Brazilian butt lift: UK surgeons told not to perform procedure in 2018

summarized from Alex Matthews King

Historical figures reveal that the Brazilian buttlift (BBL) causes one death for every 3,000 operations.  The procedure involves liposuctioning fat from the back or stomach and injecting the harvested fat to the buttocks and hips to improve the shape of the buttocks and hips.  UK surgeons were advised not to perform BBL operations in 2018, following reports that a second British woman died from the procedure.

The British Association of Aesthetic Plastic Surgeons (BAAPS) told its members not to perform the Brazilian buttlift until more safety information was available.

Historically, the injected fat was placed more deeply into the muscle to increase the viability of fat grafts.  This injection into the muscle would reduce the risk for fat necrosis (fat death, dead fat).  These deeper injections were associated with a higher rate of fatal pulmonary emboli and nonfatal pulmonary emboli.

BAAPS president Simon Withey said,

“It’s quite difficult, while the rest of the world is carrying on accepting that this procedure takes places, to take a stand against it,” he told a press conference. “You are potentially driving people from here to less safe environments elsewhere. So I think it is important that the message is reinforced: there is nowhere internationally where this is particularly perceived as a safe operation.”

A number of women who have suffered complications went overseas to have the operation performed at a cheaper cost.

Brazilian butt lift operations may be banned by plastic surgeons after death of mother-of-three in 2019

summarized from Isabella Nikolic

The British Association of Aesthetic Plastic Surgeons (BAAPS) will vote on whether or not its members, the majority of plastic surgeons in private practice, should be banned from performing the procedure.

The risk involved in the operation is that the fat which is injected into large veins can travel to the lungs, leading to severe illness or death.  However, BAAPS president Simon Withey fears that banning the procedure in the UK could lead to more patients going abroad.

The procedure can lead to infection and dead tissue (fat necrosis, dead fat, fat death).

RISK OF DEATH:

Higher than most operations – 20 in 100,000 compared with 1 in 100,000.

BAAPS Investigates Brazilian Buttlift Safety

summarized from Cleo Gold

On October 11, the British Association of Aesthetic Plastic Surgeons (BAAPS) announced its decision to launch a formal review of the fat-grafting surgery known as the Brazilian butt lift (BBL).  However, the American Society of Plastic Surgeons (ASPS) reported a 20 percent increase in BBLs since 2017, so the popularity of the surgery has continued to rise.

When considering this surgery, patients should be aware of possible complications ranging from infection, deep vein thrombosis (DVT or blood clot), contour irregularities, fat necrosis (fat death, dead fat), and the need for revision surgery.  However, fat embolism that travels to the lungs can lead to patient death and is the most dangerous component that is being analyzed carefully.

The BAAPS recently recommended that its members discontinue BBL procedures until more safety information becomes available.  In August 2018, the ASPS, the American Society of Plastic Surgeons,  and several other plastic surgery societies formed the International Task Force for Safety in Gluteal Fat Grafting to conduct studies and establish more detailed safety guidelines.  These safety guidelines include superficial injection of fat with larger cannulae so that the risk for intravascular injection is minimized.

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