Fat injection into the buttocks (BBL) has become increasingly popular in recent years.
The procedure was originally developed in South America and was designed to increase the size and shape of the buttocks. The BBL became very popular in the United States, however recently the safety of the procedure has been brought into question by the medical community. It has been found the buttock fat augmentation has the highest mortality rate of any cosmetic procedure, the mortality rate is 1 person in 3000!

Several years ago, Dr. Vitolo pioneered the development of a safer alternative to BBL that would give the appearance of a rounder, more defined buttocks without the need to inject fat, BUTTOCK SCULPTING!


Almost anyone who is a good candidate for liposuction could have the shape of their buttocks improved with buttock sculpting. This procedure does not actually make the buttocks larger, but it defines the buttocks to make them look perkier and rounder. Since it does not involve injecting fat into the body it is a safer procedure with the same risk factors as regular liposuction.

Any person who is concerned about the risk of fat injections into the buttocks, but still wants the benefits of a rounder, perkier buttock is a candidate for this procedure which offers a safer alternative.


Take the first step.  Get your questions answered by meeting with board certified plastic surgeon Dr. Robert Vitolo for an in-person consultation.  Simply fill out the form on this page, and one of our experienced team members will reach out to you promptly to schedule your consultation.



buttock sculpting Staten Island & Brooklyn
buttock sculpting Staten Island & Brooklyn
buttock sculpting Staten Island & Brooklyn
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*Individual results may vary



“Dr. Vitolo and his team are the most kind and considerate professionals I’ve encountered. My first surgery, rhinoplasty, was done by Dr. Vitolo in 1998, which I’m extremely pleased with. After having two children via C-section, I recently turned to Dr. Vitolo for a well-deserved Mommy Makeover and am so happy I did. I highly recommend Dr. Vitolo; he is worth every penny.”*

“Dr Vitolo, is amazing!! Iam very happy I had such an experienced and caring doctor!  The results are incredible. And I couldn’t be happier!! I didn’t have to worry about anything. Nothing. He is extremely knowledgeable in every aspect. Which made me feel secure and comfortable. I had an amazing trustworthy doctor! Would recommend him to anyone!”*  -RealSelf Patient Review

“I just want to say thank you for everything. You helped me more than you know; I really appreciate you doing the surgery for me and I know I will be very happy with the results. I know you have a reputation of one of the best surgeons, and I truly agree you are, if not the best, and I mean by the person you are. It was very kind of you to help me under the circumstances.”*   – JH

“Words cannot express what you have done for my self-esteem and confidence. You and your staff made me feel relaxed and comfortable the whole way through. I thank you all dearly, and you truly have “hands of magic!” Happy Holidays to all of you and yours.”*   -J


*Individual results may vary

DR. VITOLO’S APPROACH TO Buttock Sculpting:

Fat injection to the buttocks is designed to make the buttocks larger by injecting large amounts of harvested fat into the tissues of the buttocks. Dr. Vitolo’s buttock sculpting procedure does not make the buttocks larger, it makes the buttocks look larger and better than before.

How is that possible, without adding volume to the buttocks? Simple, Dr. Vitolo’s technique for buttock sculpting reduces the size of the surrounding fat areas by sculpting these tissues, with his external ultrasonic-assisted liposculpture (EUAL) technique to reduce their volume and that lets the natural size of the buttocks stand out and look larger. He re-contours the “love handles”, the “saddlebags”, the inner thigh, and the back of the thigh under the buttock crease. He then adds the final touch to give the buttocks definition, re-contouring the buttock crease! Most women have a lower buttock crease that is flat and that makes the buttocks look wide. Dr. Vitolo re-shapes the buttock crease, by curving it upward around the buttock, and sculpts the fat underneath the crease to give a round shape to the buttocks. This creates a round, perky look to the buttocks.

Another benefit of this procedure is that the patient does not have to avoid sitting for fear of damaging the grafted fat, and does not have to wear special garments for a long time after surgery!

This procedure is quicker than the long operative time of fat grafting and the blood loss is much less than fat grafting which further reduces the risk. A huge additional benefit is that the patient has the fat removed from the “love handles” and “saddlebags” thus resulting in an overall improvement in the whole shape of the body.


After the buttock sculpting procedure, the areas sculpted are shaped with the use of a special foam tape that keeps the shape during the initial healing and the patient is placed in a regular liposuction garment. After two days the patient removes these tapes herself in a shower or bath and replaces the garment for two days. There is minimal discomfort and the average patient can return to work or normal activities on the third day after the procedure.
If a patient has the procedure on Friday, most patients return to work on Monday.


As soon as the tapes are removed the patient can see the initial results of the procedure. In a few days, the normal post-operative swelling resolves and more definition is seen. As with any liposuction procedure, the final result is seen as the skin shrinks and the swelling resolves in a month or two, but during this time the shape of the buttocks and the body are much improved.


If you would like to schedule an in-person consultation, please fill out the form on this page and one of Dr. Vitolo’s knowledgeable medical staff will reach out to you promptly. You can also call our office directly to schedule – 800-332-1067.

Dr. Vitolo has three offices in Staten Island, Manhattan and Brooklyn. Dr. Vitolo has patients that come to him for treatment from across the United States, Europe, Russia, South America and Asia. Our practice offers Internet consultations via FaceTime and Skype for those patients who are not local.

*Individual results may vary