Dr. Bill Johnson of Innovations Medical introduced the 3D BBL procedure and coined the term. Dr. Johnson was one of the first physicians in Dallas/Fort Worth to perform BBL (fat transfer to the buttocks). He has been doing the procedure for over 10 years and has performed over 700 buttock fat transfer (BBL) procedures in the Dallas and Fort Worth offices.

“3D BBL was the next step in fat transfer to the buttocks. I believe shaping the buttocks with liposuction at the same time we are transferring fat to increase the volume is the future. We not only want the buttocks larger, we want it round and shapely too. 3D BBL can do that for a lot more women than fat transfer alone”, Bill Johnson, MD.

What is different about 3D BBL?

A regular fat transfer procedure to the buttocks or Brazilian Butt Lift (BBL) using fat from another body area and injects it into the buttocks to lift and enhance. The 3D BBL takes this to the next step. In addition to injecting fat into the buttocks, 3D BBL uses carefully planned and performed liposuction on the buttocks and lower back. This allows patients with certain body and buttock shapes to see better results from their BBL procedure.

Who is a Candidate for a 3D BBL?

The three most common shapes that can really benefit from the 3D BBL procedure are:

  • Cliff shape: Prominent upper buttocks and flat below
  • V shape: Wider at the top and narrower at the bottom
  • Square shape: Same size top, and bottom with typically flat sides
  • Significant “doggy ears” or protrusions in the lower middle buttock
  • Patients who desire a Brazilian Butt Lift (BBL) but have been told they do not have enough fat for the procedure.

3D BBL can get better results for patients with limited amounts of fat. Read more below to learn about what patients and buttock shapes benefit most.


Q: 1. How does 3D BBL help the Cliff shape?

Patients with the cliff shape have prominent upper buttocks and flat lower buttocks.
how does 3d bbl help the cliff shape
Since most patients desire round buttocks, the cliff shape can be very challenging. Simply put, the skin of the lower buttocks will not stretch enough to make the buttocks round.
flat buttocks
The upper portion needs to be trimmed with liposuction. Then a nice round shape can be achieved.
liposuction with skin tightening
With the 3D BBL approach, the final results are much rounder and more shapely.
before after 3d bbl
Q: 2. How does 3D BBL help the V shape buttocks?

V Shape buttocks are common and present different challenges from the cliff shape (although some women have aspects of both shapes). V Shape often have an extension or “doggy ear” on the lower inner part of the buttocks. Also, since a full lower outer buttock tends to be more attractive and desirable, it can be challenging getting to this shape.
v shape buttocks
3D BBL adds liposuction to trim not only the doggy ears but the upper lateral buttocks (green areas) prior to injecting fat into the buttocks
3d bbl liposuction
Now we have a shape that will allow the skin to stretch and fat to form a more attractive shape (green is transferred fat).
before after v shape 3d bbl
Q: 3. How does 3D BBL help the Square shape buttocks?

Square buttocks are similar to V Shaped buttocks in approach. The lower inner extensions or “doggy ears” are frequently present. The upper outer buttocks often need are an undesirable shape as well.
square shape buttocks
3D BBL uses liposuction again to trim the doggy ears and upper outer buttocks (green areas). This decreases the amount of fat required to get a round lower and outer buttock shape. Without the liposuction, the skin often will not stretch to the desired shape or the buttock may remain too flat.
square shape buttocks liposuction
Now when fat is injected (green areas) we can achieve a round, attractive shape and avoid flat areas much better than BBL alone can.
before after square shape buttocks
Q: 4. How does 3D BBL help when limited fat is available?

In slender individuals or those with previous cosmetic procedures, it can be difficult to find the 300-500 cc of fat needed to give a good standard BBL result. Adding a small amount of liposuction to these patients not only supplies a little bit of fat, but also allows smaller amounts of fat to be injected to get a more desirable outcome just as we have described above with the various shapes.
Q: 5. How do I know if a 3D BBL is right for me?

Finding out if a 3D BBL is right for you is easy. Click on the consultation button on the upper right part of the page or call one of the phone numbers below. Our trained consultants can guide you to the best way to get a great bottom.

Contact Innovations Medical for a Consultation

You can upgrade your appearance quickly, with help from Innovations Medical. Our skilled professionals will help you decide which confidence-boosting services are right for you, and walk you through the next steps in the process. We’ve been helping our patients look and feel their best since 2005, and even our most advanced procedures are often minimally invasive.

To find out which enhancing procedures are right for you, and to learn how Innovations Medical can improve your life, call us at (214) 643-8665 or schedule an appointment.