Brazilian Butt Lift Using The BEST-F Technique


Dr Omar Tillo, medical director of the CREO clinic, is a key opinion leader on Brazilian Butt Lift (BBL) surgery. Since developing a new surgical procedure for BBL, called the BEST-F technique (Buttock Enhancement and Superficial Transfer of Fat), he has performed the procedure on hundreds of patients, making him one of the most experienced BBL surgeons in the UK.

This article will explain how the BEST-F technique differs from the traditional BBL procedure.

What is BBL? 

Brazilian Butt Lift (BBL) is a surgery that augments and reshapes the buttock using the patient’s fat cells, harvested through liposuction. Once harvested, the surgeon injects the fat cells into the buttock, a procedure known as fat transfer

Due to the combination of liposuction and fat transfer, BBL contours multiple areas of the body. The liposuction is performed on areas with excess fat, such as the abdomen, flanks, and thighs, thus sculpting those areas to improve your silhouette. The fat transfer adds volume to the buttocks, thus improving your lower body proportions. 

What is the BEST-F technique? 

BEST-F stands for Buttock Enhancement and Superficial Transfer of Fat. Pioneered by Dr Omar Tillo, he uses it at the CREO clinic as a safer alternative to the traditional BBL procedure.

In a traditional BBL, the surgeon injects large amounts of fat into and under the gluteal muscle. With this method, there is a higher risk of fat leaking into the gluteal vein, which can cause fatal fat embolisms. Instead, Dr Omar Tillo uses the BEST-F technique, injecting the fat superficially over the gluteal muscle, thus significantly reducing this risk.

The surgeon uses a guided ultrasound device to ensure that no fat is injected into the muscle during the BEST-F procedure, ensuring maximum safety. In addition, using the ultrasound device allows the surgeon to achieve artistic precision by injecting fat into areas that would recreate your desired BBL shape. Due to the additional precautions inherent to the BEST-F method, it is more time-consuming than a traditional BBL.  

Furthermore, to perform this type of BBL, Dr Tillo typically extracts the fat from areas around the buttock. Doing so further sculpts the silhouette and accentuates the results of the enhanced buttock. 

Ultrasound scan of Dr Omar Tillo injecting fat into the buttock during a BBL procedure using the BEST-F technique

Traditional BBL vs CREO BBL

In terms of safety and results, the CREO BBL procedure performed by Dr Tillo using the BEST-F technique differs significantly from the traditional BBL. It prioritises the patient’s safety while achieving natural results proportionate to the shape of the body.  


BBLs at CREO clinic are performed under sedation or general anaesthesia and typically take two to four hours, depending on the number of areas requiring liposuction. First, the surgeon performs liposuction to harvest the fat cells needed for the transfer. Next, the fat cells are purified and prepared for injection. 

Finally, the fat is injected into specific areas in the buttock to recreate your desired shape. In comparison to a traditional BBL, the BEST-F technique uses a smaller amount of fat that is injected superficially over the gluteal muscle to achieve a natural enhancement.

In addition, the BBL surgeon employs an ultrasound scan to ensure that no fat gets injected into the gluteal muscle and for accurate placement of the fat injections, thus ensuring safety and optimal results.


The traditional BBL procedure has received notoriety for placing patients at risk, with around 1 in 2000 patients suffering fatal fat embolisms. In contrast, the cautious approach of the BBL procedure at the CREO clinic significantly reduces the risk of fatal fat embolisms, with 0 reports of fatality. 

Moreover, much of the controversy surrounding the traditional BBL procedure is attributable to the fact that patients seek BBLs abroad in certain countries where there are fewer regulations. As a result, unlicensed surgeons can perform the surgery using dangerous methods, leading to a wide range of complications. Therefore, to ensure your safety, you must choose a board-certified surgeon that uses safe techniques to perform your surgery. 


By injecting large volumes of fat into the buttocks, a traditional BBL can result in an exaggerated appearance. In contrast, the BEST-F technique produces a more natural enhancement that aligns with your body proportions. Due to the use of an ultrasound device and the expert placement of the fat injections, the surgeon has greater awareness of the amount of fat needed and greater control over the placement of fat grafts for achieving the patient’s desired results.

Furthermore, recreating your desired shape requires a great deal of skill and expertise. Most patients want their bottoms to be more rounded or want more volume at the lower part of their buttocks. Therefore, at the CREO clinic, Dr Tillo takes care to design a bespoke BBL procedure that addresses your specific needs and requirements.

If you are interested in a BBL at the CREO clinic, book a consultation with Dr Tillo to discuss your concerns, desired results, and suitability for the procedure. 

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