Kara Wilfong
Doctorate Prepared Advanced Registered Nurse Practitioner
Fleming IslandA doctorally-prepared nurse practitioner who spent a decade as an emergency room nurse before moving into aesthetics and wellness.
Liquid BBL · Non-Surgical BBL · Fleming Island, FL
Liquid BBL: shape and volume without surgery
Our Liquid BBL is a non-surgical biostimulator treatment, not the surgical Brazilian Butt Lift of the same name. Radiesse and Sculptra build shape and volume gradually, with an honest timeline and no guaranteed size.
Written by Kara Wilfong, DNP, APRN, FNP-C · Produced under the clinical oversight of our Medical Director · Last updated July 2026
Treatment Overview
A non-surgical treatment, plainly explained
We call this treatment a Liquid BBL because that is honestly what it is: a series of Radiesse and Sculptra injections that work as biostimulators, gradually prompting your own collagen to build shape and volume. It is not the surgical Brazilian Butt Lift, the fat-transfer procedure performed at a surgical practice, and we want to be direct about that difference before you book.
Because Sculptra works through your own biology, the result builds gradually over months, not overnight, and we set that expectation honestly. If you would rather add volume immediately, we also offer alloClae™, a structural adipose filler and a no-downtime alternative we compare with the biostimulator route below. This is part of our complete body contouring program, and if a surgical result is truly what you are looking for, we will say so plainly rather than let you assume this treatment is a substitute.
What To Expect
What non-surgical shaping can offer
This is a subtle-to-moderate volumizing treatment, matched to your frame and your expectations, not a substitute for surgical augmentation.
Overall volume
Sculptra works as a biostimulator, gradually prompting your own collagen to add volume over a series of sessions rather than in one visit.
Shape & contour
Radiesse and Sculptra are layered to refine contour and lift, not just add bulk, for a result your provider maps to your frame.
A natural-looking result
Because the result builds from your own collagen response, change is gradual and proportionate rather than sudden, which is the honest trade-off of a non-surgical approach.
This treatment is sometimes combined with Emsculpt Neo or Liquid Lipo for a broader contouring plan, which your provider can walk through at your consultation.
Your Options
Two non-surgical ways to build shape
A Liquid BBL result can be built two different ways at Pura Vida. Both avoid surgery; they simply work through different mechanisms, and your provider helps you choose honestly at your consultation.
The biostimulator route — this page
Radiesse + Sculptra (biostimulators)
Injectable biostimulators that prompt your own collagen to build shape and volume gradually over a series of sessions, so the result develops over months and looks progressively natural.
Learn about Sculptra & RadiesseA newer, no-downtime option
alloClae™ (structural adipose filler)
An injectable made from donor-derived adipose (fat) tissue that adds immediate, natural-looking volume with little downtime, a different route to a Liquid BBL result. Results vary.
Explore alloClae™Fleming Island · Northeast Florida
Why Fleming Island patients ask for this by name, and by mechanism
Our research-first Fleming Island patients tend to arrive having already read about Sculptra and Radiesse, and they ask precise questions about the mechanism and the timeline. We meet that with equally precise answers: this is a non-surgical, biostimulator-based treatment, and we are candid about the months it takes to see the full result.
The practice Fleming Island trusts for medical wellness, voted the area’s best medspa six years running, cared for from our Medical Spa on Island Lane.
Serving
- Fleming Island
- Orange Park
- Middleburg
- Green Cove Springs
- Jacksonville
- Clay County
The Pura Vida Approach
Clarity first, then a gradual result
We lead every consultation for this treatment with the same clarity we use on this page: it is non-surgical, it is not the surgical fat-transfer procedure of the same name, and the result builds over months as your own collagen responds to Radiesse and Sculptra.
That honesty is part of our complete body contouring program, and when a patient’s goals genuinely call for surgery, we say so plainly.
Is This For You?
Am I a Candidate?
A Good Fit If…
- you want a subtle-to-moderate, non-surgical way to add shape and volume
- you understand this is a biostimulator treatment and results build gradually over months
- you are comfortable with a series of sessions rather than a single procedure
- you have realistic expectations about the degree of change this treatment can achieve
Let’s Talk First If…
- you are looking for a dramatic, surgical-level change, in which case a surgical consultation is the more honest starting point
- you are pregnant or breastfeeding, so we will ask you to wait
- you have certain autoimmune conditions or a history of keloid scarring, so we review your history carefully first
- you are expecting an immediate, guaranteed result, which is not how a biostimulator works
If a non-surgical approach will not meet your goal, we will tell you honestly and point you toward a surgical consultation rather than oversell what an injectable can do.
Declining a treatment that would not serve you is part of how we work.
Ready to Start?
Sounds like you? Let’s build your Radiesse and Sculptra plan.
Request an appointment and your provider maps an honest, gradual shaping plan around your frame and goals, here in Fleming Island.
Our Process
What to expect at your visit
First, we make sure the name is clear
Before anything else, we confirm you understand this is a non-surgical treatment using injectable biostimulators, Radiesse and Sculptra, not the surgical fat-transfer procedure that shares this name. If a surgical result is truly what you want, we will tell you plainly that a surgical consultation is the right next step instead.
A mapped injection plan
Your provider assesses your frame and goals, then plans a series of Radiesse and Sculptra sessions to build volume and shape gradually and proportionately.
A comfortable, in-office series
Sessions are spaced several weeks apart to let your body respond to each treatment before the next. Most patients return to normal activity the same day, with some soreness in the treated area.
Results build over months, not weeks
Sculptra works by stimulating your own collagen, which takes time. Volume builds gradually over the months following your series, and we photograph your progress and follow up honestly on the timeline.
What Our Patients Are Saying
What Fleming Island patients say
4.9★ From 1,400+ verified Google reviews across both Fleming Island locations.
"Kara is incredibly patient, understanding, and knowledgeable. I never felt pressured or rushed to do or buy anything extra. Super professional and clean atmosphere. Will be back again and again."
"Can’t say enough great things about this place! Everyone is so nice!… All are so knowledgeable and really tailor treatments to the person. I’ve been seeing them for 2 years and I’ve been happy with every visit."
"The Pura Vida facility is always very pleasant and professional… She always explains every procedure in detail and gives great recommendations. Always very satisfied with all the services I receive there!"
Prefer to Talk First?
Questions about Radiesse and Sculptra? Call us.
Talk through the non-surgical process, the timeline, and what to realistically expect with our Fleming Island team before you schedule.
Proven Excellence
The most-reviewed medspa in Clay County
Liquid BBL is available at our Island Lane Medical Spa, serving Orange Park, Middleburg, and greater Jacksonville.
1,400+
Five-Star Reviews
More Google reviews than any other medspa in the region.
4.9★
Average Rating
Verified on Google across both Fleming Island locations.
2
Fleming Island Locations
Serving Clay County, Orange Park & greater Jacksonville.
Meet Your Care Team
Clinician-led, from consult to results
Kara Wilfong, DNP, APRN, FNP-C builds every contouring plan around your goals and your health history, with our patient care team supporting each visit.
Frequently Asked Questions
Liquid BBL Questions, Answered
Is a Liquid BBL the same as a surgical Brazilian Butt Lift?
No, it is a different procedure, and because the name is genuinely confusing we lead with this every time. Our Liquid BBL is a non-surgical treatment using injectable biostimulators, Radiesse and Sculptra, to gradually add shape and volume, not a fat-transfer surgery performed in an operating room. If a surgical result is truly what you want, we will say so plainly instead of pretending an injectable can replace it.
What do Radiesse and Sculptra actually do for shape and volume?
Radiesse adds some immediate volume while also prompting your body to produce new collagen, and Sculptra works more gradually, stimulating that same collagen response over a series of sessions. Layered together at your provider's direction, they build shape and volume progressively rather than all at once, which is why this is a series of visits rather than a single treatment.
How much does a Liquid BBL cost, and how long until I see results?
Pricing is set per session and confirmed at your consultation, since the number of Radiesse and Sculptra sessions depends on your goals and how your body responds. Because Sculptra builds volume through your own collagen, most patients see gradual change over the months following their series rather than right away, and results are not permanent since your body continues to age and change over time.
What are the risks, downsides, or downtime with this treatment?
Expect some soreness, swelling, or bruising in the treated area for a few days, with most patients back to normal activity the same day. The honest downside is that this is a subtle-to-moderate volumizing treatment, not a substitute for surgical augmentation, so if you are hoping for a dramatically larger result, we will tell you plainly that a surgical option is the more realistic path.
Where can I get a Liquid BBL, or non-surgical Brazilian Butt Lift, near Fleming Island?
Pura Vida offers this treatment at our Medical Spa on Island Lane in Fleming Island, FL, serving patients from Orange Park, Middleburg, Green Cove Springs, and greater Jacksonville across Clay County. It falls under our Medical Director's oversight, so wherever you are coming from in Clay County, your Radiesse and Sculptra plan is built and followed up on by the same clinical team.
Who performs this treatment, and who oversees it?
Your treatment is provided by Kara Wilfong, DNP, APRN, FNP-C, our doctorate-prepared nurse practitioner, with all health content on this site produced under the clinical oversight of our Medical Director. Fleming Island patients have voted us the area's best medspa six years running, and that same clinically led standard, not just a sales pitch, is what guides every Liquid BBL plan we build.
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Ready When You Are
Let’s talk about shape and volume, honestly
Request an appointment and we’ll explain clearly what our Liquid BBL can and cannot do, map a realistic Sculptra and Radiesse plan, and set an honest timeline before you begin.
Not ready to book? Send us a question instead.