Background:
Patient recommendation is a key marker of satisfaction in aesthetic surgery. For gluteal fat grafting, commonly referred to as Brazilian butt lift (BBL), patient recommendation may reflect their satisfaction with appearance, psychological well-being, and the overall surgical experience. Despite rising practice of buttock lift in Africa, global data on patient recommendation remains undocumented. We therefore conducted a pioneer study on patient reports on their likelihood to recommend this procedure to others.

Objectives:
To assess the likelihood of patients who underwent autologous gluteal fat grafting (AFG) in Nairobi to recommend this procedure to others who would be interested. We also assessed and identified factors likely to influence this decision.

Study Design:
This was a multicenter prospective cohort, Patient Reported Outcome (PRO) survey in Nairobi – Kenya.

Setting:
This study was carried out in four private facilities located within Nairobi, Kenya.

Subjects/Participants:
Forty-seven eligible participants were selected by consecutive non-random sampling and recruited during consultative clinic visits over a period of seven months; these were mostly women who presented requesting buttock enhancement surgery for the first time and were surgical candidates. Subjects meeting the selection criteria were recruited and then followed up for six months, after which we carried out an assessment of the patients’ experience and likelihood to recommend this procedure to others, employing the BODY-Q™ for buttocks and a five-point Likert scale questionnaire respectively to evaluate aesthetic, psychosexual, and quality-of-life outcomes and likelihood to recommend the procedure to others seeking the same service within Nairobi-Kenya. Spearman’s correlation was used for analysis of ordinal data.

Results:
90.2% are likely to recommend the procedure. Positive correlations emerged with satisfaction in skin appearance (r = 0.407), psychosexual life (r = 0.460), and quality of life (r = 0.525).

Conclusion:
High recommendation rates suggest strong psychosexual and aesthetic benefits of the butt lift procedure.