Soaking fat in antibiotic before fat transfer to butt / BBL?

Question

Do doctors “clean” the fat during a Fat transfer to buttock? How deep should a doctor inject the fat and how much fat is typically injected ?

Daniel Barrett, MD · Answer

Dear MissTeeTeee,
Fat viability depends a lot of surgeon technique. The fat has to be placed back into the buttocks as soon as possible so that it has a greater chance of survival. It has to be placed carefully so that not too much fat is placed in only one area.
Daniel Barrett, MD

Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Daniel Del Vecchio, MD · Answer

Thank you for your questions. There is no scientific evidence that adding anabiotic‘s to fat or washing fat improves survival of fat when transplanted. I routinely let my fat settle in a canister.  unless it is very bloody I do not wash it. As far as how much fat can be placed, this has to do with the recipient site. In other words, if the patient has a very small buttock there is only so much fat you can put in it.   The depth of insertion should only be in the subcutaneous tissue. There is absolutely no recommendation at this point to place fat in the muscle. This is a dangerous technique and gives bbl a bad name. In fact we have changed the name to SSBA- safe subcutaneous Buttock augmenttation.  This describes exactly what we are doing:  safe subcutaneous Buttock augmenttation.  hope this helps.

Mats Hagstrom, MD (license on probation) · Answer

each doctor will have their own protocol for processing fat or not.  There are advantages and this advantages but in my opinion the technique of how it's injected and harvested is much more important.  The depth of injection is a hot topic and I seriously question if you'll get doctors to own up to how they actually do it if they inject deep in the muscle.  I'm curious what others will say.  The politically correct answer is to say you don't inject in the muscle but only just below the skin. This without question significantly limits the results you can get from a BBL.  We know for sure that many doctors have injected in the muscle when they thought they were not based on autopsy reports.  My personal belief is that quite a few of plastic surgeons who do this procedure do you inject some fat in the muscle layer whether they're aware of it or not.  The question of should you is a different topic. It depends on The level of comfort with excepting increased risks of serious medical complications including fatal outcomes. When I look at pictures and videos of doctors showing off their great skills I see cannulas pointing straight into the gluteus muscle routinely.  The reality is the subcutaneous plane on the buttocks is not very thick. It's not enough to get great results with on some people. It's also very difficult to know if you're in the muscle or not other than if you point deep in which case for sure you're in the muscle.  It's a blind procedure.  Volumes injected depend substantially on each individual person. Someone with a large boxy pelvis and lots of loose tissue can easily take 1.3 L per side.  Someone with small tight but eggs maybe challenged to take more than 700 ML.  I would say my average BBL volume is 900 mL per side. Sometimes I graft all the fat that was available and wish I had more. Other times we have more fat than we need and end up throwing some away.  Best, Mats Hagstrom MD

Soaking fat in antibiotic before fat transfer to butt / BBL?

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