Dr. Downs and whole team at Centre PC have been amazing! They listened to me as I told them my desired results, provided different options for me, based on years of industry knowledge and worked alongside me as I navigated the headaches of insurance. I couldn’t be happier with my experience there and would highly recommend them to anyone looking to make some positive change in their life!

Benefits of a Brazilian Butt Lift
- Enhanced volume and shape of the buttocks.
- Improved body proportions by reducing fat in problem areas.
- Natural-looking results using your body’s fat.
- Minimal scarring with advanced liposuction and fat transfer techniques.
- Boosted confidence and self-esteem with a more sculpted silhouette.


Who Is a Good Candidate for a Brazilian Butt Lift?
To be considered a good candidate for a BBL, patients should:
- Be within approximately 15 pounds of their goal weight.
- Have sufficient excess fat for transfer to the buttocks.
- Be in relatively good health and free from serious medical conditions.
- Have realistic expectations for their surgical results.
- Commit to maintaining a stable weight post-surgery.
Smokers should stop smoking before and after surgery to optimize healing and recovery. Your surgeon will assess your candidacy during a personalized consultation.
The Procedure Process
A Brazilian Butt Lift involves three key steps:
Fat Harvesting
Excess fat is removed from areas like the abdomen, thighs, or love handles using liposuction. A small cannula is used to gently extract the fat.
Purification and Transfer
The harvested fat is processed to remove impurities and prepared for reinjection using small syringes.
Fat Injection
Tiny incisions are made in the buttocks, and the purified fat is strategically injected into natural tissue planes to achieve the desired shape and contour.
Each step is carefully performed to ensure long-lasting, natural results.

Recovery and Aftercare
After surgery, patients will wear a special compression garment to minimize swelling and support healing. Here’s what you can expect during recovery:
- Swelling and Bruising: Common in areas where fat was harvested; managed with medication, ice and compression.
- Activity: Patients are encouraged to walk within 24 hours. Vigorous exercise should be avoided for approximately four weeks.
- Sitting Precautions: Avoid sitting directly on the buttocks for at least eight weeks to allow proper fat integration. A surgical pillow will be provided after surgery.
- Sleeping: Sleep on your stomach or side to prevent pressure on the buttocks.
Our team provides post-surgical supplements like Arnica-Bromelain to reduce swelling and bruising, promoting a smoother recovery.
Results of a Brazilian Butt Lift
Patients typically notice improvements in their body’s contours within four to six weeks, with final results becoming visible once swelling subsides at about three months. It’s important to note that up to 40% of transferred fat may not survive, but the remaining fat cells will integrate permanently into the buttocks.
Maintaining a stable weight is essential to preserving your results. Excessive weight fluctuations can alter the shape and contour of your BBL.
Risks and Considerations
While a Brazilian Butt Lift is generally safe, it’s important to understand potential risks, including:
- Infection
- Scarring
- Fat embolism (a rare complication when fat enters the bloodstream)
- Asymmetry or uneven results
- Loss of transferred fat cells
Choosing a board-certified plastic surgeon at The Centre, P.C., significantly reduces these risks. Our team prioritizes patient safety and satisfaction at every step of the process.

The medspa staff are always friendly and welcoming. Kellee has the LIGHTEST touch with an injection needle and always does a great job!
It has been officially 5 week since my tummy tuck and breast lift. After losing 150lbs I knew I needed this done but never thought it would be possible. After meeting with Dr. Downs and his team my dreams started to seem like reality. Five weeks ago we completed 1 of my 2 suggested surgery’s. My recovery so far has been extremely easy with little to no pain. Dr. Downs has been just the best. He took his time and explained every part of my surgery and what I could expect. It was a pleasant surprise to wake up from surgery and find out he didn’t have to make the vertical incision down my stomach due to all the my weight loss, and lose skin. I’m so happy Dr. Downs is who I decided to go to for this surgery. Can’t wait for him to complete my project.
Dr. Macias and her staff helped make this very personal decision easy and comfortable. They took the time to listen and answered all my questions. I was very nervous about having breast surgery but after it was done I was so happy with the results. She truly nailed it. I would highly recommend Dr. Macias to anyone considering any cosmetic surgery.
I had a great experience here, the staff are so friendly and make you feel comfortable. Dr. Downs is the best, I will definitely be returning.
Dr. Downs is fantastic. He is very knowledgeable and communicates very effectively. The staff made this experience comfortable for me. I am very happy and pleased with the results.
From the time I walked in the door to the moment I walked out, I felt respected, seen and heard! The staff are kind and gentle and I will never go anywhere else for the things I need. Dr. Macias is outstanding.
Everyone is so professional, compassionate, and willing to help in anyway.
I would recommend their office to everyone.
I received a rhinoplasty from Dr. Macias and my nose is PERFECT. 😍
I enjoyed my whole experience but here are a few specific highlights that stuck out:
- The staff is kind, informative, and responds quickly.
- I loved the simulation they used to show desired results.
- The staff the day of surgery was fun and helped me with my nerves.
- From the little shopping I did, their prices were the best (sometimes by far!).
Dr. Downs is fantastic. He is very knowledgeable and communicates very effectively. The staff made this experience comfortable for me. I am very happy and pleased with the results.
I had a great experience here, the staff are so friendly and make you feel comfortable. Dr. Downs is the best, I will definitely be returning.
I’ve been going to the Spa for a few years now and have always had a positive experience with my services and staff. Everyone is always kind and informative. Ashley Kweder has easily been my favorite cosmetic injector! She has always been able execute everything I wanted, keeping me well informed and being absolutely the sweetest! Highly recommend
Frequently Asked Questions
About Brazilian Butt Lift in Mishawaka, IN
Fat is typically removed from areas like the inner thighs, love handles, or abdomen. Additional sites, such as the arms or bra roll area, may also be used.
Transferred fat will behave similarly to its original location. Maintaining a stable weight is essential to preserve your results.
Most patients resume normal activities within 1 to 2 weeks, but full recovery may take several months.

