The Brazilian Butt Lift is something one hears about on TV infomercials hawking exercise DVD’s that tout to produce a high, firm and amble buttock region. However, this is also a plastic surgery procedure designed to give the patient a rounder and shapelier buttocks with a heart-shaped appearance. Believe it or not, but this procedure generally requires removing fat from just below the lumbar region. This is designed to provide a greater protrusion and curviness of the buttock region. Because slim women often have less fat to harvest from below the lumbar region, it can be especially challenging to create this affect, which is why patients should seek out a board certified plastic surgeon with significant experience in buttock augmentation using both buttock implants and fat grafting techniques.