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You also want a surgeon who is working with a board-certified anesthesiologist if you’re being put to sleep. “There is a steep learning curve.” Look for a board-certified plastic surgeon who works in an accredited facility, has done at least 100 procedures, and can show long-term follows-ups, he says. “You want to find someone who is experienced in this procedure because it’s not something a lot people are taught in training,” says Schulman. Still, it’s reason enough to vet your plastic surgeon. “It’s rare if someone understands the anatomy,” says Schulman. That's when fat is accidentally injected into big blood vessels in the butt and travels to the lungs, potentially causing death. “There have been some incidents of fat embolism,” says Schulman. RELATED: Apparently There Are 5 Different Types of Butts-Which One Do You Have?īut there are also bigger problems that can crop up. The most common risks associated with the procedure are aesthetic-contour abnormalities, areas of asymmetry, or cases in which too much fat (or not enough) was removed, says Schulman. After all, you need some fat to transfer, and, alternatively, extra pounds can increase risks involved with surgeries. You have to be healthy, without medical problems, and be cleared for elective surgery but you also can’t be too thin or too overweight, he says. Most of the time, a Brazilian butt lift involves general anesthesia, says Schulman, since your doc will be doing a significant amount of liposuction. The surgery more or less combines liposuction with fat grafting, which is basically sucking fat out where you don’t want it (like your thighs or your stomach) and injecting it where you do (on your rump), he says. RELATED: Can Butt Implants Really ‘Explode’?