The main deciding factor between getting a Brazilian Butt Lift (a fat grafting procedure) or butt implants is how much fat you have to work with. Real fat from your body shapes well, can be put specifically into the areas that need it, and can also help create hips if they are desired as part of your new look. Complication rates tend to be lower with the Brazilian Butt Lift, liposuction is part of the procedure and it costs less. With butt implants, unless you’re very thin to start with, I’m usually going to recommend liposuction in addition to the implants to create the silhouette you want. Butt implants are the better alternative for patients who have very little fat on their body to begin with.