The BBL is the fastest growing cosmetic surgery in the world, despite the mounting number of deaths resulting from the procedure. What is driving its astonishing rise?

The quest was simple: Melissa wanted the perfect bottom. In her mind, it resembled a plump, ripe peach, like the emoji. She was already halfway there. In 2018, she’d had a Brazilian butt lift, known as a BBL, a surgical procedure in which fat is removed from various parts of the body and then injected back into the buttocks. Melissa’s bottom was already rounder and fuller than before, and she was delighted by the effect, with how it made her feel and how it made her look. But it could be better. It could always be better.

On a recent afternoon, Melissa visited the British aesthetic surgeon Dr Lucy Glancey for a consultation. Glancey had performed Melissa’s first BBL at her clinic on the Essex-Suffolk borders, a suite of rooms boasting shining white cupboards, a full-length mirror and drawers stuffed with syringes. As she waited for Melissa to arrive, Glancey showed me a picture of Melissa on the beach in Dubai, wearing a palm-print bikini and posing in a kind of provocative crouch – arms, breasts, thighs and buttocks all arranged for optimum effect. “Look how good she looks,” said Glancey, admiring Melissa and her own work. “I said to her, I don’t see what else we can do.”