BBL Demand in the South Is Booming—But Safety Is Leading the Conversation in 2025

The Brazilian Butt Lift (BBL) continues to dominate the cosmetic surgery landscape, especially in the Southern U.S. A recent study by AestheticMatch offers a deep dive into the BBL demand trends across six major metro areas: Miami, Houston, Dallas, Atlanta, Tampa, and New Orleans.

Published on Zenodo, this cosmetic surgery research study evaluates search interest in both standard and safety-related BBL queries between 2022 and 2025. What emerges is a nuanced picture—not just of high demand, but also of rising consumer awareness around risk, technique, and surgeon quality.

South Leads the Way in Gluteal Augmentation

Miami still takes the top spot with 26,500 monthly BBL-related searches, making it the most competitive market for gluteal augmentation. Cities like Houston and Dallas follow closely behind, reinforcing the South’s reputation as the go-to region for body contouring procedures.

Yet, the most interesting trend isn’t volume alone. Searches for terms like “safe BBL procedure” and “BBL death rate” are growing fastest in Houston and New Orleans, suggesting that patients are now prioritizing safety and surgical expertise over price or hype.

This aligns with recent data from the American Board of Cosmetic Surgery, which emphasizes patient education and risk reduction strategies.

Fat Transfer vs. Traditional Implants

The study also shows increased interest in fat transfer BBL, which is seen as a more natural alternative to implant-based enhancements. Patients are searching for methods that allow them to reshape their bodies without synthetic materials, especially when paired with liposuction.

This growing awareness supports broader plastic surgery trends in 2025, where less invasive and more natural-looking procedures are preferred.

What This Means for Clinics

Clinics in Miami, Houston, and Atlanta still see massive BBL interest—but expectations are evolving. Patients want the best BBL surgeon, but they also want transparency, board certification, and content that explains risks and recovery timelines.

Publishing safety guides, pre-op checklists, and articles about fat transfer BBL techniques can help providers build trust and stand out in a saturated market.

To explore the full data and city-by-city analysis, read the Zenodo study here.