According to a recent study published in Plastic and Reconstructive Surgery, autologous fat transfer, aka Brazilian butt lift (BBL), is the safest way to enhance a plastic surgery patient's buttocks. Compared with silicone prostheses butt augmentation via fat transfer had a significantly lower rate of complications.The study found that in 2,375 instances of silicone buttock implants, there were 512 total complications (or 21.6 percent), ranging from wound rupture at the incision site to the buildup of fluid. In 3,567 instances of buttock augmentation through autologous fat transfer, there were 353 total complications (or 9.9 percent), with fluid buildup and undercorrection by the surgeon as the most common complications.In its 2015 Plastic Surgery Statistics Report, the American Society of Plastic Surgeons (ASPS) procedure tally listed 2,540 buttock implants, 4,767 buttock lifts, and 14,705 buttock augmentations with fat transfer. In the same report, the ASPS noted that the number of buttock lift surgeries has increased 252 percent since 2000, with a buttock procedure being performed once every 30 minutes in 2015, on average.We have seen a similar increase in our demand for the BBL as well as fat transfer to the breast. In the recent 51st Baker Gordon meeting in Miami, Florida that I attended, we heard from the world experts on the procedure - Dr Simeon Wall, Dr Daniel Del Vecchio and Dr Constantino Mendieta.Improvements to the technique includes simultaneous separation and tumescence(SST) and expansile vibratory lipofilling(EVL). I look forward to incorporating these techniques into our practice which will improve the results.By CC Kat Plastic SurgeonMrs CC Kat is a leading Midlands female Consultant Plastic Surgeon specializing in cosmetic and reconstructive surgery. She is a full member of both British Association of Aesthetic Plastic Surgeons (BAAPS) and British Association of Aesthetic , Plastic and Reconstructive Surgeons (BAPRAS) as well as several international aesthetic surgery associations. She worked as a Consultant Plastic Surgeon at the Heart of England NHS Foundation Trust but now runs her private practice, CC Kat Aesthetics �� Birmingham Laser, Skin and Cosmetic Surgery Clinic, full time. For more information, visit www.cckat.com or call 08453731818.