Brazilian Butt Lift with Edema and Thalassemia?

Slim + edema + Alpha thalassemia, that's me. Would I be a good candidate or can I opt for the brazillian butt lift? Please advise.

Doctor Answers 3

Medical clearance before a Brazilian butt lift

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A Brazilian butt lift is a safe and effective procedure that combines liposuction of the abdomen hips waist and back and grafting this fat to the gluteal (butt) region. This is a safe and great way to create a tight waist and abdomen and a full, beautiful bottom.

However, keep in mind that your health and safety must always be the first priority. It is essential that you only work with a plastic surgeon that is board-certified by the American Board of plastic surgery and has a great deal of experience in butt augmentation. The fact that you are slim may make it difficult to perform a Brazilian butt lift as you may not have enough tissue to get the results you are looking for. Your plastic surgeon should review other options such as gluteal augmentation with solid silicone implants. Regardless, you will definitely need a thorough medical evaluation and preoperative clearance to determine if it is safe to proceed with the surgery with your edema and thalassemia.


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The most severe form of alpha thalassemia major causes stillbirth (death of the unborn baby during birth of the late stages of pregnancy).

Children born with thalessemia major (Cooley's anemia) are normal at birth, but develop severe anemia during the first year of life.

Other symptoms can include:

  • Bone deformities in the face
  • Fatigue
  • Growth failure
  • Liver and spleen swelling
  • Shortness of breath
  • Yellow skin (jaundice)

I believe that is a question to the hematologist.

If you are slim and have no fat to liposuction and transfer to your buttock then your only other options are

1. implants

2. Dermis Fat graft if you are a candidite for a tummy tuck

Samir Shureih, MD
Baltimore Plastic Surgeon

Brazilian Butt Lift and thalassemias

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Dear Chercher,

As you probably know, there is a spectrum of disease with the thalassemias, from asymptomatic carriers to those that do not survive past birth. If you are on the carrier side of the spectrum, then your thalassemia per se would not be an absolute contraindication to Brazilian Butt lift. However, your "slim" body habitus poses a problem. The Brazilian butt lift requires enough fat to be removed to place back into the buttocks. If you don't have the fat, you can't do the procedure. That would leave you with the option of putting in buttock implants. Consultation with a board certified plastic surgeon and your hematologist will determine if you are a candidate and what your risks would be. Good luck!

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.