Lipo 360 vs BBL? Is lipo 360 less risky?

Question

So I'm considering a BBL. Though have a nice size butt already. I want some shape and fat added for fullness. I am very very nervous after reading the death rate. Is lipo 360 less risky? And is a BBL actually as risky as the internet makes it seem? I'm looking to go around September but i need honest advice.

William Bruno, MD · Answer

Booth liposuction and fat transfer are very safe procedures. The risk of a fat embolism is associated with a fat transfer (BBL) but is very low, especially with an experienced plastic surgeon (1/15,000).
BBL procedures are quite safe if your surgeon knows where to inject, where to avoid injections, how deep to inject and which angle of inject to use. The internet makes it seem unsafe since lots on “non-plastic surgeons” are attempting this procedure without proper training, therefore having poor results.
Consult with a few surgeons prior to scheduling your procedure.

Best wishes,
Dr.Bruno

Kenneth Hughes, MD · Answer

For several decades, the BBL was performed by injecting fat into the muscle due to its better blood supply. After all, the goal of the procedure is to have as much fat live as possible to make a noticeable contribution to buttock size, volume, shape, and projection. It was not until very recently with the performing of tens of thousands of buttock lifts that the issue of the fat embolus became statistically realized.
The most important point is to keep the tip of the cannula away from larger vessels. This can only be assured by injected under the skin so that the tip can be visualized at all times. Consult with a board certified PS who is an expert in lipo and BBLs, but realize that the risk of either procedure is never zero.

Mats Hagstrom, MD (license on probation) · Answer

No question that adding fat transfer to Liposuction makes it potentially more dangerous especially in regards to the single dreaded complication a fat embolism with the BBL.

To my knowledge the risk of this procedure has only been assessed once and that was after the numerous incidences coming from a single clinic in Florida were two rogue Non plastic surgeons had six combined fatalities.

Numbers were drawn including statistics from Columbia. At that time the risk was considered one in 3000.

Since then recommendations for improved safety have been given out including not grafting into the gluteus muscle and grafting with large blunt cannulas.

To my knowledge no one has tallied the risk of a fat embolism or overall serious complications with this procedure after safety measures have been instigated.

I question if the procedure ever had a true risk of one and 3000 if done by providers using common sense and good surgical judgment even if that was grafted into the gluteus muscle.
Grafting fat into the gluteus muscle is believed to be the most dangerous part of the procedure but is also the step that gives significant improvement in outcome.

Limiting risk for this procedure when it comes to gluteal fat transfer has to be balanced with less dramatic results.

I suggested having a few in person consultations talking about it’s there just approach and belief to this procedure and its complications.

For those Who are risk averse cosmetic surgery may not be the way to go.

In reality the biggest risk patients take is really having undesirable outcomes like that choosing providers who have sufficient skill or experience.

That is not to say complications don’t happen or that people need revisions etc.

In my experience it’s a very safe procedure.

Best,

Mats Hagstrom, MD
Linea Nova Body Contouring

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