you’re seeking butt augmentation in San Francisco, CA, contact Dr. Ginger Xu’s office today to schedule your consultation today. 

Dr. Ginger Xu - Ivy League-Trained Plastic Surgeon

Choosing the right plastic surgeon is critical when considering San Francisco BBL surgery. It’s highly recommended to partner with a surgeon who is board-certified, has a mastery of modern surgical methods, and is compassionate in their approach to patient care. 

At Ethos Plastic Surgery, we strive to provide a natural and refined look that complements your unique features. Dr. Xu’s philosophy is rooted in the concept of “soft, gentle beauty,” which is evident in every aspect of our practice. Our signature aesthetic combines elegance and sophistication with a focus on enhancing your natural beauty. With Dr. Xu’s expertise and attention to detail, you can trust that your results will be youthful and rejuvenating while still appearing entirely natural.

Dr. Xu is committed to prioritizing patient satisfaction and takes pride in helping patients achieve their desired results. With her approach to BBL surgery, Dr. Xu can help you achieve a personalized, aesthetically pleasing appearance that meets your unique preferences. 

Benefits of BBL Surgery with Dr. Xu

A Brazilian buttock lift offers several benefits for those looking to enhance the shape and size of their buttocks. Here are some of the main benefits of a BBL when you partner with Dr. Xu:


Safety is a top priority for BBL procedures, as there can be fear surrounding the surgery due to reports of it being performed by unqualified or inexperienced practitioners. To ensure a safe approach, it’s crucial for surgeons to follow well-established guidelines such as avoiding intramuscular injections, boluses, and other high-risk practices. Dr. Ginger Xu has high-volume experience and also uses special equipment and techniques, such as vibration-assisted fat transfer for opening up tissues during injection, to provide a safe and effective BBL procedure.

Natural-Looking Results

 Dr. Ginger Xu’s goal with Brazilian butt lift procedures is to achieve natural-looking results that are never overdone or extreme. Many SF Bay Area patients seek Dr. Xu for her aesthetic awareness and ability to create a new shape that looks entirely natural – as if you were born that way. By treating the surrounding hip and lower back areas and focusing more on enhancing the shape of the buttocks rather than just adding volume, Dr. Xu ensures that patients achieve a personalized, desirable look that complements their body proportions and contours.

Long-Lasting and Natural Results

The results of BBL are entirely natural, as the augmentation is created using your own body’s fat, rather than an artificial device such as a silicone implant. In addition, the results are permanent, provided the patient maintains a stable weight and follows a healthy lifestyle. By adhering to these guidelines, patients can enjoy their new shape for many years to come.

Awake Surgery

The procedure can be performed “awake” under local anesthesia, which minimizes the risks and downtime associated with general anesthesia. Of note, Dr. Xu is one of few surgeons with the specialized expertise to offer the procedure this way. Awake surgery also allows patients to communicate with their surgeon during the procedure. For those who prefer IV Sedation or General Anesthesia, those are always options as well.

Minimal Scarring

 BBL is a minimally invasive procedure that requires only very small incisions for the liposuction and fat transfer, resulting in minimal scarring. Most patients can expect these scars to fade and become unnoticeable over time.

Boost in Confidence

A BBL can boost a patient’s confidence and self-esteem by enhancing their overall appearance and creating a more proportionate figure. This often leads to improved body image, increased self-confidence, and a better quality of life.

Hourglass Hip and Waistline Contouring

 Dr. Xu’s approach to BBL includes sculpting the waistline and hip contours which create smooth and elegant transition zones and achieves a more balanced and proportionate appearance. The end result is a more hourglass contour that accentuates the patient’s figure and provides a natural result that complements their unique body shape.

The Best of Both Worlds

 BBL is performed via liposuction with fat transfer and is often seen as a procedure that combines the best of both worlds; removing fat from where you DON’T want it and putting it where you DO want it.

Hip Flip or Hip Dip reshaping

Dr. Xu can also address hip dips, which are natural indentations or depressions on the upper outer part of the buttocks. This occurs where the upper leg  meets the hip bone and is caused by genetics, your bone structure, and how tightly your skin is attached to the underlying tissue. Dr. Xu uses a fat transfer procedure to inject the patient’s own body fat into these areas, improving the appearance by filling out the depressions and creating a more rounded and contoured buttock. This gentle approach achieves natural-looking results that enhance the patient’s unique body shape.

board-certified plastic surgeon Dr. Ginger Xu

Meet Dr. Ginger Xu

Dr. Xu embraces the responsibility and transformative opportunity to alter a patient’s appearance in a way that is congruent with their own values and matches a more cohesive sense of self; to realign the external with the internal; to create an improved emotional landscape and a better life. These ideals captivate and inspire her every day.

Partner With Dr. Ginger Xu, a Leading Female Plastic Surgeon in San Francisco

Dr. Ginger Xu, a leading female plastic surgeon in San Francisco, is passionate about helping her patients achieve their desired results while maintaining a natural-looking appearance. She understands that cosmetic procedures like buttock augmentation are a way to express self-love and body positivity.

“In modern culture, we face a unique set of challenges from social messaging about idealized appearances and body types. Sometimes, it’s hard to separate society’s noise from your beliefs and values. I can understand what it’s like to navigate this while also trying to stay true to what you want for your body, on your terms, regardless of what other people think or how it fits into norms. Ultimately, doing what’s right for you is the greatest act of self-care.”

Discover More About Buttock Augmentation in the San Francisco Bay Area

before and after Brazilian butt lift and hip reshaping female patient left diagonal front view
Hip Flip Patient Results
before and after Brazilian butt lift and hip reshaping female patient back view
Hip Flip Patient Results

At Ethos Plastic Surgery, we believe in delivering individualized care and attention to each patient. If you are considering buttock augmentation surgery, contact us online or call (415) 506-4300 to schedule a friendly and informative consultation with Dr. Xu. We look forward to hearing from you!


BBL San Francisco, California

Preparing for buttock augmentation surgery is an important step towards ensuring a successful procedure and a smooth recovery. Once you and Dr. Xu have agreed on a surgical approach, she will schedule your surgery and provide you with detailed instructions on what to do before and after your surgery. This will include information about which medications to take or avoid, as well as any necessary blood tests or other medical exams. Dr. Xu may also correspond with your primary care physician to ensure you are in optimal health before the surgery.

In the weeks leading up to your surgery, it is crucial to take steps to prepare your body and mind. This includes getting adequate sleep and rest, eating a healthy diet with enough protein and nutrients, engaging in regular physical activity, and managing stress levels. Dr. Xu also encourages patients to ask any questions they may have about the surgery or recovery process to ensure they feel comfortable and informed. Additionally, it is important to stop smoking at least six weeks prior to the surgery to minimize the risk of complications. By following these recommendations and preparing yourself both physically and mentally, you can help ensure a successful outcome and a smoother recovery.

The amount of fat that can be transferred to the buttocks during a Brazilian Butt Lift (BBL) procedure varies depending on several factors, including the individual patient’s anatomy, how much space is in the buttocks, how tight the buttock skin is attached, and the amount of excess fat available for harvesting from other areas of the body. Dr. Xu always aims to transfer enough fat to achieve the desired contour and shape of the buttocks, while also balancing factors such as skin tension to ensure that the transferred fat cells can survive and properly integrate with the existing tissues.

A successful outcome for any surgical procedure is not only dependent on the procedure itself but also patient compliance during the recovery period. During this time, any pain can be relieved with over-the-counter or prescription pain medications. The amount of pain and your overall recovery period will depend on a variety of factors, including the amount of fat transferred, whether you have undergone other surgeries at the same time, your age, your individual pain tolerance, and your health before the surgery.

During your recovery period, you may be required to wear a compression garment to minimize swelling and support your new shape. You will also be asked to avoid sitting or lying on your back or buttocks as there should be no direct pressure to your buttocks where the fat was added. This means sleeping on your tummy and using a special BBL pillow for a certain period of time. These measures are taken in order to protect the fat and give it the greatest chance for survival. Dr. Xu will advise you on the best time to return to your normal activities, including exercise and work. If you have undergone a combination of surgeries, Dr. Xu will inform you of any additional recovery needs to ensure optimal results. At Ethos Plastic Surgery, we are committed to providing you with the personalized care and attention you deserve throughout your recovery period, to ensure your safety, comfort, and successful outcome.

Patients can typically see initial results immediately after the procedure, but the final results may take several weeks to months to fully settle. The liposuction contoured areas will appear reduced right away, but then will fluctuate with swelling until the scar tissue softens. The buttocks will usually appear larger than the final expected size due to swelling and also because not all of the transferred fat will survive; there is a certain percentage of expected loss in fat retention over time.

The cost of BBL varies depending on the technique used and whether additional procedures such as a tummy tuck are performed. Combination surgeries are more complex and, therefore, more expensive. To fully understand the cost of surgery, it is best to schedule a consultation with Dr. Xu, a board-certified plastic surgeon with extensive experience in cosmetic surgery. During the consultation, Dr. Xu will listen to your vision for your body and review the available options, providing advice on the optimal surgical plan that will best meet your needs. At Ethos Plastic Surgery, we understand that the cost of surgery is an important consideration, and we will work with you to create a customized treatment plan that targets your desired results.

A BBL can be paired with one or more procedures. Combination procedures, often referred to as mommy makeovers, are personalized to each woman’s particular needs and goals. Mommy makeovers can include a tummy tuck, cosmetic breast surgery (breast lift, breast augmentation, etc.), liposuction, post-weight loss body contouring, buttock augmentation, C-section revision, and/or facial rejuvenation procedures.

Request a Consultation