Medically reviewed by Dr. Josh Allen, D.O., Medical Director, October 23, 2026
A liquid BBL is an injectable, non-surgical treatment that reshapes the hips and buttocks modestly with a collagen stimulator, hyperdilute Radiesse at our Cleburne clinic, instead of liposuction or moving your own fat. The FDA has not approved any injectable filler for buttock enhancement and currently recommends against using fillers for it.
Your nurse injects the product through a few small entry points. Numbing cream is used, and local numbing may be added. There is no general anesthesia and no surgical recovery. You may also hear it called a liquid butt lift.
Radiesse is approved for other uses, not the buttocks. The next section explains why that matters.
The product we use has FDA approval, but only for particular uses elsewhere in the body. Radiesse is not approved to make the buttocks or hips larger.
The FDA's dermal filler information page goes further. It names buttock enlargement as an unapproved use, recommends against dermal fillers or any injectable filler for body contouring and enhancement, and says it does not know the risks of those unapproved uses.
That puts every liquid BBL outside the approved labeling for this product, and the FDA has neither evaluated nor endorsed them for the buttocks. Calling Radiesse a collagen stimulator describes how it works. It does not place it outside that warning.
None of these approvals covers the buttocks.
Research on buttock use is limited. A 2020 literature review in Dermatologic Surgery (PMID 31188150) described the published evidence as low level and called for better studies. Research of this kind is not an FDA approval. Radiesse's label studies evaluated the face, hands and décolleté, not liquid BBL, so they cannot tell you how long a buttock result lasts. Published studies show results lasting up to about 2 years; many of our patients keep their results 2 to 4 years, depending on metabolism and lifestyle.
Before any filler, the FDA's consumer checklist suggests asking for and reading the patient labeling for the exact product.
When I plan a liquid BBL, I do not want the follow-up decision to depend only on how someone remembers looking before treatment. So we start with baseline photos.
At follow-up, I compare your current shape with those original photos and look at where the contour actually changed. That matters because early swelling and the product's carrier can make the area look different before the longer-term tissue response develops.
I also look at left-to-right balance, and at how the hip and buttock transitions look from the same general views we used at baseline.
If your contour is developing appropriately, adding more product is not an automatic next step. Sometimes the right decision is to wait longer. Sometimes another treatment fits your goal. And sometimes what you hoped to achieve would need surgery rather than more injectable product.
The follow-up is part of the treatment plan, not just a photo appointment.
Paige, BSN, RN, performs liquid BBL at InjectCo MedSpa Cleburne, where she works as a Clinical Aesthetic Nurse Injector. She holds a Bachelor of Science in Nursing, is a registered nurse, and spent six years in pediatric critical care. She completed advanced neurotoxin and dermal filler training at the Texas Academy of Medical Aesthetics, which is part of InjectCo's own training program, not an outside board certification. You can verify a Texas nursing license with the Texas Board of Nursing.
Texas Medical Board rules treat cosmetic injections as medical acts a physician may delegate and supervise (22 TAC §169.25). Under §169.26, the injector must be trained in the technique, care before and after treatment, infection control, contraindications and complication management, and must sign a written protocol. You must be told who is treating you, a medical record must be kept, someone trained in basic life support must be on site, and a physician, PA or APRN has to be present or immediately reachable for emergencies. §169.27 requires the written order to cover screening, care, and how complications are handled and reported.
Dr. Josh Allen, D.O., is InjectCo's Medical Director. You can look up his NPI record, 1982904033.
Radiesse is a calcium hydroxylapatite (CaHA) filler made of tiny particles in a gel carrier. For a liquid BBL it is thinned with saline so it can be spread evenly under the skin. The gel gives some support on the day, and the particles then prompt your body to build collagen for about six months. Because Radiesse shows on CT scans and may show on X-rays, tell any imaging team you have had it.
Radiesse cannot be dissolved with hyaluronidase. Hyaluronidase breaks down hyaluronic acid (HA) filler only, and we do not use HA filler for liquid BBL at Cleburne. Managing unwanted product, nodules, inflammation or other complications with Radiesse depends on the specific problem and can be much harder than dissolving HA filler.
Some lift is visible, along with swelling.
Swelling settles while you do the 5-day massage after a warm shower.
Volume and collagen keep building. Timing varies.
We compare your shape with your baseline photos, then decide together: wait longer, treat again, or consider surgery for a larger goal.
Actual InjectCo patients, treated across our Texas clinics and shared with written consent. They are not presented as Cleburne results or as Paige's patients. Individual results vary.
BeforeAfter
BeforeAfter
BeforeAfter
BeforeAfterBaseline photos taken for your treatment are clinical records. Publishing any patient's photos requires that patient's separate permission.
A surgical Brazilian butt lift is an operation that moves your own fat into the buttocks. It can create a larger change than any injectable.
It also carries serious, documented risk. In an August 18, 2022 joint safety statement, ASPS, The Plastic Surgery Foundation, The Aesthetic Society and the Aesthetic Surgery Education and Research Foundation described deaths from fat embolism in gluteal fat grafting. They supported measures such as injecting fat only into the subcutaneous layer, above the gluteal fascia, and using real-time ultrasound to track the cannula. A liquid BBL involves no fat grafting, but it has its own risks, set out below. Neither option is the safe choice by default.
| Topic | Surgical Brazilian butt lift | Liquid BBL in Cleburne |
|---|---|---|
| What is placed | Your own fat, harvested by liposuction | Diluted Radiesse, injected through small entry points |
| Who performs it | A plastic surgeon, in an operating room | Paige, BSN, RN, under physician oversight |
| Anesthesia | Usually general anesthesia or deep IV sedation | No general anesthesia. Numbing cream, and local numbing may be used |
| Recovery | Set by your surgeon, often with weeks of limits on sitting | No surgical recovery; temporary tenderness and limits from your aftercare instructions |
| Key safety issue | Fat embolism | Nodules, infection, inflammation, migration, and rare blood vessel injury |
| FDA status | A surgical procedure, so no device approval applies | Not FDA approved for this use; the FDA recommends against injectable filler for buttock enhancement |
| Can it be reversed? | Usually only with further surgery | No. Radiesse cannot be dissolved with hyaluronidase |
| How cost is framed | Surgeon quote, usually with separate facility and anesthesiologist charges | Standard Lift from $5,999; Platinum Sculpt $9,000 |
| Who it suits | A big increase in size | Moderate reshaping and better balance |
No single option suits every body. We do not offer surgery at InjectCo, and if an operation is what your goal needs, you will hear that from us.
Liquid BBL fits a goal of moderate contour change. At your assessment, Paige looks at your goal, your anatomy (including hip dips and side-to-side balance), your medical and medication history, product-specific contraindications, active infection, scarring history, and whether an injectable can realistically meet your expectations. Tell her about any earlier filler, silicone, biostimulator, permanent filler or unknown injection in the area, including treatment done abroad. Previously injected material needs to be assessed before any new product is considered.
Radiesse contraindications. Its FDA labeling says Radiesse should not be used in people with:
The label also says safety has not been studied in people prone to keloid or hypertrophic scarring, or established in autoimmune or granulomatous disease, so tell Paige about either.
Medicines and supplements. Tell Paige about prescription and over-the-counter medicines and supplements that can affect bleeding or bruising. Do not stop a prescribed medicine unless the clinician who prescribed it tells you to.
Pregnancy and breastfeeding. The FDA notes that filler safety is unknown during pregnancy and breastfeeding. Tell Paige, and plan the timing together.
Depending on the product, your medical history and your goal, Paige may recommend postponing or not treating because of:
If surgery fits your goal better, she will tell you so and suggest a plastic surgeon.
Possible risks include:
We do not quote facial study complication rates as liquid BBL rates. The FDA says the risks of unapproved filler uses are unknown, and its recommendation against injectable filler for buttock enhancement is not limited to silicone or unlicensed injectors.
Contact us at once about sudden, severe or unusual pain, or skin that looks white, gray or blue. Slurred speech, one-sided weakness or other stroke symptoms mean emergency care, immediately.
Injectable silicone is not FDA approved for any aesthetic procedure. The FDA's filler safety information links silicone injections to long-term pain, infections, scarring and disfigurement, embolism, stroke and death. Treat these as warning signs:
Sealed, named packaging is a basic check, not proof that a treatment is safe. For a Cleburne liquid BBL, we use only hyperdilute Radiesse.
InjectCo aftercare basics
Reach the Cleburne clinic on (682) 470-6080 if pain, swelling, redness, firmness, discoloration, asymmetry or another reaction is unexpected or getting worse rather than better. Our clinical team can determine whether the change is expected, needs an in-person assessment, or needs urgent medical evaluation. Severe or rapidly worsening symptoms need prompt medical care, so go to emergency care first.
Problems with a medical product can also be reported to the FDA through MedWatch. The phone line is 1-800-FDA-1088.
You can pay through CareCredit or Cherry at our Cleburne clinic. Approval and terms come from the lender, not from us. Your assessment and the confirmed scope still come first.
Is it worth the cost? Only if a moderate contour change is your goal. For a dramatic change it is money poorly spent, and we will tell you.
Want a ballpark figure before you call? Use our instant price simulator.
Our Cleburne clinic has 5.0 on Google from 70+ reviews. These reviews reflect the Cleburne clinic across services, not liquid BBL specifically, and appear exactly as written. Individual results vary.
InjectCo MedSpa Cleburne is at 424 W Henderson St, on Business 67 in downtown Cleburne. We are a short walk east of H-E-B at 600 W Henderson St, about 0.2 miles away. The Johnson County Courthouse is a few blocks east, and the Cleburne Public Library is on our street. Open the clinic in Google Maps.
From Burleson: take SH 174 south through Joshua. It turns into N Main St as you reach Cleburne. FM 2280 is another route. From Joshua: follow SH 174 south into N Main St. From Keene: Business 67 runs straight into W Henderson St. From Alvarado: take US 67. From Godley: head south on SH 171. From Grandview: follow FM 4. From Fort Worth or Crowley: the Chisholm Trail Parkway, a toll road, meets US 67 on Cleburne's north side.
Texas Health Harris Methodist Hospital Cleburne is about 3.1 miles out W Henderson St. We also see patients from Burleson, Joshua, Alvarado, Keene, Godley, Rio Vista, Grandview, Glen Rose, and Crowley. Drive times for each town are in the next section.
Every day, 8:00 AM to 8:00 PM
“Butt shots” and “butt injections” are loose terms. They often mean silicone, hydrogel or an unidentified substance injected by someone without a medical license, sometimes at a home or hotel. The FDA links silicone injections to infection, embolism and death. In Cleburne, Paige uses only Radiesse from sealed, named packaging, with physician oversight. That buttock use is still off-label.
The FDA lists increasing buttock size as an unapproved filler use, recommends against injectable fillers for body contouring and enhancement, and says the risks of unapproved uses are not known.
No. Its FDA approvals cover other uses: facial wrinkles and folds, facial fat loss with HIV, the back of the hands, jawline contour and décolleté wrinkles. It is not approved to increase buttock or hip size.
The Standard Lift starts at $5,999 and the Platinum Sculpt is $9,000. Paige reviews the scope and expected total before you decide. CareCredit and Cherry financing are available if you qualify.
Because memory and early swelling are unreliable guides. Comparing the same general views shows where your contour actually changed, and how balanced the two sides are, before anything more is decided.
Collagen-related change is gradual, so a contour that is still developing may need more time, not more product. More is not automatically better, and some goals need surgery instead.
Not yet. Some lift shows on the day, partly with swelling that settles within days. Volume and collagen keep building for about six months.
There is no surgical recovery, but expect tenderness, swelling or bruising, and follow your aftercare instructions on sitting and exercise. For 5 days, massage the area for 5 to 10 minutes after a warm shower. For more detail, read our liquid BBL aftercare guide.
Published studies show results lasting up to about 2 years; many of our patients keep their results 2 to 4 years, depending on metabolism and lifestyle. No fixed duration can be promised. Gluteal durability has not been established by an FDA approval study.
No. Hyaluronidase dissolves HA filler only. Managing unwanted Radiesse depends on the specific problem and can be much harder than dissolving HA filler.
Surgery moves your own fat and can change size more, with anesthesia, surgical recovery and a documented fat embolism risk. A liquid BBL uses injectable product for a moderate contour change and carries different risks.
Call or text the Cleburne clinic at (682) 470-6080. Our clinical team decides whether it needs an in-person check or urgent evaluation. Severe or fast-worsening symptoms, or signs of a stroke, need emergency care first.
When your goal is a large increase in size or projection. That needs surgical fat transfer, which a liquid BBL cannot provide, so Paige will say so and suggest you see a plastic surgeon.
Paige, BSN, RN, a Clinical Aesthetic Nurse Injector, performs liquid BBL at our Cleburne clinic. You can check any Texas nursing license with the Texas Board of Nursing license verification.
Active infection or inflammation, a product-specific contraindication, medication concerns, a past reaction or earlier injected material can all mean waiting. A consultation does not guarantee treatment that day.
No. They show actual InjectCo patients treated across our Texas clinics, shared with written consent. They are not presented as Cleburne results or as Paige's patients.
Yes. We see Burleson patients at our Cleburne clinic, about 18 miles by road from Burleson City Hall along SH 174 or FM 2280. The Standard Lift starts at $5,999, with hyperdilute Radiesse. For injectables and other care, visit our med spa page for Burleson.
Want to know what a liquid BBL could realistically change for you? Your assessment starts with baseline photos and ends with a plain answer on whether it fits, including when surgery would suit your goal better.
Liquid BBL is offered at our Cleburne med spa on West Henderson Street. We welcome patients from Cleburne, Burleson, Joshua, Keene and Alvarado. Call or text (682) 470-6080, any day from 8 AM to 8 PM.
Medically reviewed by Dr. Josh Allen, D.O., Medical Director, InjectCo MedSpa.
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