Medically reviewed by Dr. Josh Allen, D.O., Medical Director · Last medically reviewed September 20, 2026
A liquid BBL in Fort Worth is a non-surgical body-contouring procedure in which Sculptra or Radiesse is injected off-label into the buttock or hip area to attempt a moderate contour change, without fat transfer or implants. Neither product is FDA approved for buttock enhancement, and the FDA currently recommends against using injectable fillers to increase buttock size. At InjectCo Fort Worth, treatment is considered only after an individual medical and aesthetic assessment with Jill.
People often call it a non-surgical butt lift, a non-invasive BBL, butt filler or a liquid butt lift. The name is loose: nothing is surgically lifted. The injected material, and your tissue’s response to it, changes the contour. Both products are collagen-stimulating injectables, meaning materials intended to produce a tissue response over time rather than acting only as an immediate space-filling gel like hyaluronic acid (HA) filler. How much collagen forms cannot be predicted in advance.
If you want a BBL in Fort Worth without surgery, this is the option to ask about. You are awake throughout. We numb the skin with cream first, can add a local anesthetic, and never use general anesthesia.
Sculptra and Radiesse have FDA-approved uses in specific parts of the face and body, but neither has an FDA-approved indication for buttock or hip enhancement. The FDA’s current consumer guidance recommends against using dermal fillers or any injectable filler to increase buttock size. InjectCo’s liquid BBL use is outside the FDA-approved indications.
Two separate facts matter here. First, no dermal filler is FDA approved for buttock enlargement or reshaping. Second, the FDA goes further: its page on dermal fillers says it recommends against using dermal fillers or any injectable filler to increase the size of the buttocks. We treat that recommendation as central to your decision, not as fine print.
The FDA also states that the risks of unapproved filler uses are not known. Because buttock use is not an FDA-approved indication, FDA-reviewed safety and effectiveness data for this exact use do not exist the way they do for approved indications. That is why we do not quote facial study complication rates or facial longevity as if they applied to the buttocks.
Sculptra and Radiesse reach the market through the FDA’s premarket approval (PMA) pathway. The accurate wording is “FDA approved for specific indications”, not “FDA cleared”, and each approval names an area of the body:
The March 31, 2026 Radiesse approval shows how narrow an indication is. The FDA approved Radiesse diluted 1:2 with 0.9% sterile saline for subdermal correction of décolleté wrinkles in patients 22 and older. That approval covers one area, one preparation and one age group. It does not cover buttock augmentation, hip dips, gluteal volume or body contouring in general.
The most cited review is Lin MJ, Dubin DP, Khorasani H. Poly-L-Lactic Acid for Minimally Invasive Gluteal Augmentation. Dermatologic Surgery. 2020;46(3):386–394. PMID 31188150. DOI 10.1097/DSS.0000000000001967. It is a literature review, not a trial. The authors describe a paucity of published evidence, rate it Level 4 on the Oxford Centre for Evidence-Based Medicine scale, and conclude that further high-quality studies are needed. They also stress that gluteal injection requires detailed knowledge of gluteal anatomy and careful medical technique. The review covers PLLA only, and it is not an FDA approval.
Before any filler, the FDA’s consumer checklist suggests asking for the patient labeling for the exact product and reading it.
When someone says they want more shape, I try to separate what they actually mean before we talk about product.
One person mainly notices the indentation at the hip. Another likes the side contour but wants more backward projection. Someone else is seeing a right-to-left difference. Those are not the same treatment question.
I look at the contour from the rear, from the side and from an angled view, because the concern can change depending on the view.
Sometimes an injectable plan may reasonably soften a transition or make a small contour change. Sometimes adding product would not create the size the patient is asking for. If the goal needs a much larger structural change, I would rather say that than keep adding injectable product.
Jill, BSN, RN, is the Clinical Aesthetic Nurse Injector who performs liquid BBL at our Fort Worth clinic. Jill holds a Bachelor of Science in Nursing and is licensed as a registered nurse. Her background covers aesthetics and pediatric critical care, and she has worked alongside some of Texas's well-known aesthetic providers.
Jill brings an artist's eye for balance and symmetry to her work with fillers and neurotoxins, and she keeps training through courses held across the country. She works with Cameron, BSN, RN, our other Fort Worth nurse injector. The Texas Board of Nursing lets anyone look up a nursing license.
Texas Medical Board rules treat a non-surgical cosmetic injection of a medication or substance as a medical act a physician may delegate, under conditions (22 TAC §169.25). Section 169.26 requires the person injecting to be trained in the technique, pre- and post-procedure care, infection control, contraindications, and recognizing and managing complications. Before treatment it also requires a practitioner-patient relationship, an adequate medical record, disclosure of the injector’s identity and title, and a person trained in basic life support on site. During treatment, a physician, PA or APRN has to be present or immediately reachable for emergency consultation. Section 169.27 sets out what the written order must cover, and Section 169.28 requires posted complaint and delegating-physician notices and name tags showing each injector’s credentials.
Dr. Josh Allen, D.O., is InjectCo’s Medical Director. His NPI record (1982904033) is public and lists family medicine, emergency medicine and general practice. He is not a plastic surgeon, and InjectCo does not perform surgery.
A Sculptra butt lift is a liquid BBL done with Sculptra, a poly-L-lactic acid (PLLA) collagen stimulator. The powder is reconstituted with sterile water before injection. That water is absorbed within days, so early fullness goes down. PLLA is intended to stimulate a gradual tissue response. How long a gluteal result persists is not established by any FDA-approved buttock study.
A Radiesse butt lift is a liquid BBL done with Radiesse, which is calcium hydroxylapatite (CaHA): small particles in a gel carrier. The carrier adds physical volume on the day, and a slower tissue response follows. Treatment-day contour also includes swelling, so it is not the settled result. Radiesse is visible on X-rays, so tell any imaging team you have had it.
Neither is hyaluronic acid filler, and neither can be dissolved. Hyaluronidase breaks down HA filler only. If Sculptra or Radiesse causes a lump, inflammation or an unwanted contour, management depends on the product, timing, symptoms, location and diagnosis. There is no simple reversal.
Our Fort Worth clinic offers both products. Neither is the better product in general. Jill decides at your assessment whether either one is appropriate for your goal and history, or whether neither is.
Some fullness comes from the carrier and from swelling. It is not the settled result.
Swelling settles, and some early volume goes down. This is expected.
Any tissue response develops gradually. How much, and how fast, varies by person and product.
We compare your contour with your first photos from the same views, then decide together whether to wait, treat again, stop, or consider surgery.
Real InjectCo patients from our Texas clinics, shared with their written consent. We do not present them as Fort Worth results or as Jill's work. Results vary from person to person.
BeforeAfter
BeforeAfter
BeforeAfter
BeforeAfterEach pair is shown from matching views, but pose, stance and lighting can still change how a contour looks. Photos taken at your visit are part of your medical record, and we never publish a patient's photos without their separate written permission. See our privacy policy.
A surgical Brazilian butt lift is gluteal fat grafting: a surgeon removes fat by liposuction and transfers it to the buttocks. On August 18, 2022, the American Society of Plastic Surgeons, The Plastic Surgery Foundation, The Aesthetic Society and the Aesthetic Surgery Education and Research Foundation issued a joint safety statement on gluteal fat grafting and the risk of fat embolism. That statement is about surgery. It is not evidence about fillers, and it does not show that a liquid BBL is safer.
| At a glance | Surgical Brazilian butt lift | Liquid BBL at InjectCo Fort Worth |
|---|---|---|
| Procedure | Gluteal fat grafting (surgery) | Injection of Sculptra or Radiesse |
| Material | Your own fat | PLLA (Sculptra) or CaHA (Radiesse) |
| Where it comes from | Liposuction from another body area | A manufactured, sealed product |
| Surgery and incisions | Yes, in an operating room | No surgery |
| General anesthesia | Usually general anesthesia or deep IV sedation | No; numbing cream, and local numbing may be used |
| Typical size of change | Can be large | Limited, moderate contour change |
| Evidence and FDA status | A surgical procedure, so no device indication applies | Neither Sculptra nor Radiesse has an FDA-approved buttock-enhancement indication; the FDA recommends against injectable fillers for increasing buttock size |
| Key risk categories | Surgery, anesthesia, liposuction, post-operative complications, fat embolism | Swelling, bruising, pain, nodules, granulomatous reactions, infection, asymmetry, migration, vascular or tissue injury, and the unknown risks of an unapproved use |
| Reversibility | Usually only with more surgery | Not dissolvable with hyaluronidase |
| Who should evaluate | A plastic surgeon | A licensed injector working under Texas delegation rules; a plastic surgeon if the goal is large |
InjectCo does not perform surgery. If surgery fits your goal better, we will tell you, and a plastic surgeon should evaluate you.
These three goals are defined differently, and the assessment starts by working out which ones you actually have.
A hip dip is an inward curve along the outer hip, between the hip bone and the upper thigh. It is normal anatomy, not a defect. Hip dip filler means injecting product to soften that transition. How much it softens depends partly on the bone shape underneath, and no injectable can promise to erase it.
Projection is how far the buttock extends backward when seen from the side. An injectable can make a limited change. It cannot deliver surgical-level projection or a set increase in inches.
Every body has left-to-right differences. Some come from posture or stance, some from the skeleton and some from soft tissue. The assessment notes your baseline difference and whether an injectable change is reasonable. A liquid BBL cannot guarantee perfect symmetry.
You can have one concern without the others: deep hip dips with good projection, low projection without noticeable dips, or good projection with a side-to-side difference. Some goals are larger than an injectable can reasonably reach. A liquid BBL is not liposuction, fat transfer or implant surgery.
Jill also reviews your medical history, medicines, allergies, scarring history and product-specific contraindications. Tell her about every earlier treatment in the area: Sculptra, Radiesse, HA filler, silicone, hydrogel, biopolymers, anything unknown, fat transfer, implants or surgery, including treatment abroad. Unknown earlier material can change whether any treatment is possible, and we do not simply inject over it.
Sculptra contraindications (Sculptra labeling): hypersensitivity to any component; severe allergies with a history of anaphylaxis, or a history or presence of multiple severe allergies; a history of or susceptibility to keloid formation or hypertrophic scarring; and allergy to lidocaine or other amide-type local anesthetics when Sculptra is reconstituted with lidocaine.
Radiesse contraindications (Radiesse labeling): severe allergies manifested by a history of anaphylaxis, or a history or presence of multiple severe allergies; known hypersensitivity to any of its components; and bleeding disorders.
Medicines. Tell your clinician about prescription medicines, over-the-counter medicines and supplements that may affect bleeding or bruising. Do not stop a prescribed medicine without instruction from the clinician who manages it.
Pregnancy, breastfeeding and age. The FDA says filler safety is unknown during pregnancy, while breastfeeding and in patients under 22, so tell Jill if any of these applies.
Jill may suggest waiting, or not treating at all, when:
If surgery would serve you better, she will say so and suggest a plastic surgeon.
We do not describe a liquid BBL as safe or low risk. It is a medical injection procedure with known filler risks, plus the uncertainty of an unapproved use.
Temporary reactions can include swelling, bruising, tenderness or pain, firmness and irritation where the product went in.
Other reported filler complications include:
The FDA names accidental injection into a blood vessel as the most concerning dermal filler risk. It can block blood flow and has been linked to tissue death (necrosis), vision problems including blindness, and stroke. Those FDA statements describe dermal fillers generally, not a measured liquid BBL rate. No incidence figure for the buttocks has been established, so we do not publish one.
The FDA says injectable silicone is not approved for any aesthetic procedure, including body contouring, and can cause long-term pain, infections, scarring, permanent disfigurement, embolism, stroke and death (FDA filler safety page). Walk away from injectable silicone, hydrogel, industrial or unknown bulk products, products bought online, and injections at a home, hotel or party by someone who cannot show a medical license. This contrast does not mean the FDA endorses Sculptra or Radiesse for the buttocks. It does not.
Ask for the exact product and its maker, whether this particular use is FDA approved, the injector’s name and license, and who to contact if a problem appears. For liquid BBL in Fort Worth, we use only Sculptra or Radiesse.
Aftercare in brief
Contact InjectCo Fort Worth promptly at (817) 285-5254 if pain, swelling, skin-color change, drainage, firmness, increasing redness, asymmetry or another reaction is unexpected, or is getting worse rather than better. The clinical team can decide whether you need routine follow-up, an in-person evaluation or urgent medical care.
Our clinic line is for clinic hours, 8 AM to 8 PM every day. There is no separate after-hours line. Outside those hours, or any time symptoms are severe, go to emergency care. Call 911 for signs of stroke, difficulty breathing or any rapidly developing emergency.
You can also report a problem with a medical product to the FDA through MedWatch or at 1-800-FDA-1088.
Financing through CareCredit or Cherry is offered by those companies, not by InjectCo. Each one sets its own approval rules, interest, fees and repayment terms for each applicant.
If a plan is staged over more than one visit, the total for the full plan is explained before you agree. We do not quote vial counts or package tiers here, because the right plan, if any, depends on your assessment.
Want a rough number before you call? Try our instant price simulator.
Our Fort Worth clinic holds 4.9 on Google from 100+ reviews (checked September 25, 2026). The reviews below describe visits across all treatments, not liquid BBL, and appear word for word. None of our Fort Worth Google reviews describes a liquid BBL. Individual results vary.
InjectCo MedSpa Fort Worth is inside Mattison Ave Suites, 4701 West Fwy, Suite 152. That puts us in Chapel Hill Shopping Center, at the southwest corner of Hulen Street and I-30 (West Freeway), about five miles west of downtown. Central Market, Mi Cocina, James Avery Artisan Jewelry, The Container Store and World Market share the center, and there is surface parking on site. Open the clinic in Google Maps.
Typical weekday times at an 8 AM start: downtown and Sundance Square are 4.3 miles away via I-30 west, about 8 to 12 minutes. The Kimbell Art Museum in the Cultural District is 2.9 miles, 6 to 10 minutes. TCU is 3.7 miles along S University Dr, 9 to 16 minutes. The Shops at Clearfork is 2.4 miles by Hulen St, 6 to 9 minutes. Texas Health Harris Methodist Hospital Fort Worth in the Medical District is 3.7 miles, 8 to 12 minutes.
From Arlington or North Richland Hills: take I-30 west. From Benbrook: W Vickery Blvd is the usual route. From Edgecliff Village, Forest Hill or Everman: use I-20 west, then S Hulen St north. From Lake Worth, Saginaw or Sansom Park: take I-820 west, then I-30 east. From Weatherford or White Settlement: come in on I-30 east. We also see patients from nearby neighborhoods such as Arlington Heights, Crestline, Monticello, West 7th and Camp Bowie. The list below shows drive times by town.
Seven days, 8:00 AM to 8:00 PM
It starts at $5,999. Your assessment confirms whether an injectable plan is appropriate, which product is being considered and the total, before treatment is scheduled. Some plans are staged over more than one visit, and the full-plan total is explained first.
No. No dermal filler, including Sculptra and Radiesse, has an FDA-approved indication for buttock enlargement or reshaping. Both products are FDA approved only for specific other areas.
Yes. The FDA’s consumer guidance on dermal fillers recommends against using dermal fillers or any injectable filler to increase the size of the buttocks. It also says the risks of unapproved filler uses are not known.
FDA approvals are tied to the specific indications that were studied. Sculptra’s approvals cover facial wrinkles, fine lines in the cheek region and HIV-related facial fat loss. No approval study established buttock use, so that use sits outside its labeling.
No. On March 31, 2026 the FDA approved Radiesse diluted 1:2 with sterile saline for décolleté wrinkles in adults 22 and older. It covers that area and preparation only, and it does not approve buttock or hip use.
Hip-dip correction aims to soften the inward curve along the outer hip. Projection is how far the buttock extends backward in profile. They are different goals, and an injectable plan for one does not automatically change the other.
No. Every body has left-to-right differences from posture, bone and soft tissue. Jill notes your baseline difference and whether an injectable change is reasonable, but no treatment can guarantee perfect symmetry.
For liquid BBL, our Fort Worth clinic offers Sculptra and Radiesse only. We do not use hyaluronic acid (HA) filler or plasma gel for the buttocks. Whether either product suits you is decided at your assessment, and no injectable filler of any type is FDA approved to enlarge the buttocks.
No. “Instant BBL” is a marketing name, often used for gel fillers such as hyaluronic acid (HA) that add volume on the day. We do not use HA filler for the buttocks in Fort Worth. Radiesse’s gel carrier adds some volume on the day, but that early look includes swelling and is not the settled result. No injectable filler is FDA approved to enlarge the buttocks.
Surgery moves your own fat by liposuction and can add much more size, with anesthesia and a surgical recovery. A liquid BBL injects Sculptra or Radiesse for a limited contour change, with no fat transfer and no general anesthesia.
Neither is safer by default. Surgery carries surgical, anesthesia and fat embolism risks. A liquid BBL carries filler risks, including vascular injury and nodules, plus the unknown risks of an unapproved use.
No. Neither is HA filler, and hyaluronidase dissolves HA filler only. Managing an unwanted result depends on the product, timing, symptoms and location, and it can be much harder than reversing HA filler.
No FDA-approved buttock study has established how long results last, and the change is not permanent. Sculptra’s roughly two-year label data come from the face, not the buttocks. Any later treatment is a clinical decision, not a fixed schedule.
Limited. The 2020 Dermatologic Surgery review by Lin, Dubin and Khorasani (PMID 31188150) described a paucity of literature on PLLA gluteal augmentation, rated it Level 4 evidence, and called for high-quality studies.
Not necessarily. “Butt injections” and “butt shots” are loose terms that often mean silicone, hydrogel or an unknown product given by someone without a medical license. The FDA links silicone injections to embolism, stroke and death. If you have had any of these before, tell Jill first: unknown earlier material can change whether treatment is possible, and we do not inject over it.
You will not have a surgical recovery. Swelling, bruising and tenderness are common at first, and your written aftercare instructions set any limits on sitting, pressure and exercise for your plan.
Go to emergency care or call 911 for signs of stroke, difficulty breathing, sudden vision changes, or rapidly worsening pain, swelling or skin color, such as white, gray or blue skin. For other unexpected or worsening changes, call the clinic at (817) 285-5254 during clinic hours.
Jill, BSN, RN, Clinical Aesthetic Nurse Injector, performs liquid BBL at our Fort Worth clinic. Anyone can check a Texas nursing license on the Texas Board of Nursing verification page.
Yes. Our clinic on the Fort Worth side of DFW sees patients from Arlington, Benbrook, Lake Worth and North Richland Hills, and from Weatherford too. From Arlington, take I-30 west. From Benbrook, W Vickery Blvd is the usual route. Pricing starts at $5,999, and the drive-time list above covers each town.
Curious what a liquid BBL could change for your shape? Your visit starts with photos from three views and a goal-by-goal assessment, and ends with a clear answer on fit, even if that answer is surgery instead.
Liquid BBL is available at our Fort Worth med spa at Hulen and I-30. We welcome patients from across Fort Worth and the western DFW area, including Arlington, Benbrook, Lake Worth and North Richland Hills. Phone (817) 285-5254, 8 AM to 8 PM daily.
Medically reviewed by Dr. Josh Allen, D.O., Medical Director, InjectCo MedSpa.
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