BBL, short for Brazilian butt lift, combines liposuction of the waist, flanks and back, known as 360, with reinjection of part of the fat into the buttocks and sometimes the hips. It slims the waist and shapes the buttocks in a single procedure. BBL long had a poor reputation because of serious complications when fat was injected into the gluteal muscle. The ultrasound-guided technique addresses this risk: ultrasound, used in real time, makes it possible to verify that fat is injected only under the skin, above the muscle. This safety comes at a cost: equipment, expertise and time. For the procedure, see our page on 360 liposuction and ultrasound-guided BBL.
The price of an ultrasound-guided BBL includes 360 liposuction, fat preparation, injection under ultrasound guidance, anaesthesia, one night in the clinic, a specific compression garment and follow-up. Ultrasound is an extra, but it is the prerequisite for safe injection, only under the skin. BBL is cosmetic and not reimbursed.
Serious BBL complications have been linked to fat being injected into or beneath the gluteal muscle, close to large blood vessels. Current guidelines require injection only into the plane beneath the skin. Ultrasound allows the cannula tip and the muscle to be visualised throughout the injection. The surgeon also uses appropriate cannulas and reasonable volumes. These precautions lengthen the procedure and require equipment and training, which is reflected in the price.
| Precaution | Effect on price |
|---|---|
| Real-time ultrasound | Extra equipment and time |
| Appropriate cannulas | Specific equipment |
| Reasonable volume | Sometimes a second session |
| Thrombosis prevention | Included |
The quote covers 360 liposuction, often assisted, closed-system fat preparation, ultrasound-guided injection, general anaesthesia, one night in the clinic, the compression garment that compresses the waist without flattening the buttocks, and follow-up.
| Item | Note |
|---|---|
| 360 liposuction | Waist, flanks, back |
| Fat preparation | Closed system |
| Ultrasound-guided injection | Under the skin only |
| Anaesthesia and overnight stay | Long operation |
| Compression garment | Specific |
For 360 liposuction with ultrasound-guided BBL, here is the price picture by city and canton, with Geneva as the benchmark.
| Urban area | Canton | Detailed quote provided | Price compared with Geneva |
|---|---|---|---|
| Geneva | Geneva | Usually | Geneva value |
| Lausanne | Vaud | Usually | 2 to 7% lower |
| Nyon | Vaud | Depending on the practitioner | 0 to 5% lower |
| Delémont | Jura | Depending on the practitioner | 4 to 12% lower |
| Biel/Bienne | Bern | Depending on the practitioner | 4 to 9% lower |
| Bern | Bern | Usually | 3 to 8% lower |
| Basel | Basel-City | Usually | 1 to 4% lower |
| Zurich | Zurich | Usually | 0 to 4% lower |
| Winterthur | Zurich | Depending on the practitioner | 1 to 3% lower |
| Zug | Zug | Usually | 2 to 4% lower |
| Lucerne | Lucerne | Depending on the practitioner | 2 to 8% lower |
| St. Gallen | St. Gallen | Depending on the practitioner | 5 to 7% lower |
| Canton | Where to go | Easy second opinion | Price compared with Geneva | Usual waiting time |
|---|---|---|---|---|
| Aargau | Zurich, Aarau | To be arranged | 4 to 6% lower | One to two weeks |
| Appenzell Ausserrhoden | Herisau, St. Gallen | Yes | 3 to 7% lower | A few weeks |
| Appenzell Innerrhoden | Appenzell, St. Gallen | To be arranged | 4 to 9% lower | A few weeks |
| Basel-Country | Liestal, Basel | Yes | 0 to 4% lower | Three to five weeks |
| Basel-City | Basel | Yes | 1 to 4% lower | Two to three weeks |
| Bern | Bern, Thun | Yes | 3 to 9% lower | A few weeks |
| Fribourg | Fribourg, Bulle | To be arranged | 5 to 10% lower | A few weeks |
| Geneva | Geneva | Yes | Geneva value | Varies with the season |
| Glarus | Glarus, Zurich | To be arranged | 4 to 10% lower | Varies with the season |
| Graubünden | Chur, Davos | To be arranged | 7 to 12% lower | A few weeks |
| Jura | Delémont, Porrentruy | To be arranged | 7 to 13% lower | Two to three weeks |
| Lucerne | Lucerne, Zurich | Yes | 3 to 8% lower | Varies with the season |
| Neuchâtel | Neuchâtel, Lausanne | To be arranged | 4 to 10% lower | Three to five weeks |
| Nidwalden | Stans, Lucerne | Yes | 3 to 7% lower | Varies with the season |
| Obwalden | Sarnen, Lucerne | Yes | 3 to 7% lower | One to two months |
| St. Gallen | St. Gallen, Wil | To be arranged | 4 to 9% lower | One to two months |
| Schaffhausen | Schaffhausen, Winterthur | Yes | 3 to 6% lower | A few weeks |
| Schwyz | Schwyz, Zurich | Yes | 2 to 7% lower | About one month |
| Solothurn | Olten, Bern | To be arranged | 5 to 8% lower | Three to five weeks |
| Ticino | Lugano, Bellinzona | Yes | 1 to 6% lower | A few weeks |
| Thurgau | Zurich, Winterthur | Yes | 2 to 9% lower | Three to five weeks |
| Uri | Altdorf, Zug | To be arranged | 4 to 8% lower | Varies with the season |
| Valais | Sion, Monthey | Yes | 3 to 8% lower | Varies with the season |
| Vaud | Lausanne, Nyon | Yes | 0 to 5% lower | One to two weeks |
| Zug | Zug, Lucerne | Yes | 0 to 2% lower | About one month |
| Zurich | Winterthur, Zurich | Yes | 0 to 2% lower | One to two weeks |
The injected volume is limited by the capacity of the tissue under the skin and by safety. Part of the fat is resorbed. For greater volume, a second session a few months later is sometimes preferable to excessive injection. It is useful to know its cost in advance.
Buttock implants provide greater volume in very slim people, with other constraints. Large-volume filler injections into the buttocks must be avoided. See the price of buttock augmentation and the price of buttock fat transfer.
For several weeks, direct pressure on the buttocks should be limited, by sleeping on your front or side and using a cushion. The compression garment compresses the waist. Office work often resumes after two weeks.
Check that the injection is performed under ultrasound and only under the skin, as well as the planned volume, liposuction areas, overnight stay, compression garment and follow-up. Be wary of offers that do not mention the injection plane.
A woman with a thick waist and flat buttocks: ultrasound-guided BBL. A very slim woman: implants or limited volume. A woman who wants large volume: two sessions.
Cushion, specific compression garment, massage of the treated areas, two weeks off work.
After the 360 liposuction and fat preparation, the patient is positioned face down. The surgeon places the ultrasound probe on the buttock and visualises the skin, subcutaneous fat and gluteal muscle. They insert a cannula and follow its tip on the screen, injecting the fat in fine threads into the layer above the muscle, without ever crossing it. They distribute the injection for a harmonious curve, also working on the upper buttocks and hips if necessary. This continuous visual control is the main safety guarantee; it requires specific training and time.
| Plane | Injection |
|---|---|
| Skin | No |
| Fat under the skin | Yes, only here |
| Gluteal muscle | Never |
| Beneath the muscle | Never |
Liposuction of the waist, flanks and lower back provides the fat, but it also contributes greatly to the result: by slimming the waist and hollowing the lower back, it accentuates the arch and makes the buttocks look more curved. It is the combination of the two procedures that creates the desired effect. See the price of 360 liposuction.
BBL suits people with enough fat to harvest, good-quality skin on the buttocks and a stable weight. In a very slim person, the amount available limits the result; in someone who is significantly overweight, the risks increase and weight loss is advised first.
To protect the injected fat, it is advisable not to sit directly on the buttocks for several weeks and to sleep on your front or side. A cushion placed under the thighs allows you to sit without pressure on the buttocks. These constraints have an indirect cost, particularly for people who work seated: it may be useful to adapt your workstation or extend your time off work. These are factors to include in your planning and budget.
| Constraint | Approximate duration |
|---|---|
| Avoid direct pressure | Several weeks |
| Sleep on your front or side | Several weeks |
| Cushion under the thighs | When seated |
| Waist compression garment | Several weeks |
Find out how the procedure works on our page 360 liposuction and ultrasound-guided BBL in Switzerland.
The essentials about the bill, in plain terms.
How can you be sure the injection is under the skin? Ultrasound shows the cannula and the muscle in real time.
Does ultrasound lengthen the procedure? A little, in the interest of safety.
Does the result appear quickly? The curve is visible straight away, then refines over a few months.
Do I need to gain weight beforehand? Not necessarily; above all, you need enough available fat.
Can the buttocks be asymmetrical? Rarely; a touch-up is possible.
Is the back always treated? Often, to accentuate the arch of the lower back.
What is an ultrasound-guided BBL? A fat transfer to the buttocks guided in real time by ultrasound, so that fat is injected only under the skin.
Why does ultrasound increase the price? It adds equipment, expertise and time, in the interest of safety.
Why inject only under the skin? Injection into the muscle carries a risk of serious complications; it must be avoided.
Is 360 liposuction included? Yes, it provides the fat and slims the waist.
Is the injected volume unlimited? No, it is limited by safety and tissue capacity.
Does some of the fat disappear? Yes, a fraction is reabsorbed.
Is a second session sometimes useful? Yes, to complete the volume.
Is a BBL reimbursed? No.
How long does the procedure take? Often three to four hours.
Do I need to stay overnight in the clinic? Generally one night.
Can I sit down afterwards? Direct pressure on the buttocks should be limited for a few weeks.
Is a special cushion necessary? Often recommended; it costs little.
How much time off work? About two weeks, depending on your working position.
Is the compression garment specific? Yes, it compresses the waist without flattening the buttocks.
Is BBL suitable for very slim people? The achievable volume is limited.
Are implants an alternative? Yes, see buttock augmentation.
Is the result long-lasting? Fat that has taken remains, depending on weight.
Do prices vary between Geneva and Zurich? A little; see our tables.
Is a very cheap BBL risky? An offer that specifies neither ultrasound nor the injection plane carries a risk of serious complications.
Must the surgeon be skilled in ultrasound? Yes, it is essential for this technique.
Can the hips be shaped? Yes, during the same procedure.
Can hip dips be filled? Yes, with targeted injection.
Is thrombosis prevented? Yes, with appropriate prevention.
Tell us your canton: we will refer you, free of charge, to a surgeon who performs BBL under ultrasound guidance.
Feel free to contact us for relevant information about your medical project and payment options.
Benefit from a personalised assessment and significant discounts from the second procedure onwards. Save up to 60% on the total cost of your operations.