What is Superficial Gluteal Lipofilling?

What Is Superficial Gluteal Lipofilling?

If you have been searching for cosmetic procedures to sculpt and contour your buttocks, you may have discovered superficial gluteal lipofilling (SGL), which is an updated, safer approach to the traditional Brazilian Butt Lift (BBL)

To ensure greater safety than has been seen with traditional BBL methods, the CREO Clinic’s Medical Director, Dr. Omar Tillo, designed the BEST-F technique. This type of SGL uses ultrasound technology to guide the fat injected above the gluteal muscle layer, adding volume and making natural-looking improvements to your butt.

The CREO Clinic’s Medical Director, Dr. Omar Tillo, is a leading expert in Brazilian Butt Lift surgery. In his care, you can feel sure that you are receiving safe and effective BBL treatment from an experienced practitioner.

Dr. Tillo wrote the UK guidelines for performing brazilian buttock lift in the UK, making them far safer and lifting the prior UK ban on these cosmetic surgery procedures. His advanced BEST-F technique prioritises patient safety and well-being while ensuring excellent aesthetic outcomes. This groundbreaking technique has quickly become a mainstay in the field. 

Contact the CREO Clinic today for a consultation to explore the transformative effects that SGL could have for you.

Superficial Gluteal Lipofilling (SGL) Is The New Version of BBL

Superficial Gluteal Lipofilling, also referred to as gluteal fat grafting, is the  transferring of autologous fat from body areas to be injected above the muscle layer. This is the only technique the CREO Clinic uses in its Brazilian Butt Lift procedures, as traditional intramuscular fat transfer and buttock implants have proven to be far riskier and less effective. 

Fat Grafting

The process of fat transfer involves using liposuction to extract fat from areas of the body where it is in excess, purifying it, and then injecting it under the skin wherever the patient wants to see increased volume and enhancements in shape. In the case of a buttock augmentation, the fat transfer is injected above the muscles of the buttocks and hips.

Ultrasound Scanning Guides the Process

Dr. Tillo uses ultrasound scanning to give him accurate images of the anatomy below your skin to ensure that no fat enters the muscle. This allows him to guide the injection and ensure the fat injection is subcutaneous but always above the gluteal muscle. 

CREO’s Technique is Called BEST-F

The CREO Clinic uses Dr. Tillo’s SGL technique – Buttock Enhancement and Superficial Transfer of Fat (BEST-F) to inject the fat superficially across the buttocks muscle. This is far safer than traditional Brazilian Butt Lift surgery but also creates a better contour, as ultrasound imaging allows more precision in applying the fat transfer.

Superficial Gluteal Lipofilling Is The Safest BBL

SGL using the CREO Clinic’s techniques is by a significant margin the safest BBL to undergo. Traditional BBL surgery runs a reported risk of serious complications or fatality of around one in every 2,000 patients. On the other hand, BBL surgery performed with the BEST-F technique has never resulted in any fatality. It is the only BBL procedure approved by the British Association of Aesthetic Plastic Surgeons (BAAPS).

Dr. Omar Tillo Wrote the Guidelines for SGL

Dr. Tillo, recognized as an authority in the field, has been assigned the responsibility of formulating the United Kingdom’s guidelines on Brazilian Butt Lift (BBL) procedures, imparting this knowledge to surgeons nationwide. Within this framework, all plastic surgeons performing BBL in the UK are mandated to adhere to these meticulously crafted recommendations when conducting Subcutaneous Gluteal Lifts (SGL). These guidelines underscore the significance of providing meticulous, high quality and safe care and outcomes.

Dr. Tillo describes the history of BBL surgeries and why his technique is superior: 

“In the past, when surgeons performed Brazilian Butt Lift (BBL) surgery, they used to inject fat deep into the buttock muscles. However, this method had serious risks, including fat leaking into large blood vessels, leading to a condition called fat embolism, and in many cases, it even resulted in death.

To make the procedure safer, I developed a different technique called BEST-F (Buttock Enhancement with Superficial Transfer of Fat). Instead of injecting fat deep into the muscles, I placed it just under the surface. I also used an ultrasound scanner during surgery to carefully track the cannula’s position, ensuring that the fat went where it was supposed to and not into the muscle.

My experience and knowledge in this area led me to be part of the BAAPS Gluteal Fat Transfer Review group, and I co-authored national guidelines for BBL surgery which was published in 2023. Unfortunately, not all surgeons, especially those outside the UK, are aware or follow these safety recommendations. Some still inject fat blindly or deliberately into the muscle to achieve very large changes in the buttock shape, which can be dangerous.

It’s crucial for everyone’s safety that surgeons prioritise safety guidelines when performing BBL surgery. Injecting fat into the muscle can have serious consequences, and it’s important that surgeons take steps to prevent these risks for the well-being of their patients.”

Ideal Candidates for SGL

To be suitable for an SGL surgery, patients must:

  • want to enhance the shape and contour of the hips or buttocks
  • have realistic expectations of the surgical procedure and its outcomes 
  • have a BMI of 30 or below to minimise the risk of complications. Use our BMI calculator to check your current BMI
  • be in good physical and mental health


Having a suitable BMI below 30 before undergoing a BBL surgery, as this minimises the risk of complications. Some patients may have a low BMI and prefer to undergo a skinny BBL, a surgery designed specifically to add volume to the butt and hips of slimmer patients with low BMIs.

Schedule a Consultation at CREO Clinic to Get a BBL

To enjoy the many benefits of an SGL, book an initial consultation with Dr. Omar Tillo, the CREO Clinic’s experienced, double board-certified cosmetic surgeon. 

As a pioneer of SGL surgery in the UK, Dr. Tillo of the CREO Clinic is highly regarded for his ability to carry out his signature BEST-F BBL and provide exceptional patient results.

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