dr. jugenburg

Brazilian Butt Lift by Dr.6ix

Dr. 6ix and Dr. Miami

The SixSurgery Surgeons have been performing Brazilian Butt Lifts for almost 10 years now, led by Dr. Jugenburg who has been recognized by Dr. Miami for their work.  Dr. Jugenburg is now a part of Dr. Miami's BBL group, offering Dr. Miami's technical refinements to his Toronto and international patients.

Scroll down to read more about our Brazilian Butt Lifts!

(PLEASE NOTE OUR CURRENT BMI requirement of < 25)

(we are currently not accepting patients with BMI over 25 for a BBL consultation)


High Volume Precision Fat Auto-Infuser

Dr. Jugenburg is the first surgeon in Canada to utilize the fat auto-infuser used by Dr. Miami and many other Brazilian Butt Lift experts around the world.

The Autoinfuser (Butt-0-Matic 6ix000) allows Dr. Jugenburg to inject large volumes of fat with greater ease and better sculpting ability.  This technique, learned from Dr. Miami, has already helped Dr. Jugenburg enhance his BBL results to the next level.

dr miami buttomatic6000

Dr. Jugenburg is recognized as one of the top Brazilian Butt Lift surgeons in Canada

Patients visit us from around the world to get their Brazilian Butt Lift done by Dr. Jugenburg.  We perform more BBL surgeries than any other clinic in Canada,  and our results speak for themselves.

Dr. Jugenburg on Etalk (2011).  

Brazilian Butt Lift Before and After

butt enhancement with butt implants

What is a Brazilian Butt Lift?

A Brazilian Butt Lift is a procedure when fat is taken from areas of excess, is processed, and then injected into your butt to:

  • add volume
  • shape the roundness
  • create an illusion of a lift by adding more volume to the upper part of the butt
  • help to shape the waist by taking away your love handles, creating a beautiful hourglass figure.

BBL is based on fat grafting, which involves removing patient’s own fat from one part of the body and re-implanting it where it’s needed – in this case, the buttocks.

The Brazilian Butt Lift is actually a two-part surgical procedure:


Cost of Brazilian Butt Lift Procedure

$ 13 300 (one area of liposuction) + (additional liposuction $ 1500 – $ 5000 depending on the area, amount of excess fat to be liposuctioned) to $ 23 100 (with lipo360)

PLEASE NOTE BMI requirement must be UNDER 25

Click the Image Below to see lipo fees for individual areas

Surgical fee includes:

  • Liposuction of predetermined areas (usually 2-3 areas, including abdomen and flanks)
  • Fat purification
  • Fat injection into the buttocks
  • 1 compression garment
  • Lipo massage (up to 10 sessions)

The following is not included in the surgical fee:

  • Liposuction of additional areas (please see the diagram below for applicable fees)
  • Any future lipo and fat transfer to place additional volume into buttocks or other areas
  • Skin excision in areas of excess skin
  • Contour (dimple, cellulite, scar) corrections
  • Additional garments

(Liposuction of the upper, lower abdomen, and flanks (love handles) are the most common areas of liposuction for a BBL)

Part 1:
During Part 1 of the surgery, fat is liposuctioned from areas of the body where it is in excess. This provides the added benefit of removing excess fat from other parts of the body, improving the patient’s overall look.  Usually, several tiny incisions are made to access the fatty areas where liposuction will be performed. The fat is removed via liposuction, it is then processed and purified in the operating room. Then the second stage of the surgery begins.

Part 2:

This part of the procedure involves multiple injections of the patient’s own fat back into the buttocks, where it is sculpted by the doctor, making the buttocks larger and rounder. Once the appropriate amount of fat is injected, the procedure is complete.  After the procedure patients will experience swelling and bruising, but this will subside after few weeks. The discomfort from the surgery will be managed by pain medication prescribed by Dr. Jugenburg. The results are immediate, but the buttocks will be at their largest right after the procedure and will slightly decrease in size as you heal from the surgery. The final result and size of the new butt will be visible after full three months of healing.

A BBL is NOT a Butt Augmentation procedure NOR is it a Butt Lift

A BBL is a body contouring procedure to give you more beautiful curves by relocating fat from less to more desirable places.

The end result of a Brazilian Butt Lift is a more proportioned body with an hourglass figure, smaller waist and a fuller rounder butt.

What to Expect from a Brazilian Butt Lift?

Recently, many BBL surgeons have started posting photos of their results showing a Before and After photo, where the After photograph is taken immediately after the completion of the surgery, even before the patient was woken up.

While these results show a dramatic transformation, these are NOT the final results, and, in my opinion, they show an amount to false advertising.

During the consultations, we clearly explain to our patients that right after the surgery their butt will be huge.  There will be a lot of swelling because of all the fat that was injected. After 2 – 4 weeks that swelling will go away and a significant amount of the butt size will be lost.  Then, over the next 3 months, fat which has not survived the procedure is slowly cleared out of the body.

About 50% of fat doesn't survive.  This is an estimate that most reputable fat grafting experts agree on.  Realize that whatever fat you have to give has to be split in half (one for each buttock), and then half of that half does not survive and is lost after 3 months.  Whatever is left after 3 months is the real final result.

dr.miami toronto dr.six banner logo

Dr. 6ix has joined Dr. Miami’s team of Brazilian Butt Lift experts and now brings this expertise to Canada.

Incorporating Dr. Miami’s refinements into his own BBL technique, Dr. 6ix now has patients from around the world requesting to have their BBL performed by Dr.6ix himself.

Should You Get a Brazilian Butt Lift?

The key to being a good candidate for the Brazilian butt lift is to have an adequate amount of fat in other areas of your body. Dr. Jugenburg will remove excess fat from areas that may include the abdomen, love handles, thighs, hips, back or arms. This is the fat that will be removed via liposuction, purified and injected into the buttocks. Without available fat Dr. Jugenburg will not be able to do the procedure.

Not all patients are good candidates for a BBL:

  • BMI over 30 (increased risk of complications)
  • Age over 50 (decreased fat survival)
  • Diabetics (decreased fat survival and risk of infections)

IF any of the above applies to you, Dr. Jugenburg will NOT be able to perform a BBL for you.

Procedure Consultation

You will get an honest opinion on whether or not you are a good candidate and whether or not your goals can be achieved.

During your consultation, we will examine you and discuss your goals with you.  You will have a chance to review our previous work, find previous patients who look like you to get an idea of what you can expect.

After Brazilian Butt Lift Surgery

Immediately after surgery, your butt will be large and swollen.  All the fat that has been injected will be there, and you will be very swollen from the surgery itself.  This will go away over the next few weeks and your butt will decrease in size.  Over the next three months, some of the fat that has not survived is lost, so it really takes three months to see the final results.

It is very important to avoid sitting on your buttocks as much as possible in the first few weeks after surgery. In order to take direct pressure off the bottom, you should sleep on your stomach or on your sides. When sitting, try to have your weight placed on your thighs, rather than your buttocks. You should be up and walking the day following your surgery. To help improve the shape of the buttocks and expedite healing and minimize the amount of fluid formation, patients are often encouraged to wear a compression garment for up to six weeks after the surgery.  Dr. Jugenburg’s nurses will see you the day after your surgery and at specified intervals during the weeks that follow. This is done so that the staff can personally monitor your recovery process, and to ensure that you have the best results possible.

Massage after liposuction

Massage of the liposuctioned areas is crucial to ensure smooth results.  We have a qualified massage therapist on site to help you with massage, improve your results, and teach you how to massage yourself at home

Monitoring for infection

Following fat injection, infection of the injected fat is a possible risk and it is important that if there are any early signs of infection, that you notify us and we are able to start strong antibiotics as soon as possible.  Things to watch for are: night sweats, chills, fever, area of the butt that is hotter, redder, more tender than other areas of the butt. If any of these occur, please notify us immediately.

Booking Your Procedure

Once you have decided that you would like to undergo this surgery with Dr. Jugenburg, you will be asked to provide us with recent blood work results to ensure you are healthy and suitable to undergo this butt enhancement procedure.  Our nurses will be in touch with you and will guide you through all the steps necessary before your surgery.  A $3000 non-refundable deposit is required to secure your surgical date.  This deposit reserves your surgical time slots and gets the ball rolling.  The remainder of your fee will be due 2 weeks before the surgery.

Doing Other Procedures with a Brazilian Butt Lift

Patients often ask if they can have multiple areas liposuctioned, in addition to the areas typically used for the Brazilian Butt Lift.  Additional areas can be added, at additional cost.  There is a maximum, however, of how much liposuction we will do at any one time.  Dr. Jugenburg aims not to do more than 4 litres of liposuction in one session, as volumes >4 Litres are associated with increased complications.  Another common question we get is whether or not we can do a Tummy Tuck and a BBL at the same time.  Although it is technically possible, we do not recommend this combination.  After a Tummy Tuck you need to rest on your back, in a flexed position.  After a Brazilian Butt Lift, we want you to lie on your stomach.  Thus combining these to procedures makes the recovery extremely uncomfortable.

Breast Photo Gallery
skinnyBBL brazilian butt lift by Dr6ix
SkinnyBBL brazilian butt lift by realdrsix
Brazilian Butt Lift large

Do You Need a Tummy Tuck After a Lift?

Liposuction used to remove excess fat from the abdominal area will not tighten your abdominal skin.  In some cases, we recommend that patients consider a Tummy Tuck once fully healed.  We do not recommend a Tummy Tuck at the time of the BBL (as discussed above).

How to predict who will need a Tummy Tuck?

  • Increasing age means less elastic skin
  • Previous pregnancies (and thus significant skin stretching)
  • Previous weigh loss >30lbs (and thus had stretched skin)

Need for a tummy tuck:

  • If one of the above applies to you – 30% likelihood that you will need a Tummy Tuck
  • If two of the above apply to you – 60% likelihood that you will need a Tummy Tuck
  • If all three apply to you – 90% likelihood that you will need a Tummy Tuck

(Ref: Dr. D DelVecchio Cutting Edge 2017)

Silicone Butt Implants Versus Brazilian Butt Lift

Prior to the procedure, doctors were using silicone implants to reshape the buttocks. These implants had their share of risks and complications, and the results often didn’t look natural. But the Brazilian Butt Lift surgery offers many benefits over silicone implants, including:


  • A more natural appearance  – BBL uses the patient’s own fatty deposits to reshape the buttocks, resulting in a more natural appearance.
  • Less painful recovery –  The BBL is less painful than butt implant surgery and is the smart choice for patients worried about painful and long recoveries.
  • Minimal scarring  –  The produce has minimal scars; women are able to wear a bikini without showing an evidence of this cosmetic procedure.
  • No implant-related complications   –  Complications from silicone implants include infection, displacement, visibility of the implant, leakage, ruptures and hardening of the implant. These complications are avoided with the Brazilian Butt Lift.  Once fully healed, there are no future complications you need to worry about.
  • Rounder, larger buttocks   –  The BBL allows doctors to create larger, fuller buttocks than with silicone implants, while helping to slim down the areas where there was an excess of fat.

Brazilian Butt Lift Risks and Complications

Although complications following Brazilian Butt Lift are infrequent; the following may occur:

    1. Bleeding, which in rare instances could require hospitalization and blood transfusion. Blood clots may form under the skin and require drainage.
    2. Skin irregularities, lumpiness, hardness and dimpling may result; some problems disappear with time and from massage, but skin irregularities, hardness, lumps, dimpling or other problems may persist and additional treatments may be necessary. Loose skin in the treated areas may not shrink to conform to the new contour. Skin resection may be necessary.
    3. Infection is rare but may occur and, treatment with antibiotics and/or drainage may be required. In rare instances surgery may be required for severe infection (when abscesses form or necrotizing fasciitis develops.) Numbness or increased sensitivity of the skin over treated areas may persist for months. Localized areas of numbness or increased sensitivity may be permanent.
      • EARLY SIGNS OF AN IMPENDING INFECTION include night sweats, chills.  An area of the butt may be warmer, more tender, more red than the rest.
      • If any of these may be happening, please let us know immediately so that we can assess you and treat you accordingly.
    4. Objectionable scarring is rare because of the small size of the incisions used in liposuction surgery, but scar formation is possible.
    5. Dizziness may occur during the first week following liposuction surgery particularly upon rising from a lying or sitting position. If this occurs, extreme caution may be exercised while walking. Do not drive a car if dizziness is present.
    6. Deep Venous Thrombosis, Pulmonary Embolism and Fat Embolism may occur.  A clot or a fat globule may get lodged in the blood vessels in your lungs leading to poor oxygenation.
      • Feeling short of breath, unable to count loudly to 10 without pausing, and pain inside your lungs may be early signs of an embolism.
      • If this happens, please notify us immediately, or go to your nearest emergency room to be scanned.
      • If a DVT or pulmonary embolism occurs, you will be placed on blood thinners and followed by a Hematology specialist until cured.
      • If a Fat Embolism happens, this may be a fatal event.  To minimize this risk we take every possible precaution, specifically we avoid injecting fat into the butt muscle or under the muscle (which is common practice in some Caribbean or South American countries)
    7. Abdominal perforation may also occur in rare instances. The risk of these specific complications is increased in patients with increased BMI and previous abdominal surgeries.
      • Early signs of an abdominal perforation included worsening abdominal pain all over
      • Pain worse with movement, improved when staying completely still
      • No passing gas, no bowel movement (although these may also happen as a normal side-effect of opioid pain meds)
      • IF YOU SUSPECT THIS MAY BE GOING ON, PLEASE NOTIFY US IMMEDIATELY, because if left untreated it may be fatal.

Brazilian Butt Lift Frequently Asked Questions

  • You should discuss your medications with us during your consultation. The doctor/nurse may have you stop taking certain medications prior to your procedure. Do not smoke for at least two weeks before your procedure and two weeks after. Nicotine can compromise circulation and delay healing, as do many of the other chemicals found is cigarette smoke. Drink a lot of water in the days leading up to your surgery.

  • First you will be given an anesthetic to make you relax and fall asleep.  Next, the surgery takes place over 2-3 hours.  There are two stages to the procedure. First-excess fat is extracted from areas of your body using liposuction. The fat is purified in the operating room, and then injected into the buttocks. This helps to produce rounder, fuller buttocks. Generally, the procedure takes about two hours from start to finish.

  • Patients should be aware that the buttocks will be very sensitive for approximately 10 days following the procedure, and you will not be able to sit on your bottom during this time. Following this period, the sensitivity should subside and you will be able to resume your normal activities. Your buttocks will appear larger immediately after surgery and the final results will show about 3 months after the surgery has taken place.

  • One of the major benefits of the BBLA Brazilian Butt Lift does not lift the procedure is that there are no major incisions. That means minimal scarring. Patients can be assured that they will be able to wear a bikini and other revealing clothing without showing scars.

  • NO!!!!

    Butt injections refer to injecting various substances such as silicone, Biogel PMMA and others. Only fat that is liposuctioned from the patient’s OWN body is injected during the Brazilian butt lift. Using anything else is extremely dangerous and illegal.

  • As with all cosmetic surgeries, there are some risks involved. These risks include bleeding, infection, and collection of fluid under the skin, swelling and blood clots. Our operating suite is state-of-the-art, and we do everything possible to minimize risks associated with the surgery.

  • In a traditional butt lift, the doctor removes excess or sagging skin that is due to weight loss, gravity or the aging process. After making incisions, the skin over the buttocks is raised and tightened, making the buttocks look less saggy, dimpled or wrinkled. In the Brazilian Butt Lift, the patient’s own fat is injected into the buttocks, making them larger, rounder and shapelier. A BBL does not lift the butt, it reshapes it, thus it is not ideal for patient who need an actual lift of a saggy bum.

  • $ 13 300 (one area of liposuction) + (additional liposuction $ 1500 – $ 5000 depending on the area, amount of excess fat to be liposuctioned) to $ 23 100 (with lipo360)

    PLEASE NOTE BMI requirement must be UNDER 25

    Click the Image Below to see lipo fees for individual areas

    Liposuction fees for Dr 6ix Martin Jugenburg in Toronto