Non-surgical BBL (DBL)

Lift and volumize your buttocks

Buttock fillers are a fast and effective way to get the buttock shape you desire, without surgery. Performed under local anaesthetic, the procedure takes approximately 2 hours with noticeably instant results and minimal to no downtime. 

A DBL is a great option for someone looking to enhance their backside. The candidate should be at a healthy weight and be in overall good health.

You will experience little to no downtime after a non-surgical BBL lift. Mild side effects like redness or numbing may occur for a few days after the procedure, but will not impact your ability to go back to work or resume exercise. It takes less than an hour to complete the procedure and does involve any downtime.

Non-surgical butt lift with fillers last up to 18-60 months depending on your lifestyle and the amount of filler used.

It takes between 1-2 hours to complete de procedure and you can sit down immediately after, because, as soon as the procedure ends, we do a deep tissue massage that makes the filler move whatever it was supposed to move before, and if the doctor notices any migration that is off the place, he will melt it instantly and in the same time you can sit down without worry that the filler will migrate. You have to wear loose clothing, unlike the surgical BBL (where you don’t) for at least 3 days, but we recommend 5.


The non-surgical BBL, from the medical and aesthetic point of view, can be used for: Buttocks and Calves augmentation for asymmetries, filling hip-dips, and/or remodelling of such. Dermal fillers are used to correct volume loss, shape, contour and reduce the appearance of fine and/or deep asymmetries.


The procedure consists of implanting the appropriate product in the subcutaneous and/or supraperiosteal buttocks/calves area. For this purpose a CE approved medical device shall be used. The product contains hyaluronic acid 2mg, cross-linked hyaluronic acid 20mg, sodium chloride 6.0mg and water for injection purposes.


The Consultation aims to discuss the procedure in detail including past medical history, risks, expectations, alternative treatments, quantity needed and any other information about the procedure. All your questions will be answered and please feel free to ask anything so that you fully understand the procedure.

If you are deemed suitable for the procedure, considering your medical history, then you will be given as much time as you need for making a decision whether you would like to proceed with the non-surgical BBL (Patient Time for Reflection “Cooling Off”).

Please note that even if you decide to proceed with the treatment, after your time for reflections, you can choose to stop the procedure at any time, if you do not feel comfortable or if you do not believe it is in your best interest to proceed.

Injecting the product is contraindicated in the following situations: sun exposure, smoking, pregnancy and breastfeeding, individuals with hypersensitivity to any of the compounds of the product, autoimmune diseases, leukemia, infectious diseases, blood clotting problems, infectious diseases, herpes, acne, unhealed skin problems, individuals with complications after surgeries or with permanent products injections (silicon, acrylic polymers, dextran), untreated infectious peridontitis, severe myasthenis, multiple sclerosis, Lamberton-Eaton syndrome, ALS, Parkinson or any other diseases that affect the muscles, blood or skin.

Before the procedure Recommendations

Before the Procedure the following activities are forbidden: alcohol use for a period of minimum 2 days, smoking, sun exposure or any other types of radiations, using medications such as antibiotics, aminoglycosides, spectinomycin or any medicine that interferes with the neuromuscular system, or with blood clotting or skin.

Please avoid drinking fizzy drinks or coffee and in the morning of the procedure try to have a full breakfast.

During the Procedure

Before the procedure you will be given an antibiotic tablet, which is required to be taken pre procedure to minimise risk of infection. The agreed areas are then marked and discussed with the patient, afterwards the area is cleaned and disinfected, with the targeted area isolated with sterile drapes.

To make the procedure as comfortable as possible the procedure is performed under local anaesthetic, using injection.

One entry point is used to minimise risk of infection therefore multiple sessions may be required to achieve the desired outcome. Kindly note that the producer recommends a quantity of maximum 150 ml each side per session. Should you ever decide to proceed with more than this quantity, there will be a higher degree of potential risks.

Once localised, the product is then injected deep between the fat layer and muscle, for safety reasons, as well as to create a softer result.

Once the agreed quantity has been injected the area is massaged to spread the product which will create a softer and more comfortable feel. There is no need to massage the area again once this is done, and it is not recommended at all to do so after the procedure.

The patient is then able to view the results. Results after the procedure are not final due to potential swelling and other body reactions. The final results will begin to appear after 3 weeks. In any case, top-ups may be required.

Risks & side effects

Every procedure involves a certain amount of risk and it is important that you understand these risks and the possible complications associated with them. In addition, every procedure has limitations. An individual’s choice to undergo this procedure is based on the comparison of the risk to potential benefit.

Even though Hyaluronic Acid is a natural component of the body, injecting it is likely to provoke a body response as if the molecule was a foreign body. Usually, such reactions are temporary, but in some cases they are permanent.

The long term effect of hyaluronic acid filler is unknown. The possibility of additional risk factors or complications attributable to the use of hyaluronic acid filler as a soft tissue filler may be discovered.

Considering the toxicity of the cross-linked agent found in the Product, injecting it may: diminish cellular viability, increase cytotixicity, alter the integrity of the membrane, reduce the potential of mitochondrial membrane and activate inflammatory response of the body Factors that can influence such reactions are the tolerance of the patient to injections, skin type and medical history of the patient.

In general, side effects occur within the first few days following injection. They usually last only for a short time, but they may last for several months and in rare cases, longer.

The quality of the clinical outcomes of the treatment cannot be evaluated a priori, and precise guarantees cannot be given about the result obtainable with this treatment, since the response and the individual conditions may be essential in determining the clinical response of the treated patient. Among the risks and side effects of the procedure include bruising, infection, swelling, pain, needle marks, acne like skin eruptions, skin sensitivity, erythema (skin redness) and asymmetry. These risks are usually temporary and solved on their own.

If the asymmetry is not corrected on its own, touch-ups may be required, with a risk of under/over correction.

The less likely risks include migration of filler, skin lumpiness, bleeding, visible tissue filler material, granulomas, stroke, cardiovascular and pulmonary complications, embolism, damage to the deeper structures, leakage or rupture of filler material, skin necrosis, open or draining wounds, healing problems, allergic reactions, hypersensitivity, drug and local anaesthetic reactions, depigmentation, venous thrombosis (clot) and sequelae, allergic reactions, fat/air embolism, persistent swelling (lymphedema), antibodies to fillers, accidental intra-arterial injection, scarring, major wound separation and unsatisfactory results. Unforeseen risks may require hospitalisation and/or extended outpatient therapy to permit adequate treatment.

After the Procedure

The practitioner will inform you on the post-op recommendations, what to expect in terms of healing process, and answer any questions that you might have.

After the Procedure the following activities are forbidden, for at least 1 month: manipulating the area(s) of injection, alcohol use, smoking, exposure to sun or other types of radiations, extreme temperatures (such as hot/cold showers, sauna, etc), using products for skin that are not recommended by the doctor for the area undergoing the procedure, any movements or actions of/on the area that can affect or traumatize the area (such as massaging the area, hitting, procedures or treatments on the area unless previously being assessed and deemed suitable by a healthcare practitioner).

Take short walks and proceed with your usual routine as long as it is not too straining. Sleep on your front for 7 days. Treated area to remain clean and dry for 24 hours. Avoid sun, sauna, baths, extreme heat or cold for 7 days and take your antibiotics as prescribed (1 every 8 hours). There may be some swelling and bruising post procedure which is a normal reaction, if any concerns please contact the Dr Ducu London team.

Dr. Ducu London team will always keep in contact with you to ensure you are well and for any enquires please feel free to contact us any time.


The pictures are from the patients' personal archives

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