Does BBL have the highest mortality rate? (Photo)

Well, the jury may still be out but it does seem as though BBL has the highest mortality rate of any cosmetic surgery. The mortality rate is often quoted as 1:3000 and occasionally less up to as good as 1:20,000.  Nonetheless, based upon your photo you seem quite lean and athletic and thus someone who will not do well with fat transfer to the hip area, where it tends to survive the worst. Because of all this, you may want to consider cosmetic hip implants which are more reliable and of course a permanent result. Glad to be of help.

The take-home point is that traditional methods of transfer of fat into the gluteal muscles should be abandoned in favor of fat transfer though large cannula to areas directly visible beneath the skin to reduce the risk of fatal fat emboli and patient deaths.
BBLs on thinner women are not easy.  Maximal fat must be harvested without creating any contour deformities. There are a lot of women who can get nice results from the BBL despite thinking that there is not enough fat. Schedule a Skype, or email consultation with a board certified plastic surgeon who specializes in thin patients to determine available fat stores for the transfer. 

Dear whitegirlproblems,
as long as your surgeon follows instructions and inject fat above the muscle, the chance for complications should be low. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

The best thing you can do to prevent complications is consult a board certified plastic surgeon. The risk is always there, but it is incredibly low. The optimal BBL outcomes are achieved with: 1) use of VASER liposuction to harvest the fat, 2) a closed looped system such as Puregraft to process the fat, and 3) strategic micro-packet transplant technique. These three processes have demonstrated over 95% fat graft take. This means that your results will be stable as long as you maintain your weight. As an official VASER trainer, I am routinely referred unhappy BBL patients. One of the most common reasons for disgruntled BBL patients is that patients are not able to accurately communicate their desired buttocks goals to their surgeons.  A buttocks assessment tool can be an invaluable tool to communicate to your surgeon the exact buttocks size and shape you are desiring. A Skype or FaceTime consultation with a BBL specialist can help you get an accurate recommendation and pricing. 
Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee