Can nurses perform a BBL?

Question

Speculation about nurses performing the bbl procedure instead of the doctor. Is this true? Is this allowed? And if so to what extent?

Semih Yildiz, MD, FEBOPRAS · Answer

A BBL is a surgical procedure, and the key surgical parts should be performed by the surgeon. This includes the surgical plan, liposuction, fat processing decisions, and fat injection. Nurses and other trained staff can have important roles in the operating room, anesthesia support, positioning, preparation, monitoring, and postoperative care, but they should not be independently performing the surgeon’s operation.

The exact legal scope of practice can vary by state or country, and some tasks may be delegated under direct physician supervision depending on local regulations. Even so, the patient should know who is doing each part of the procedure before surgery. It is reasonable to ask directly: “Will you personally perform my liposuction and fat grafting?” and “What parts, if any, are delegated to assistants?”

For BBL, this matters because safe fat placement is critical. Choose a board-certified plastic surgeon who is transparent about the operative team, operates in an accredited facility, and follows current BBL safety protocols, including avoiding fat injection into the muscle.

Emmanuel Mallol Cotes, MD · Answer

Thank you for your question. Only Board certified plastic surgeon are allowed to performs this kind of procedure. I would suggest to be treated by board certified plastic surgeon with experience in this procedure, to get the best desired results.

Respectfully,
Dr. Emmanuel Mallol Cotes.-

Respectfully,
Dr. Emmanuel Mallol Cotes.-

Alan Gonzalez, MD, FACS · Answer

Hello @Lovemybody1, thank you for your question. A lot depends on the state's regulations where you are going to have surgery. In order to make the right decision for your surgery, it is crucial that you consult with a number of specialists, get documentation about their work, ask for credentials and referrals, and decide on who you trust the most to carry out the surgery. Best wishes! Alan Gonzalez MD FACS

Andre P. Marshall, MD · Answer

The short answer is no, especially in the United States. Only physicians can perform these procedures. For your own safety, make sure the procedure is performed by a board certified plastic surgeon with extensive experience with this procedure. Also make sure the clinic or surgeon you go to does not have assistants performing any part of the procedure. Some clinics that are higher volumes tend to have "ghost surgeons" who perform all or part of the procedure. 
Dr. Andre P. MarshallDouble Board Certified Plastic SurgeonBeverly Hills, CA 90210

Carmina Cardenas, MD · Answer

In Mexico is forbidden a nurse performs ANY type of invasive procedure besides those related to nurse normal activity: IV, meds, cleaning wounds, absolutely nothing else. 
Dr. Cárdenas

Daniel Barrett, MD · Answer

Dear Lovemybody1,
BBL is a surgical procedure and only surgeons should do it. Nurses are not allowed to do BBL surgery. If you are considering surgery, I would suggest you 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

Glenn Vallecillos, MD, FACS · Answer

Even if it was legal (which it is not). You wouldn't want a nurse or even a non-board certified doctor to perform the BBL procedure for you.

The risks far out-weigh the potential rewards when you go through someone that doesn't have the qualifications and certifications.

It would be in your best interest to get multiple consultations and determine which board-certified surgeon is the best-fit for you.

Cagil Meric Erenoglu, MD · Answer

Hi, Lovemybody1 and thank you for your question.
BBL is a sophisticated surgical procedure that bears serious risks and requires deep knowledge and specialized skills on plastic surgery and knowledge on human anatomy&physiology. 
Nurses definitely are not allowed to perform such procedure.

Thomas G. Korkos, MD · Answer

Hello,
Each state may have different regulations and extent to which an RN can perform a specific procedure. I'd consult with your individual state's board of nursing to get a definitive answer. Here in WI a medspa was recently shut down for attempting to perform office based surgery as it was out of their scope of practice. 
Nurses are permitted to assist in surgical procedures but that should be with a surgeon performing the procedure as well. The extent by which the nurse can assist is again something that will vary state by state.
Best of luck!Dr. Tom Korkos

Mats Hagstrom, MD (license on probation) · Answer

Different states have different regulations about who can assist during surgery. in California nurses can take special training to become a surgical first assist. once someone can legally assist during surgery it’s up to the surgeons discretion how much they allow the assistant to do which could include the entire procedure.
Choose your surgeon well by having multiple in person consultations at which time you can properly vet the provider and ask all appropriate questions.
Mats Hagstrom, MD

Can nurses perform a BBL?

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