A butt lift is a lifting of the buttocks through excess tissue, fat and skin removal. The skin and muscles are pulled tighter and repositioned to provide a younger appearance. Options include an upper butt lift (incision across the top of the buttock contour), a butterfly butt lift (incision in the central buttock crease that goes outward and upward), a lateral incision on either buttock side or removing tissue from the bottom area of the buttocks. A Brazilian butt lift (BBL) requires smaller incisions. The surgeon performs liposuction to remove unwanted fat from another area of the body and injects that fat into the buttocks to perform the lift.