A Brazilian Butt Lift, or BBL, is a body contouring procedure that can be tailored to transgender, non-binary and gender non-conforming patients that wish to enhance their lower body to better reflect their gender identity.
A BBL consists of two stages, (1) liposuction to harvest sufficient fat from areas of the body such as the abdomen and thighs, and (2) fat transfer, where the harvested fat is purified and injected into the buttocks to achieve the desired shape.
At CREO Gender, Dr. Omar Tillo is our senior body contouring surgeon and buttock contouring expert. Dr. Tillo has pioneered his advanced approach to fat transfer to ensure safer, superior BBL surgeries, and regularly teaches his techniques to fellow surgeons.
Book a consultation with Dr. Tillo and start your journey toward a more aligned, confident silhouette with a gender-affirming BBL.
Quick Overview of the BBL Procedure
Treatments
1Results
6 MonthsAnesthesia
Sedation or GeneralSurgery Time
2-4 HoursHospital Time
6 HoursMobility
24 HoursWashing
2 DaysOff-Work
10 DaysExercise
2-3 WeeksFull Recovery
4-6 WeeksGender-Affirming Benefits of BBLs for Trans and Non-Binary Individuals
Body contouring procedures like BBL surgery can play a central role in your gender-affirming care journey, and can come with an array of benefits:
Body Contouring That Aligns with Your Gender Identity
For many trans and non-binary people, aligning their physical appearance with their gender identity is an important part of their journey. A Brazilian Butt Lift (BBL) can be a gender-affirming option that helps shape the body in a way that reflects how you truly see yourself.
Whether you’re seeking a more feminine or masculine shape, BBL surgery can be customized to suit your unique goals.
Reduce Feelings of Gender Dysphoria
Feeling that your body does not reflect your true gender identity can be a source of ongoing gender dysphoria. A BBL can play a meaningful role in reducing that distress by contouring the figure in accordance with your gender identity.
Care from Clinicians Experienced in Gender Diversity
Choosing a surgeon with specialised expertise in gender-affirming buttock contouring can help you achieve the best possible outcome from your BBL. Their skill and understanding of gender-specific aesthetics ensure the results align closely with your identity and goals.
Before and After BBL Surgery
Is a BBL Right for You? Understanding Candidacy for Trans & Non-Binary Patients
During your initial consultation with Dr. Tillo, he will thoroughly assess your eligibility for BBL surgery. In general, you will be a good candidate if:
- You are over 18
- You wish to contour your buttocks
- You are in overall good mental and physical health
- You are at your goal weight
Why choose us
At CREO GENDER, we provide expert gender-affirming care in a space where your safety, autonomy, and individual journey are our priorities.Â
Our highly specialist, multidisciplinary team, led by Medical Director Dr Omar Tillo, combines advanced surgical expertise with genuine understanding of the challenges facing the trans+ community – informed by dedicated training. Â
Whatever your goals, we approach every consultation with respect and humility, recognising that you are the expert in your own experience.
With 4.9 stars across major review platforms and recognition from leading surgical bodies, our outcomes reflect our commitment to excellence.Â
Types of BBLs for Affirming Your Gender Identity
At CREO Gender, buttock contouring is performed by Dr. Tillo, who has advanced skills in sculpting both masculinising and feminising shapes. Using an ultrasound-guided fat transfer technique, Dr. Tillo safely places fat above the gluteal muscle to contour the buttocks in a way that aligns with your gender identity.
Feminising BBL
A feminising BBL aims to enhance the curves of the buttocks to create a traditionally feminine, hourglass silhouette. This is achieved by evenly distributing fat throughout the buttocks to produce a smooth, rounded, O-shaped contour.
Masculinising BBL
A masculinising BBL, or male BBL, is a type of buttock contouring procedure designed to create a more square-shaped appearance. This is typically achieved by strategically adding fat to the upper, middle, and lower areas of the buttocks while avoiding the sides. The result is enhanced posterior fullness with a firmer, more defined, and traditionally masculine aesthetic.
Other Gender-Affirming Surgeries You Can Combine with a BBL
Buttock Implants
Buttock implants can be used in combination with a BBL to create natural-looking results without compromising on the volume that implants can provide. This can further enhance the curves of the buttocks for a feminine, hourglass figure.
Breast Augmentation
Breast augmentation can be combined with a feminising BBL to soften the figure and add curves to both the upper and lower body. This helps to create a more pronounced, traditionally feminine hourglass figure.
APEX Recovery Protocol
Every procedure our surgeons perform comes with Creo Clinic’s APEX Recovery System – a unique recovery protocol built and refined on years of specialised expertise.
This three-stage system combines pre-surgical optimisation, advanced anaesthetic techniques, and a post-operative strategy designed to eliminate the need for morphine.
These treatments are thoughtfully integrated into every step of your plan, ensuring your recovery is supported, refined, and medically guided. We don’t make any compromises when it comes to care … and you shouldn’t either.
FAQs About BBLs for Trans & Non-Binary Individuals
How much does a BBL cost?
Can you undergo BBL surgery while actively taking hormones?
Is gender-affirming care covered by the NHS?
How do I know what is the best type of BBL for my body shape?
For patients seeking to feminise the figure, an A-shaped (more volume at the bottom of the buttocks) or O-shaped buttocks (volume equally distributed across the buttocks) is typically the most desirable. For those seeking a more masculine buttocks, a square-shaped butt is usually the best option to accentuate posterior fullness for a firmer appearance.



















