In terms of cosmetic procedures, perhaps no procedure has received more attention — both good and bad than the Brazilian butt lift a.k.a. the BBL. The BBL is attributed the BBL to the rise of social media or a general change, but the BBL is still a huge moment. Based on the Aesthetic Society the augmentation of buttocks was up 37% in the period between 2021 and 2020.
While no butt augmentation procedure is completely safe (and illegal-market butt injections particularly could be very dangerous) however, this particular BBL is more well-known than the others, and is the subject of many reports of the risks associated with it. Is this negative reputation justified or is it just a flurry of hype? What could make the BBL possibly dangerous? Here, the top plastic surgeons respond to those questions and outline how to minimize the risk that come with Brazilian Butt Lift surgery.
What’s a BBL? What could cause BBLs BBL Side adverse effects of BBL surgery BBL as compared to. other What can we do to reduce the risks of the BBL
What exactly is what is a BBL what exactly is it?
The Brazilian buttlift is an aesthetic surgery procedure that alters the shape and size of a patient’s butt by with their own fat that they have accumulated from different areas of their body. “Fat cells are removed by liposuction of the hips, abdomen, the lower back or thighs,” George Bitar, MD, a board-certified plastic surgeon from Washington, DC, tells SELF. “The removed fat is cleansed then strategically placed in certain areas of the derriere to aid patients in attaining their ideal size and shape.”
“Contouring the body this way creates the BBL an extremely powerful procedure that can alter an individual’s appearance in ways that cannot be achieved through the exercises of butts alone.” Alex Earle, MD who is an experienced board-certified plastic surgeon from Miami and the president of the World Association of Gluteal Surgeons in a SELF interview.
What makes a BBL possibly risky?
To be precise there is no way to say that any cosmetic procedure, even one thought to be minimally invasive like injection-able eyes fillers–is completely risk-free. But there seems to be a never-ending stream of news stories and reports detailing Brazilian-butt-lift-related complications and even deaths. (Google “BBL done in the wrong direction” and you’ll be able to see the meaning of our words.) A 2017 study published that appeared in Aesthetic Surgery Journal discovered that the mortality incidence associated with BBL procedures to rise to one out of 2,351 — higher than any other surgical procedure which includes tummy tucks that were previously considered to be the most dangerous, Steven Williams, MD who is a board certified plastic surgeon from Oakland, California and founder of Tri Valley Plastic Surgery, says to the magazine SELF. 1 (But take note that the rate of death has decreased significantly since the study was released. More about that in a moment.)
What’s the reason for such an alarming rate? The research of 2017 suggests that the main cause of death in the majority these cases was due to embolism of the pulmonary fat. In BBL, BBL the fat is injected in the butt using the help of a long cannula (a thin tube shaped like straw) that is placed under the skin according to the doctor. Earle says. “If the surgeon is not experienced or has a poor understanding of anatomy and gets too deeply in the muscles, then the fat may result in injury to the inferior and superior gluteal blood vessels” Dr. Earle explains. “These blood vessels are directly connected into the heart and should they be damaged and the fat is absorbed into the vessels, it can get into the heart or the lungs, and the patient could be dead within a matter of minutes.”
It’s definitely scary This is the reason why a number of plastic surgery associations like those of the American Society of Plastic Surgeons (ASPS), created the Task Force for Safety of the Gluteal Fat Grafting procedure in the year 2018. The goal of the Task Force is to create new guidelines that will ensure that Brazilian butt lifts more secure. This included suggestions for injecting fat in the subcutaneous area over the muscle (directly underneath surface of the skin) and using cannulas that are larger that aren’t bent. This will allows for easier identification of the location of the tip as per Dr. Bitar.
The implementation of this procedure has not had the desired effect to date. In 2020, the number of deaths to Brazilian buttlifts fallen to about 1 in 15,000 according to a study that was published within the Aesthetic Surgery Journal. 2 “This rate is in line with that of widely recognized procedures, such as the tummy tuck,” says Dr. Earle. (In fact, a separate study published in plastic and reconstructive surgery places the BBL mortality rate at one per 20,000, which is compared one in 13000 in the case of the tummy Tuck. )3
Experts continue to develop further BBL guidelines in the place. In June of this year, The Aesthetic Society released new guidelines, which stated that all surgeons must use ultrasound before and during the injection of fat of BBL procedure. 4 “This alters the process from one you’re performing the procedure blindly to one where you know precisely where the cannula is located, which ensures you stay within the safe area between the skin and the muscle and greatly reduces the risk of embolisms from fat,” Dr. Earle clarifies. These latest guidelines suggest that surgeons not perform less than three BBLs each day, and cite fatigue in the surgeon as another possible cause of complications and issues.
What other potential negative side effects that could be a result of BBL? BBL?
In the words of Dr. Williams, “The rest of the problems that arise with the Brazilian buttlift procedure tend to be minor and easily manageable.” From an medical perspective, the possibility of infection exists and that’s why it’s crucial to perform the procedure in a hospital or an accredited facility where the staff are trained and adhere to the appropriate procedures to ensure sterility, the doctor notes. (More about how to make sure the doctor’s qualifications are sufficient to carry out the procedure follows.)
Other problems are more cosmetic. You may have witnessed an instance of a mishapped BBL in which there’s not enough fat removed or added or there’s a kinds of contour irregularities for example, butt cheeks of different in size, lumps or lumps in the buttocks Dr. Williams adds. They are also more frequent with unexperienced or other unqualified surgeons Dr. Williams says.
What are the risks associated with BBL’s dangers BBL compare to the risk that are associated with other forms that enhance butt?
While fat is safe to be injecting into the buttocks with BBL BBL but there are numerous instances of butt augmentations carried out by unlicensed practitioners that could cause serious injuries and deformities, claims Dr. Bitar. In these instances, “illegal substances are often implanted into the buttocks that can lead to the death or infection,” he says. “For instance silicone is FDA-approved to be used in breast implants, but not suitable for use in the buttocks. Also, silicone injections have shown to cause inflammation and infected as well as other problems.” Silicone may also be absorbed into lymphatic and blood vessels. 5
Butt implants can be associated with a risk factors that include a significant chance of infection by bacteria and removal of the implant Dr. Bitar adds.
How can you minimize the risk of BBL? BBL
According to the surgeons we talked to the importance of education for patients is paramount. Particularly, ensure that you select a surgeon that is accredited through the American Board of Plastic Surgery as well as well-trained and knowledgeable about the procedure. “Just just as you wouldn’t undergo a cardiac bypass by a surgeon who’s not had one before so you shouldn’t simply visit any doctor who claims to be offering BBL. BBL,” cautions Dr. Earle. Be aware it is possible that “board certified” could refer to different things based on the context. A dermatologist might have the distinction of being “board accredited” through the American Board of Dermatology, for instance, but this doesn’t necessarily mean that they’re competent to perform cosmetic surgery. It’s best to be careful in your research.
At the time of your consultation inquire with your physician whether they utilize ultrasound for guidance (hopefully they use it) Find out the number of BBLs they usually perform each day (ideally 3 or less) and how many they’ve performed over their entire career (in general, you’ll would prefer someone with “at at least 50 BBLs,” according to Dr. Earle). It is also possible to inquire about the kind of issues they’ve encountered and if they’ve lost a patient, according to Dr. Williams. It’s also beneficial to check the Federation of State Medical Board’s website to get more information about your doctor, such as the state they’re licensed in and whether there’s been any actions or complaints against them.
If you’re thinking of getting the procedure outside the US make sure you do additional study. Although the Dr. Earle says the ASPS has collaborated with a variety of international partners to enhance patient safety overseas However, the guidelines on training aren’t always applicable to other countries. Finding a less expensive BBL in a different country might seem appealing however, when the surgeon isn’t highly-qualified and experienced, you may pay for a faulty procedure.
The cost of the procedure could cost anywhere from $3,000-$20,000 in the US according to the physician and the location According to the doctor Dr. Earle, who warns that Dr. Earle “would be very cautious about any clinic that charges less than $5,000 as these are usually big-ticket centers that aren’t patient-focused.”
The bottom-line is that, despite the updated safety guidelines, the BBL is an extremely dangerous procedure that has some dangerous risks and it is more crucial than ever to conduct your research and find an experienced, well-trained doctor before you undergo the procedure.