A doctor-led, minimally invasive approach to buttock contour, volume and symmetry — planned around your anatomy.
Non-Surgical BBL, also known as non-surgical buttock augmentation, is a minimally invasive medical procedure designed to support buttock shape, volume and contour without traditional surgery, where clinically suitable.
Unlike a traditional Brazilian Butt Lift involving fat transfer or buttock implants, the non-surgical BBL uses minimally invasive techniques to pursue similar aesthetic goals.
Minimally invasive: DBL™ techniques do not require large incisions and use needle-sized entry points instead, which may result in less tissue trauma and a shorter recovery time.
Non-Surgical BBL / DBL™ is designed to support buttock contour, volume and shape in suitable patients without traditional surgery. The procedure uses dermal filler injections placed according to the patient’s anatomy and treatment plan. A consultation is required because DBL™ is not suitable for everyone.
At Dr Ducu Clinics, your doctor will assess your anatomy, medical history, goals and suitability before recommending treatment. Risks, recovery, aftercare and expected outcomes will be discussed before any procedure is considered.
DBL™ / Dr Ducu Bum Lift is a non-surgical buttock contouring procedure that uses dermal fillers to support volume, definition, contour and lift in suitable patients. Fillers are placed in specific areas of the buttocks to help improve shape, projection, symmetry and contour.
DBL™ may be considered for selected post-liposuction or post-BBL irregularities, buttock implant-related concerns, asymmetry, congenital contour concerns and other buttock contour issues where clinically suitable.
Safe buttock contouring starts with seeing what lies beneath the skin, which is why ultrasound is part of every DBL™ procedure we perform. Before any product is placed, your doctor scans the buttocks and hips to see the layers beneath the skin in real time: the thickness of the subcutaneous fat, the fascia and muscle below it, the larger blood vessels, and any filler or other material left from treatments elsewhere. This allows the plan to be built around your own anatomy rather than surface landmarks alone.
During the treatment, the scan helps your doctor confirm that the cannula and product stay in the intended subcutaneous plane, away from the muscle and from the deep inner area of the buttock where the main gluteal vessels and nerves run. The same scan can be repeated at your review to check how the product has settled. Ultrasound cannot remove every risk, but it is one of the key safety steps of our protocol and one of the reasons our patients trust us.
After the procedure, you will receive personalised aftercare instructions to support recovery.
Take any prescribed antibiotics exactly as directed.
Swelling, bruising or tenderness may occur; if you have concerns, please contact the Dr Ducu London team.
Filler migration remains a recognised risk, and follow-up may be recommended where appropriate.
Do not stop or change prescribed medicines, including anticoagulants or antiplatelet medicines, without advice from your prescribing clinician and treating doctor.
Tell us about all medicines and supplements you take, and follow the individual eating and drinking instructions provided for your procedure.
Suitability is confirmed only after an in-person medical consultation with one of our doctors.
These are different procedures, with different methods, recovery requirements, limitations and risks.
The most appropriate option depends on your anatomy, goals, medical history, previous procedures, donor fat availability, skin quality and clinical suitability. Your doctor will discuss the benefits, limitations and risks of each option during consultation.
Non-Surgical BBL is sometimes called Liquid BBL because it uses injectable fillers rather than fat transfer. It should not be presented as risk-free: possible effects include swelling, bruising, tenderness, infection, asymmetry, filler migration, nodules, vascular complications or the need for correction.
A medical consultation with one of our doctors reviews your history, previous treatments, anatomy, skin quality, buttock contour and goals.
Your doctor explains suitability, expected outcome, limitations, risks, aftercare and alternatives. A consultation does not automatically mean treatment will be recommended.
Target areas are marked and the planned approach explained. Local anaesthetic is used where appropriate, and hyaluronic acid filler is placed by cannula through a limited number of entry points.
Swelling, bruising, redness or tenderness are common after injectable procedures. You receive personalised aftercare instructions, and restrictions may apply depending on your plan.
Early results are not final while swelling settles over the following weeks. A review or top-up may be recommended. Results vary between patients.
Individual results vary.
Your plan is built around your anatomy, buttock shape, goals and clinical suitability. The aim is to support proportion, contour and symmetry where suitable.
Supporting volume and contour in selected areas for a more balanced appearance.
Subtle volume, contour and symmetry according to anatomy and goals.
Selected lower or outer areas for a softer, more rounded contour.
Contour and volume in selected areas for a more balanced shape.
At Dr Ducu Clinics, DBL™ is planned using clinical assessment, anatomy-based treatment planning and doctor-led care. Longevity varies and maintenance may be recommended.
Everything patients usually ask before booking a DBL™ consultation. Can’t find your answer? Our team will help.
DBL™ may be considered for patients who want to discuss buttock volume, contour or selected irregularities without traditional surgery. Suitability depends on anatomy, medical history, skin quality, previous procedures, goals and expectations.
The patient should generally be in good overall health, and treatment is only recommended after consultation.
We use hyaluronic acid-based dermal filler for the DBL™ procedure. Product choice and volume are assessed by the doctor according to the treatment plan and patient suitability.
Product injection is contraindicated in the following situations: active skin infections in the treatment area; pregnancy or breastfeeding; hypersensitivity to hyaluronic acid or any product component; leukaemia; blood-clotting problems; or a history of complications after permanent gluteal product injections, such as silicone, acrylic polymers or dextran.
Before the procedure, avoid medicines that affect blood clotting unless your doctor has approved them. On the morning of the procedure, please try to eat a full breakfast.
Before the procedure, you may be given medication according to your doctor’s instructions to help reduce the risk of infection. The agreed areas are then marked and discussed with you. The area is cleaned and disinfected, and sterile drapes are used.
To improve comfort, the procedure is performed under local anaesthetic where appropriate. A single entry point per side may be used where possible to help reduce infection risk. If additional entry points or larger treatment volumes are required, more than one session may be recommended.
Your doctor will discuss the appropriate treatment volume after assessing your anatomy, current size, goals and degree of skin laxity.
Once the area is anaesthetised, the filler is placed in the planned tissue layer according to the treatment protocol. After the agreed amount has been injected, the area may be massaged by the doctor to distribute the product. You should not massage the area yourself after the procedure unless your doctor specifically advises it.
Recovery varies between patients. Some patients return to routine activities quickly, but downtime and aftercare restrictions may apply.
Mild side effects such as redness, swelling, bruising, tenderness or localised numbness may occur and can last for several days. Exercise should only be resumed according to your post-procedure instructions.
Your doctor will explain the expected recovery timeline during consultation.
Yes, you can sit after your procedure, but following your doctor’s personalised guidance is key to getting the best results!
As with any medical procedure, DBL™ carries potential risks and side effects. Your decision to undergo treatment should be based on an understanding of these risks, balanced against the potential benefits discussed during your consultation.
DBL™ uses cross-linked hyaluronic acid (HA), a substance naturally found in the body. Although HA itself is biocompatible, injectable HA fillers can still trigger an inflammatory or immune response. Most reactions are mild and temporary, but in rare cases they may be prolonged or permanent. The long-term effects of large-volume HA body fillers are not yet fully understood.
Common side effects are typically mild and occur within the first few days after treatment. These may include:
These effects usually resolve without treatment, although occasional touch-up treatment may be required to correct asymmetry.
Less common but more serious complications can include:
As with all injectable procedures, unforeseen complications may occur and could require additional treatment, hospitalisation, or surgical intervention. Individual healing and treatment outcomes vary, and no specific cosmetic result can be guaranteed.
For one week after the procedure, do not manipulate the injection sites, expose them to the sun or other radiation, subject them to extreme temperatures such as hot or cold showers or sauna, apply skin products that your doctor has not recommended, or undertake movements, procedures or treatments that could affect or traumatise the treated area. Do not massage or hit the area unless a healthcare practitioner has assessed it and confirmed that this is suitable.
Take short walks and continue your usual routine provided it is not strenuous. Keep the treated area clean and dry for 48 hours. Avoid sun, sauna, hot baths and extreme heat or cold for 7 days, and take your antibiotics as prescribed. Swelling and bruising can occur after the procedure and are normal reactions. If you have any concerns, please contact the Dr Ducu London team.
DBL™ results may last between 6 and 24 months, depending on your metabolism and lifestyle. We advise a touch-up of approximately 50–100 ml on each side every 9–12 months. Hyaluronic acid is gradually broken down over time; with regular touch-ups, the filler may last longer, although individual results vary.
Yes. We use ultrasound in every DBL™ procedure. Your doctor scans the area at the start to assess the fat layer, the blood vessels and any previous filler, then uses real-time imaging during treatment to help keep the product in the intended subcutaneous plane. It is one of the key safety steps of our protocol.
At consultation we assess your anatomy and goals, and explain options, limitations and risks before any treatment.
Dermal fillers placed to support gluteal volume and definition in suitable male patients.
More details ›
Treatment that may reduce the appearance of buttock cellulite; results vary between patients.
More details ›
Assessment and removal of previously injected buttock filler, where clinically appropriate.
More details ›
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