Is it possible to get a fat embolism 5+ years after a BBL?

It would not be possible to get a fat embolism that far out. Fat emboli are caused by direct injection of fat into a vein during the procedure. There is no way that fat could migrate that far out from a procedure. However, symptoms of shortness of breath, chest pain, or other signs and symptoms of fat embolus can be a sign of other medical problems and may require immediate medical attention depending on their severity.

Dear skershaw123,
fat embolism can occur at any time. However, it is unlikely that BBL will be the cause of fat embolism after 5 years. 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Hello, while anything is possible, it is unlikely to have a fat embolism 5+ years following a BBL. Fat emboli during a BBL, while exceptionally rare, can occur during a BBL. When they do occur, they would likely occur during the actual fat injection into the buttock, and/or during the liposuction aspect. Fat emboli can occur from injuries to veins (blood vessels). Following injury, negative pressure in the veins can lead to fat entering the veins and circulation. When this occurs during the fat injection aspect of the procedure, this can be dangerous as there are large veins in the buttock deep to the muscle which could allow large fat particles to enter circulation. This is why fat should never be injected deep to muscle. Fat embolism are unlikely to occur many years later because any injured vessels from the procedure will have either healed or clotted off (no longer functional) soon after surgery. If you are having any symptoms concerning for a fat embolism I'd recommend contacting your surgeon if symptoms are mild. But, if you have any serious symptoms such as many petechiae, respiratory issues, confusion/agitation...I'd recommend being evaluated quickly.

All individuals are at all times at risk for things going wrong. Fat embolism are most commonly associated with long bone fractures or pelvic fractures.
Fat embolism’s that happened during surgery present themselves with immediate symptoms making people extremely sick within the first few days.
Best,
Mats Hagstrom, MD