Clinical Case 35 · Dr. Alexander Aslani · Cirumed Clinic Marbella
This case documents a Buttock augmentation (BBL) with 1000cc of fat on each side — one of the most striking transformations in our archive. The patient started with a slightly straight figure, with some gluteal volume and moderate projection. She had a good amount of subcutaneous fat available in the donor areas. With that starting point, a BBL When well planned, it can produce very powerful transformative results.
Case details: buttock augmentation BBL 1000cc
In a patient with good available subcutaneous fat and a slightly straight figure as a starting point, 1000cc per side is more than enough to achieve a visually striking transformationThe key is not just the volume transferred — it's the combination of precise waist liposuction with strategic fat distribution in the buttocks.
Why the starting anatomy makes it possible
Not all patients are candidates for a volume of 1000cc per side. In this case, several anatomical factors made that volume both possible and advisable:
- Sufficient subcutaneous fat in the abdomen, flanks, and lower back — the main donor areas
- Slightly straight figure — which means that the before-and-after visual contrast is very powerful even with moderate proportions
- Moderate starting gluteal volume — the skin already had the capacity to accommodate the additional volume without excessive tension
- Good skin elasticity — essential for the skin to adapt correctly to the new contour
Therefore, when these conditions occur simultaneously, the result can be especially striking. The combination of available fat, elasticity, and a straight starting point is what allows for transformations of this magnitude in a single session.
The technique: multiplane injection
In this case, a multi-plane injection technique was used—distributed at different levels of the gluteal tissue to maximize fat integration and reduce pressure at any single point. This technique allows for the safer transfer of larger volumes than single-plane injection, as it distributes the volume more evenly and promotes vascularization of the graft.
The fat transfer in this procedure was performed strictly subcutaneously—above the muscle fascia, never within or below the muscle. This is the only technique that complies with current international safety standards, according to the guidelines of the ASERF Task Force on Gluteal Fat Grafting Safety, of which Dr. Aslani is a contributing member.
Result: before and after
To see more real-life examples, visit our Before and after gallery of buttock augmentation.
Presentation at the IMCAS Congress in Paris
Dr. Aslani presented his gluteal fat transfer technique at IMCAS Paris—the world's largest plastic surgery congress. You can watch the full presentation here:
Do you have the fat available for a result like this?
The only way to know is through an individualized assessment. In a video consultation, the Dr. Aslani It will assess your available fat, your starting anatomy, and honestly tell you what volume and results are realistic for your body — whether it's a BBL with own fat or Supercharged BBL with implants.
No obligation. Video consultation available for national and international patients.





