Clinical case : Dr. Alexander Aslani · Cirumed Clinic Marbella.
What is the Supercharged BBL and what results does it produce?
The Supercharged BBL combines a cohesive silicone implant with autologous fat transfer in a single procedure. The implant creates the structural projection that fat alone cannot generate, while the fat softens the edges, refines the contour, and amplifies the result. The combination produces natural, long-lasting curves that no single technique can achieve.
The essentials — what you need to know
- The Supercharged BBL solves the main limitation of the traditional BBL: when fat alone cannot generate the desired projection, the implant provides the structural foundation.
- The combination of implant + fat produces a result that no technique can achieve alone: structural projection with a smooth and natural finish.
- The size and type of implant is decided on a case-by-case basis — in this case, a 370cc biconvex implant, validated by preoperative ultrasound.
- The correct indication and the dual-plane technique — not the implant size — are what determine safety and the outcome.
- Cirumed Clinic Marbella: over 7.000 cases specializing in body contouring, peer-reviewed gluteal research, ASERF Task Force.
In this case, we present a patient who sought a clear result: greater projection and proportionate curves. The goal was not simply to add volume—it was to create a harmonious silhouette where the buttocks project naturally and the contour flows seamlessly. This distinction between volume and projection defined the surgical strategy.
Projection and curves: what the Supercharged BBL can achieve
The Supercharged BBL was born to solve the main limitation of the traditional BBL: projection. Autologous fat is excellent for smoothing contours, filling hip dips, and adding lateral volume—but its ability to create stable frontal projection has its limits. The cohesive implant, placed using a dual-plane technique, provides the structural foundation that fat alone cannot. The result is a curve that projects firmly while still looking and feeling natural.
Why the traditional BBL isn't always enough
Autologous fat grafting is extraordinary for smooth contouring, hip dip correction, and lateral expansion — but it has a limit in central projection. When a patient seeks a pronounced forehead projection and a BBL using only fat cannot reliably achieve it, a cohesive implant is used as a structural element. It's not that fat "fails"—it's that each technique has its strengths. The implant provides what fat cannot: a permanent, predictable, and well-defined base of projection.
The cohesive implant: the basis of projection
For a lasting and natural projection, a cohesive implant provides structural rigidity, predictable volume, and stable frontal projection. In this case, we selected a 370 cc biconvex implant. Biconvex implants offer greater projection and volumetric displacement than standard models, but they require a precise indication and adequate muscle coverage. Therefore, preoperative ultrasound is not optional—it is the safety criterion that validates the implant selection for each patient.
Preoperative ultrasound: the decisive safety criterion
Cirumed only places biconvex implants when preoperative ultrasound confirms a gluteal muscle thickness greater than 3,5 cm. In this case, the ultrasound showed muscle thickness above that threshold, which is crucial. Adequate muscle depth allows for the safe creation of the dual-plane pocket, proper implant coverage, reduced palpability, and better soft tissue integration. Without sufficient muscle depth, a biconvex implant would carry an unacceptable risk. This was a carefully selected and anatomically justified indication, not a default decision.
The 3,5 cm criterion is not arbitrary: This is the minimum threshold validated internally at Cirumed to ensure adequate implant coverage in the bi-plane pocket. Below this thickness, the risk of palpability, visibility, and wound complications increases unacceptably with high-profile biconvex implants.
The Supercharged BBL: implant plus targeted fat
The Supercharged BBL combines the structural support of the implant with the surface refinement of the fat graft. While the implant created the structural projection, we didn't rely solely on it. A limited amount of harvested fat was strategically placed in the projection dome—the apex of the gluteal curve. This softens the edges of the implant, improves the volumetric transition, enhances contour integration, and amplifies the perceived projection. The combination produces a result that no single modality can achieve independently. It's not redundancy—it's biomechanical synergy.
Why the combination beats any single technique
Implants provide projection but can look abrupt; fat provides softness but lacks structural strength — together they balance both. A single implant can appear too abrupt or structurally isolated. Fat alone can create softness but cannot predictably and permanently enhance projection. Combined, they maximize projection, preserve softness, maintain acceptable complication rates, and optimize aesthetic harmony. The result in this case shows a clear increase in central projection while preserving the natural curvature.
Volume is not the same as projection: Many patients request "more volume," but projection is a structural and three-dimensional phenomenon, not simply added mass. Projection requires skeletal repositioning, structural augmentation, or advanced hybrid techniques. In this patient, the anatomy dictated that an implant was the superior option and that fat transfer alone would have been insufficient.
Safety and considerations regarding complications
With high-projection implants, safety depends on precise pocket design, strict hemostasis, careful tissue handling, and mastery of the dual-plane technique. The risk of complications increases when implants are oversized, muscle coverage is inadequate, or anatomy is ignored. In expert hands and with the correct indication, complication rates remain within acceptable ranges. Throughout more than 30 years of surgical experience and over 15 years focused on gluteal surgery—including thousands of Brazilian Butt Lift and hybrid procedures—one principle remains: technique does not replace the indication.
Who Is a Good Candidate for a Supercharged BBL?
The Supercharged BBL is indicated when you are looking for defined projection and the BBL with fat alone cannot guarantee it — but it requires careful selection.
| Good profile | Not suitable if… |
|---|---|
| Look for defined projection and contour | Insufficient muscle thickness (<3,5 cm) |
| Insufficient fat for the desired result | Unrealistic or misaligned expectations |
| Muscle thickness >3,5 cm (ultrasound) | Unwilling to undergo imaging tests |
| Look for a defined side profile | He does not accept the implant's considerations. |
Implant + fat: synergy, not competition
The implant and the fat do not compete — they complement each other. The implant defines the projection; the fat softens, refines, and personalizes. This synergy is what distinguishes the Supercharged BBL from the traditional BBL and implant-only augmentation: the final result combines structural firmness with the natural appearance of autologous tissue. The indication must remain anatomical and honest—and the Supercharged BBL exists precisely for cases where a single modality falls short.
Related procedures
Supercharged BBL
The complete procedure: cohesive implants combined with autologous fat transfer.
BBL Natural (fat only)
When donor fat is sufficient and structural projection is not the priority.
RibMold
Reshaping of floating ribs to create waist-hip contrast when gluteal projection is already adequate.
Dr. Alexander Aslani — Cirumed Clinic Marbella
- Medical Director and founder of Cirumed Clinic Marbella — a center specializing in body contouring
- Over 30 years of surgical experience · Over 7.000 specialized procedures
- Inventor and first publisher of the Supercharged BBL technique
- Publications in PRS (2019, 2022) and PRS Global Open (2025)
- Best Aesthetic Article of the Year 2020 — PRS
- Contributing member of ASERF Task Force on Gluteal Fat Grafting Safety
- Read 962 verified reviews on RealSelf →
Do you want projection, curves, and a long-lasting result?
The Supercharged BBL can give you the projection and curves that a traditional BBL can't guarantee—but only when it's correctly indicated for your anatomy. Request a video consultation with the Dr. Aslani to find out if implants, fat or a Supercharged BBL is right for your anatomy.
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FAQ
What is the Supercharged BBL?
The Supercharged BBL is Cirumed's hybrid buttock augmentation that combines a cohesive silicone implant with autologous fat transfer in a single procedure. The implant provides structural projection, while the fat refines the contour and softens the edges—achieving a result that no single technique can produce.
What is the Supercharged BBL and what results does it produce?
Implants outperform fat transfer alone when a defined and stable central projection is needed. Fat grafting has a biomechanical ceiling in projection—the cohesive implant provides the structural base that overcomes that limit, while the fat complements the contour and smoothness.
What is the difference between volume and projection in the buttocks?
Volume is the total mass of the buttocks—their size. Projection is the frontal prominence seen from the side—how much the buttocks "stick out." You can have a lot of volume without projection (a wide, flat buttocks) or good projection with moderate volume. The Supercharged BBL is designed to create structural projection, not just volume.
What muscle thickness is needed for buttock implants?
Cirumed requires a preoperative ultrasound showing a gluteal muscle thickness greater than 3,5 cm before placing biconvex implants. Adequate muscle depth allows for the safe creation of the dual-plane pocket, proper implant coverage, and reduced palpability; without it, high-projection implants carry an unacceptable risk.
Are biconvex buttock implants safe?
Biconvex implants offer greater projection but a higher risk of complications if inappropriately indicated. In expert hands, with adequate muscle coverage, precise pocket design, strict hemostasis, and a dual-plane technique, complication rates remain within acceptable ranges. The indication, and not just the technique, determines safety.
Who Is a Good Candidate for a Supercharged BBL?
Ideal candidates are patients seeking defined projection and a harmonious contour, with muscle thickness greater than 3,5 cm confirmed by ultrasound. It is not suitable for patients with insufficient muscle coverage, unrealistic expectations, or those who do not wish to undergo preoperative imaging.
Why combine an implant with fat instead of using just one?
An implant alone can appear abrupt or structurally isolated; fat alone cannot guarantee projection permanently and predictably. Combined, they maximize projection, preserve smoothness, integrate the contour, and maintain acceptable complication rates—biomechanical synergy, not redundancy.




