Are the risks for BBL lower if not much fat is being grafted?

Honestly, most healthy patients will do well with the procedure.  The best decision you can make is the choice of surgeon.I have performed hundreds of these BBL procedures and never had serious injury or major complication.  It is possible get a fatal pulmonary embolus or a fat embolus.  It is also possible to have lidocaine toxicity or puncture an internal organ.  The risk of all of these is much less than 1%. Fluid collections can be managed and rarely cause long term problems. I have not had bleeding or infection issues.The risk for complications increases with previous surgeries, higher BMIs, and larger volume extractions and fat transfers.The most common dissatisfaction relates to the amount liposuctioned and the amount transferred.  As expected, these are the 2 main reasons why Brazilian buttlift revisions are performed.  Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CAOW MORE

Thank you for your question. Every type of surgery has associated risks and complications. I perform multiple Brazilian butt lifts every week, and the complication rates are very low. Overall, the procedure is safe and effective. Please do your research and find a board certified plastic surgeon with many years of experience. There are many different boards out there, but the only plastic surgery board recognized by the American Board of Medical Specialties (ABMS) is the American Board of Plastic Surgery (ABPS). Certification by the ABPS is a rigorous process consisting of a mandatory of 3 years of training in plastic surgery, oral and written examinations, & peer reviews for safety and ethical standards.Membership in the prestigious American Society of Plastic Surgeons (ASPS) and the American Society of Aesthetic Plastic Surgery (ASAPS) are two more indicators that a surgeon is in good standing and upholds the high standards for patient care and continuing educations demanded by these societies. The websites for the ABPS, ASPS and the ASAPS are great places to start. Not only can you find great information on procedures but they all have tools to determine if a surgeon is certified.Hope this helps,Dr. Newall 

There are potential minor and major complications with every surgery.  On the face of it, BBL is a relatively simple surgery.  One harvests fat from one or more parts of the body and depending on who you believe, they do some kind of hocus focus treatment of that fat, and put it in the buttocks either in the fat layer or upper muscular area, but never in the lower muscular area.  Actually it sounds kind of simple, but as always, the devil is in the detail.  How one stabilizes the fat and increases the possibility of survival in a new environment, where on the buttocks the fat is placed, what technique for placement, and what one does afterwards to increase the percentage of fat take (% of fat that stays alive in its new recipient area) all has something to do with the final appearance of one's newly augmented buttocks.  As you can see, there is a whole lot more involved in a BBL than what would be apparent immediately. Someone who has done 100 BBL's in 2 years has a reasonable amount of experience depending on how well this individual learned from his or her successes or mistakes.   Also, I think having copped to only having done 100 BBLs in 2 years makes me think your potential plastic surgeon is an honest person.  Anyone who claims a whole lot more than that with a busy plastic surgery practice either lives in Miami or is less than forthcoming.  I'm sure there are non Board Certified plastic surgeons out there who do great BBLs, and conversely (and unfortunately) some Board Certified plastic surgeons that don't do great BBLs.  However, I think you are right to be concerned that the surgeon you have chosen is not Board Certified in plastic surgery.  Certification in plastic surgery does not guarantee artistic ability.  Unfortunately, it doesn't guarantee even technical skill.  However, you have the greatest chance of safety with any given procedure if the person doing the surgery is Board Certified.All that mumbo jumbo above means that the BBL is starting to become a truly aesthetically appealing and long lasting body contouring procedure, and if you were my sister in law back in Detroit, I would highly recommend you start out with vetting only Board Certified plastic surgeons for safety's sake.