BrazilianButt Lift
Achieve natural, balanced curves
Miami's leading BBL surgeon. With more than 7,000 surgeries performed, my results are proof that true beauty lies in harmony. Advanced fat transfer to the glutes combined with precise waist sculpting and hip enhancement — for the feminine, flowing lines that define the Brazilian view of beauty.
It's not just about the butt
A beautiful butt lift result isn't just about increasing the size of the glutes. The true transformation comes from removing excess fat and reshaping the waist, hips, and even the legs. By refining these surrounding areas, the gluteal region naturally appears fuller, rounder, and more lifted — even before the fat transfer is added.
The combination of waist sculpting, hip contouring, and targeted fat grafting creates a harmonious hourglass — or "violin" — silhouette, enhancing the curves from every angle while keeping the result natural and proportional.
Dr. Décio Carvalho applies a sculptor's eye to every case — removing and grafting in just the right measure to achieve a silhouette that is both natural and striking. Curves that feel like they've always belonged to you.
The art of the BBL
It's not just about the butt
A beautiful BBL result comes from sculpting the whole silhouette — not just enlarging the glutes. Liposuction of the surrounding zones is what creates the visual contrast that makes the buttocks appear naturally rounder and more lifted.
Sculpting Zones (Before)
- Waist — liposuction narrows and defines the natural curve
- Flanks — love-handle fat is removed to reveal the hip line
- Lower back — refined to draw the eye toward the gluteal curve
- Outer thighs — reshaped to balance the hip-to-thigh transition
- Inner thighs — targeted to refine the leg-to-glute junction
Enhancement Zones (After)
- Fuller upper-pole — fat transfer creates lift and roundness at the top of the gluteal curve
- Rounder projection — natural-looking volume that complements the body
- Smoother hip-to-glute transition — fat grafted to fill the lateral hip dip
- Harmonious hourglass / "violin" silhouette — waist + hips + glutes balance from every angle
Why the result looks so different
The true transformation comes from sculpting the whole area — not from volume alone. By removing fat from the waist, flanks, back, and thighs, the gluteal region naturally appears fuller, rounder, and more lifted, even before any fat transfer is added. The transferred fat is then placed strategically to enhance projection and complete the hourglass shape.
The goal
The combination of waist sculpting, hip contouring, and targeted fat grafting creates a harmonious hourglass — or 'violin' — silhouette: enhancing curves from every angle while keeping the result natural and proportional.
The Sculpting Process
- 01
Remove excess fat
Liposuction harvests fat from donor zones (waist, flanks, lower back, abdomen, thighs) to define the surrounding silhouette and prepare the graft material.
- 02
Refine surrounding contours
The waist, hips, and lower back are sculpted to enhance the natural curves that frame the gluteal region.
- 03
Enhance the shape
Purified fat is strategically transferred to the glutes — under ultrasound guidance for safety — to add fullness, projection, and a balanced, natural-looking final shape.
Dr. Décio Carvalho applies a sculptor's eye to every silhouette — removing and grafting in just the right measure to achieve curves that feel like they've always belonged to you.
BBL transformations
A glimpse of real patient results — combining liposuction and fat transfer for naturally balanced curves.
Skin retraction
Dr. Décio Carvalho incorporates cutting-edge innovations into every BBL to deliver superior results. Using advanced skin-firming techniques that gently treat the tissue beneath the surface, he stimulates collagen production and promotes natural tightening — a key part of refined post-BBL contour.
The result is smoother skin, tighter contour, and a finish that holds its shape — even after significant fat removal and transfer.
Just for you
Dr. Décio Carvalho's dedicated team will help you plan every detail — from booking comfortable hotels to ensuring a seamless experience. Between appointments, soak up Miami's sunshine, stroll along its stunning beaches, and enjoy the vibrant lifestyle that will make your journey and your transformation truly unforgettable.
Plan Your VisitIn their own words
Long post but worth the read!! I went to CG two years ago for breast augmentation and when I tell you I will never go back there…I MEAN IT. I will ONLY use Carvalho’s private office!!! I had surgery today 3/24/26. I had a tummy tuck, lipo in sides, arms and inner thighs. This was a last minute decision on my part. I decided 3 weeks ago to have this done before summer. I was originally planning on lipo 360, bbl, inner thighs and arms. But when I went to pre op yesterday, things changed. I sat down and spoke with Sara (who’s been fantastic) and Dr. Carvalho (also fantastic) he told me he would do whatever I wanted but he recommended a tuck since I’ve had two kids, that if I did the lipo I would have to come back in a year and get a tuck because if the extra skin sag. My husband and I talked it over and before even meeting with Carvalho we knew his decision on my body to look its best was gonna to be the right one. So I thought about it for an hour and decided to go with his advice and chose the tuck. I am currently in a ton of pain!! But I will say I’m 12 hours into this and it’s not as bad as it was this morning. I can’t tell you how my results look as of now but I can tell you the care I received and it was outstanding!! I honestly couldn’t have asked for a better experience than this one! The time and patience everyone had with me was incredible! 100/10!
I received Lipo 360 + BBL July of 2021. I am extremely pleased with my results even 2 years post op. I have gained so much confidence because of this procedure & am so thankful to have had the pleasure of meeting Dr.Carvahlo he was very nice and exceeded my surgery goals ! My wish pics are almost identical to my body now. Thanks so much again for being pleasant and working your magical hands to create something even better! A side note to all future women getting surgery. If this is your first surgery it solely depends on your initial shape to obtain the exact results you want. I already had a nice shape so he was able to to achieve it with one round. We often look for perfection in every inch of us after surgery and let me just say it will never be PERFECT. But Dr. Carvahlo molds you perfectly to be able to start with a great foundation. The GOAT.
I can’t even begin to express how happy I am with my results from Dr. Carvalho! He truly is one of the best plastic surgeons in Miami. I had my MMO and 360 Lipo BBL done with him, and the outcome is everything I dreamed of — super natural, beautifully shaped, and perfectly balanced. From my first consultation, I could tell he genuinely cares about his patients. He listened to exactly what I wanted, gave honest feedback, and made sure I felt comfortable and confident throughout the entire process. His energy is calm, kind, and professional — and his work speaks for itself! I’m so grateful I trusted Dr. Carvalho with my body. He gave me results that look natural and feel like me, just a better version. If you’re thinking about getting surgery in Miami, look no further — he’s the real deal! 💕✨
It has been three weeks since I did a BBL with Dr. Decio Carvalho. Even though I am still healing, I can see the improvement in my body. I can’t wait to see the final results in a couple of months. Dr. Carvalho was very honest what my realistic end results should be. The entire staff were amazing. I really appreciate the support Thais provided me during the entire process. She was always available and helpful. Maria did a great job and I am very thankful for her help all the time I needed help. I strongly recommend Dr. Carvalho.
I got Lipo 360 and BBL done by Dr. Decio Carvalho at New Image Cosmetic Surgery Center on November 3rd, 2020 so far I'm very happy with my results. I had a wonderful experience with New Image Cosmetic Surgery. Dr. Decio Carvalho is AMAZINGGG surgeon. My first prep with Dr. Carvalho was very very good. He answered all my questions I immediately felt at ease – and felt confident. and the staff was always helpful and kind. They ensured I had a smooth prep, surgery, and follow-ups. I am so glad I chose him would highly recommend to anyone.
Dr Carvalho is absolutely amazing. I went to him through CG Cosmetic for a BBL in March and my results are already amazing. Though you don’t get any communication with him directly until immediately before surgery (i wish you at least got a consultation call) he was very friendly and honest about managing my expectations. My waist is SNATCHED and my bootys transformation is truly a work of art. I’ve lost count of the number of people who’ve asked for his name since seeing my results. 100% recommend him to anyone!
Hi Dr Decio Carvalho . You did my BBL last year. My result is amazing . This year , i want to come back to do lipo 360 + arm but I don’t know how to contract directly your consultant people . Last year i have to go through CG cosmetic to make schedule with you . Do i need to do the same like last year ?
I did a tummy tuck with Dr. Carvalho and he did an amazing job. Not only is my scar very minimal but I have last results. I have and will continue to recommend his services to friends and family. Dr. Carvalho is the real deal, I've seen first hand his BBL and his work is exceptional.
I had a BBL procedure with doctor Carvalho and my experience was amazing. Starting with Alejandra (the coordinator) she was helpful and made the whole process easy. In my opinion dr. Carvalho is hands down the best surgeon in the Miami area, not just that, he is an amazing human being!
I have been familiar with Dr. Décio's exceptional work for many years. A decade ago, I had my initial consultation with him, but at that time, I decided not to proceed with the procedure. However, after careful consideration, I recently concluded that the timing was right and began my search for surgeons in my area. Although I consulted with four highly regarded surgeons, my unwavering trust in Dr. Décio's expertise ultimately led me to schedule an appointment with him. During the consultation, I was deeply impressed by Dr. Décio's honesty and straightforwardness regarding the anticipated results. Moreover, nurse Sara's unwavering attentiveness and willingness to address all my inquiries and concerns left a lasting impression. Consequently, I made the decision to schedule the surgery for a month later. As the day approached, it was only natural for me to feel nervous. However, Sara's comforting presence and genuine care reassured me that I had made the right choice. Her unwavering support provided me with a sense of tranquility. The surgery was an unequivocal success, and the following day, I returned for my initial post-operative follow-up. Sara greeted me with an unforgettable smile and tended to my needs like no one else. Her calm and composed demeanor instilled a profound sense of peace within me. Truthfully, it was her presence that played a pivotal role in my decision to choose this clinic. She maintained regular contact with me through messages, consistently inquiring about my well-being. Even now, nearly a month later, she continues to send messages to check on my progress. To me, this level of care is truly invaluable. My body has exceeded all my expectations, and I am told that we have yet to reach the final outcome. Previously, I wore size L, but now I comfortably fit into XS. I am incredibly satisfied with Dr. Décio's exceptional work and the unwavering care and attention provided by nurse Sara. Without hesitation, I wholeheartedly recommend them. I highly recommend requesting nurse Sara as your healthcare provider. She is not only a compassionate and dedicated professional, but also a genuinely caring individual. Her passion for her work shines through in every interaction, making her an invaluable asset to have by your side during your medical journey, having someone like her by your side during a medical journey can make a significant difference in the overall experience. I will definitely keep her in mind when considering healthcare providers.
I must say, I was frightened to go to Dr. Carvalho given the reviews however his body of work stood out. His body of work is realistic, great sculpture. I decided to not let reviews dictate my experience. As 2x CG doll, I would not go through CG again for any work. Instead, I would go directly through the specific Dr. private practice. Being a black woman and seeing most patients are Spanish, I was scared but Dr. Carvalho and his team at this office was outstanding. Excellent customer service- no long wait times. He listened to my feedback, was honest on the possibilities. Excellent bedside manners- he was present at the beginning and during recovery. After surgery, I recalled blinking my eyes and he checking in on me. He was in lobby speaking with my family giving them updates. He was informative and clear about how many ccs he gave me and met my expectation. Post- op, him and manager Sara had excellent communication, easily accessible to book a post op appointment with him, especially since I am from out of town. I personally think Dr. Carvalho has taken in other feedback and increased his professionalism to support his patients and improve his practice. 10/10, I recommend. DO NOT GO THROUGH CG Cosmetics, especially if you do not speak Spanish, if you do not want poor communication, if you do not want your coordinator to ghost you after you pay. Go directly to his practice or any of the doctors practice. Dr. Carvalho do more marketing. You are a Excellent doctor. My body is coming along almost three weeks post op and I am loving the results. Thank you for providing after care instructions that are specific and clear. Thank you again!
My surgery with Dr. Decio Carvalho was one of the most amazing experiences that I have ever had! He was extremely attentive to detail, to my limits and personal wishes! He made sure that my results would be something that complimented me in all ways. I feel like the best version of myself because of the outstanding work he did! He was very honest about what would work and what wouldn’t be ideal for me, so it made me feel very confident that Dr. Decio only had the best of interests for me and wanted me to love my new self! His expertise, honesty and techniques are unlike anything I have ever seen, truly a fantastic Doctor! My recovery was very successful thanks to his amazing post op side by side care, and I healed with amazing results! The clinic and staff will make you feel at home! The atmosphere is welcoming and gives you reassurance that you are in the best of hands with Dr. Decio and his wonderful team! Andrea Schwartz
Everything you wanted to know
What exactly is a Brazilian Butt Lift (BBL)?
A BBL combines liposuction (removing fat from areas such as the waist, abdomen, back, and thighs) with fat transfer to the buttocks. The goal is not simply to make the glutes larger, but to create a balanced, natural hourglass shape that enhances the body's proportions.
Who is Dr. Décio Carvalho?
Dr. Carvalho is a Brazilian plastic surgeon with over 25 years of experience and more than 7,000 procedures performed in the United States alone.
Brazilian Training: Medical Degree and Master's in General Surgery from Universidade Estadual de Londrina. Residencies at Santa Casa de São Paulo. Board-certified by SBCP.
U.S. Training: General Surgery Residency at the University of Miami / Jackson Memorial Hospital and a Postdoctoral Fellowship in Stem Cell Therapy at the University of Miami.
Is the procedure safe?
Yes. Safety is Dr. Carvalho's top priority. He follows all Florida state laws — considered the strictest BBL safety regulations in the world.
- Maximum of 3 BBLs per day
- Mandatory ultrasound guidance during fat transfer
- State-approved and accredited surgical facilities
- Compression stockings to prevent blood clots
- Shorter surgical times
- 24/7 post-op support
How do Dr. Carvalho's results look so natural?
Dr. Carvalho approaches each body like a sculptor. By combining fat removal in strategic areas with precise fat transfer to the glutes, he creates a balanced, proportional silhouette. Results enhance your curves — never exaggerated, always natural.
How long is the recovery?
Most patients return to light activities within 1–2 weeks and resume normal activities in 4–6 weeks. Personalized recovery plan including compression garments, aftercare, and lifestyle guidance.
How long do the results last?
Long-lasting. Fat cells that survive after transfer become a permanent part of your body. With stable weight and a healthy lifestyle, patients enjoy their results for many years.
Can fat return to the areas where it was removed?
The fat cells removed during liposuction do not grow back. However, remaining fat cells can still expand if you gain weight. Maintaining your weight helps preserve the results.
How long do I need to stay in Miami?
About one week to undergo surgery and attend the initial follow-up appointments. Our team assists with hotel bookings, transportation, and recovery planning.
What if I don't have much fat to transfer?
Even slimmer patients can achieve excellent results. Dr. Carvalho uses strategic liposuction and sculpting techniques, focusing on proportions rather than volume alone.
Will there be visible scars?
Only tiny incisions (a few millimeters) are made during liposuction and fat transfer. These usually fade quickly and become nearly invisible after a few months.
Why do so many patients choose Dr. Décio Carvalho?
- 25+ years of experience
- Board-certified by SBCP
- Dual Brazilian + U.S. surgical training
- 7,000+ procedures performed in the United States
- Strict adherence to Florida safety laws
- Extra safety protocols beyond compliance
- Dedicated 24/7 patient support team
Let's talk aboutyour case
Share a few details and get your free online evaluation with Dr. Décio Carvalho — including a personalized treatment plan and case estimate.
