I am debating a bbl but am obviously worried about a fat embolism. When would I be "in the clear" of not having a fat embolism? Is a fat embolism more likely in thin (small buttox) patients? Thank you so any information !
Answer: When do fat emboli happen should’ve had embolism happen it would be during the procedure most likely during the fat injection.Fat emboli have happened from Liposuction without a fat transfer but with that procedure is highly unlikely.The symptoms will begin to present shortly after surgery it will most likely worsen dramatically over the next few days or weeks or even months.I’ve only managed one patient in my career with a fat embolism and that young man was in a car accident with a pelvic fracture that caused his fat embolism.His condition deteriorated fairly rapidly but he was kept alive in the ICU for six weeks before he died. My practice has been devoted exclusively to Liposuction if I transfer for over a decade.I’ve been doing fat transfer procedures for over 20 years.I’ve never had a patient developed this complication and I don’t know any provider who’s had a fat embolism in one of their plastic surgery patients.Using very crude technique is most likely one of the major contributing factors to this very unfortunate complication.One single provider in Florida who was not trained in plastic surgery managed to have four fatalities from fat embolism‘s in hispractice alone. This was one of the incidences that caused the review this procedure.That provider has since lost his license.I believe the incidence of this complication is far far lower when properly trained surgeons do their work using good surgical technique.Risks in life cannot be eliminated but can be reduced by eliminating or minimizing high-risk behavior.Statistically driving is a very high risk activity.People seem to do that nonchalantly including while talking on their cell phones on a regular basis.I also see lots of people taking high risk COVID-19 behavior. Perhaps they are young and will not die from the disease but they are increasing the risk of loved ones including parents and grandparents dying.For those highly risk averse this may not be the best procedure.When good technique is used by properly trained board-certified plastic surgeons I believe the chance of this complication will eventually be shown to be far lower than has previously been described.I suggest approaching the topic from a non-emotional perspective. Perhaps easier said than done.Best, Mats Hagstrom MD
Helpful 12 people found this helpful
Answer: When do fat emboli happen should’ve had embolism happen it would be during the procedure most likely during the fat injection.Fat emboli have happened from Liposuction without a fat transfer but with that procedure is highly unlikely.The symptoms will begin to present shortly after surgery it will most likely worsen dramatically over the next few days or weeks or even months.I’ve only managed one patient in my career with a fat embolism and that young man was in a car accident with a pelvic fracture that caused his fat embolism.His condition deteriorated fairly rapidly but he was kept alive in the ICU for six weeks before he died. My practice has been devoted exclusively to Liposuction if I transfer for over a decade.I’ve been doing fat transfer procedures for over 20 years.I’ve never had a patient developed this complication and I don’t know any provider who’s had a fat embolism in one of their plastic surgery patients.Using very crude technique is most likely one of the major contributing factors to this very unfortunate complication.One single provider in Florida who was not trained in plastic surgery managed to have four fatalities from fat embolism‘s in hispractice alone. This was one of the incidences that caused the review this procedure.That provider has since lost his license.I believe the incidence of this complication is far far lower when properly trained surgeons do their work using good surgical technique.Risks in life cannot be eliminated but can be reduced by eliminating or minimizing high-risk behavior.Statistically driving is a very high risk activity.People seem to do that nonchalantly including while talking on their cell phones on a regular basis.I also see lots of people taking high risk COVID-19 behavior. Perhaps they are young and will not die from the disease but they are increasing the risk of loved ones including parents and grandparents dying.For those highly risk averse this may not be the best procedure.When good technique is used by properly trained board-certified plastic surgeons I believe the chance of this complication will eventually be shown to be far lower than has previously been described.I suggest approaching the topic from a non-emotional perspective. Perhaps easier said than done.Best, Mats Hagstrom MD
Helpful 12 people found this helpful
