A Brazilian butt lift enhances the size and shape of a patient's butt so that it better fits his or her figure and provides an attractive, prominent rear end. In order to perform Brazilian butt lift surgery, fat from areas of the body such as the back, abdomen, hips, and thighs is removed through liposuction. During this process, your surgeon will make a small incision in the region with excess fat and insert a small tube. He or she will then use manual motion, vibration, ultrasonic waves, bursts of air, or even lasers to dissolve fat deposits before gently aspirating them. Liposuction usually only requires local anesthesia to complete, but your doctor may recommend general anesthesia or sedation if you require more extensive fat removal or are particularly nervous about your surgery.