For seven years, we've been asking new patients what results they're hoping for. Most take out their phones and show us a photo. And for seven years, one image has appeared more than any other. It's not the most extreme in our archive. It's not the most numerous. It's a BBL She took a body with hardly any curves and transformed it into a silhouette that looks natural and real, and for most patients with that starting anatomy, this is only possible with surgery. In this article, we tell you all about it. natural BBL resultWhat makes it so attractive, how was it achieved, and can your anatomy reach the same level?
What you should know before reading on
- This case from 7 years ago is the image that most new patients show us in consultation and it continues to be so.
- It's not the most dramatic result we achieve. It's the most natural, the most requested, and the one that most closely resembles what most patients describe as their goal.
- It was achieved without implants. Only with fat redistribution and waist sculpting through liposuction.
- The change isn't just in the buttocks. The result you see is the combined effect of more lifted buttocks and a more defined waist — both change at the same time.
- Whether this result is possible for you depends on your specific anatomy, not the photo. A consultation will determine this.
The most requested natural BBL result at Cirumed Dr. Alexander Aslani, Marbella
Why this particular photo?
There's something about this case that the patients recognize immediately, even if they can't quite explain it. It's not the size—there are more voluminous results in our gallery. It's not the technical perfection—all our cases are planned with the same level of detail. It's something else: It looks like a real body.
When we measure the reference images our patients bring us, they almost always fall within the same waist-to-hip ratio range: between 0,65 and 0,75. The patients' instinct is consistent, even though they've never heard of a 0,7 ratio. What they're looking for, without realizing it, is the ratio that studies in evolutionary psychology, anthropology, and plastic surgery consistently identify as the most naturally attractive in women. That's why this result, seven years after it was taken, remains the most frequently shown reference in consultations.
What surprises patients the most when we explain it to them
Most people assume the striking result comes from the added volume. In reality, what has the greatest visual impact in this case is what is removeLiposuction of the flanks and lower back creates the visual drop above the buttocks, and this drop is what makes the buttocks appear so projected, even before a single milliliter of fat has been transferred. The added volume fills and rounds out the shape. Liposuction builds it.
The case: what was done and what changed
The patient started with a straight figure—with hardly any difference between her waist and hips. She had sufficient fat in her flanks, lower back, and abdomen. In a single procedure of BBL with own fatWithout implants, liposuction defined the waist and the fat obtained was redistributed to the lateral hips, lower pole and upper gluteal region.
← Swipe to see the table →
| What changed | Before | After the BBL |
|---|---|---|
| Waist-to-hip ratio | ~1,0 straight silhouette | ~0,7 natural hourglass |
| Silhouette | No waist definition | Visible curve, clear waist-to-hip contrast |
| Buttocks | Plans, without subsequent projection | Rounded, naturally projected |
| Hips | Similar in width to the waist | Fuller, proportionate to the shoulders |
| Cooperation | One-session BBL, using only your own fat, no implants |
The result has remained stable for seven years. That's not by chance—it's what happens when fat is transferred correctly: it integrates as living tissue and doesn't disappear. As long as the weight remains stable, the result remains.
Why is this natural BBL result the most requested and not the most voluminous?
After thousands of consultations, there is one question that defines the difference between what patients say they want and what they actually choose when they see the cases: Do you want it to be obvious that you've had surgery? Most answer no. They want a real, visible improvement that changes how they feel in clothes and swimsuits, but that no one will identify as the result of surgery.
Therefore, the most requested result isn't the largest. It's the most proportionate. A figure that seems to have always been this way, only it wasn't, and without surgery, it couldn't be, given that initial anatomy.
The implications for surgical planning
Get a natural BBL result It's no less demanding than achieving an extreme result. On the contrary, it requires even greater precision. The goal isn't to maximize the transferred volume, but to achieve the correct proportions for that specific anatomy. That's why waist sculpting is just as important as fat transfer. A surgeon who only focuses on how much fat is transferred is only solving half the problem.
Can you achieve this result? What determines if it's possible for you?
✓ Good profile for this result
- Straight silhouette or one without much difference between waist and hips
- Sufficient fat in the flanks, lower back, or abdomen
- Stable weight for at least 6 months
- Non-smoker or willing to quit 4 weeks prior
- You're looking for a natural and proportionate result, not an extreme one.
→ Perhaps another approach would be better if…
- You have very little fat. Supercharged BBL may be more appropriate
- You have excess skin that requires further procedures.
- Your BMI is below 18 or above 32
- You're looking for the largest possible volume, not the best ratio.
- Your weight has changed a lot in the last few months
If you've consulted elsewhere and been told you don't have enough fat for a BBL, it might be worth getting a second opinion. At Cirumed, the Supercharged BBL Combining implants with fat transfer allows for this type of result even in patients with limited available fat. A consultation with Dr. Aslani will determine the right approach for your individual anatomy.
Dr. Alexander Aslani Cirumed Clinic Marbella
- Over 16 years of experience in gluteal surgery — over 7.000 documented procedures
- Co-developer of the double plane gluteal augmentation technique, published in PRS 2023
- Contributing member of the ASERF Task Force on Gluteal Fat Grafting Safety
- Publications in PRS, Aesthetic Surgery Journal, PRS Global Open and Clinics in Plastic Surgery
- Member of ASPS, ISAPS and EBOPRAS
Is this the result you're looking for?
A 30-minute video consultation with Dr. Aslani will honestly tell you if this type of result is possible for your anatomy and if the right approach is a BBL with own fat, an Supercharged BBL or something else. Also check out our before and after gallery to see more real cases.
Book a video consultation →No commitment required. Also available for international patients.
Frequently asked questions about the most requested natural BBL results
About the result and how it is achieved
Why isn't the most requested result the most voluminous?
Because most patients, when they see real cases, choose proportions, not size. The most requested result is the one that seems to have always been this way: a more defined waist, fuller hips, and naturally projected buttocks. This balance is perceived as a good figure, not as surgery. Therefore, it is also the most difficult result to achieve; it requires planning the correct proportions for each individual's anatomy, not simply transferring the maximum possible volume.
What changes the silhouette the most in a BBL — the fat that is added or the fat that is removed?
In many cases, the most visually impactful aspect is the fat removed through liposuction, especially from the flanks and lower back. By narrowing this area, the buttocks appear more projected even before fat is transferred. Fat transfer completes and rounds out the result, but it is the waist sculpting that establishes the proportions. Therefore, a surgeon who focuses solely on the volume to be transferred is ignoring the most important half of the procedure.
How long does it take to see the final result of a BBL?
The initial results are immediately visible, but swelling makes the volume appear larger than it will ultimately be. Between weeks 3 and 12, the body absorbs some of the transferred fat, a completely normal process that the surgeon takes into account when planning the volume. The final result is noticeable between 3 and 6 months. From that point on, if weight remains stable, the result is permanent. This case demonstrates this with seven years of follow-up.
Regarding the candidacy and the alternatives
Do I need to have a lot of fat to achieve this result?
Not necessarily. In many cases, with a starting straight physique, the key isn't the amount of fat transferred but the sculpting of the waist. With moderate fat in the flanks and lower back, a very visible transformation can be achieved. However, if you have very little fat available, the Supercharged BBL Combining implants with your own fat can give you the same type of result without depending on the volume of fat available.
Does this result last in the long term?
Yes. The fat that integrates correctly—usually between 60 and 80% of the transferred fat—behaves like living tissue and does not disappear. This case has remained stable for seven years, which is the best possible argument. The result is maintained as long as body weight remains stable; if there are significant weight changes after surgery, the result will be affected, just like the rest of the body.
Can I achieve this result if another clinic told me I don't have enough fat?
Possibly, yes, although it depends on the details. At Cirumed, the range of available techniques is broader than in many other centers. Supercharged BBL This technique allows achieving this proportion even in patients with limited available fat, by combining implants with the existing fat. Furthermore, the assessment of "insufficient fat" can sometimes vary depending on the surgeon's experience and the technique used. Therefore, a second opinion may change the diagnosis.
Do you want a personalized assessment?
Every patient is different. At Cirumed Clinic Marbella, Dr. Aslani's team will study your case individually to explain which options are safe, realistic, and suitable for your anatomy.
You can send us your goals and some photos via video consultation. We'll guide you through the procedure, recovery, and the most suitable plan for you.
