What Are the Long Term Side Effects of Fat Grafting?

What are the long term side effects of a Brazilian Butt Lift (fat grafting)? Is it possible that the fat can die and cause a bad infection or something worse? I know an implant needs to be replaced after 10-15 yrs but does fat that has been transfered one place to another go bad?

Doctor Answers 5

Fat Grafting and Necrosis and Infection

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  Fat grafting to the buttocks is well tolerated.  Fat can die, but this not usually problematic.  Infection of a serious nature has been reported as well as fat emboli and pulmonary emboli.  Having said all of the that, I perform this procedure 4 or 5 times a day (hundreds and hundreds per year).   I have had no infections, no hematomas, no blood clots, and no reoperation for fat necrosis or dead fat.  Find the plastic surgeon with ELITE credentials who performs the procedure all the time.

Long term side effects of Brazilian Butt Lift

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You are correct that some of the fat that is transferred will not survive long term.  That being said, what survives the first 6 months will survive for good.  Unlike implants there are no "long term" side effects or issues that you should worry about with Brazilian Butt Lift.


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Fat grafting with the brazilian butt lift is very well tolerated. The fat has a high survival rate and the surgery has a low complication rate

Norman Bakshandeh, MD, FACS
New York Plastic Surgeon

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Fat Transfer Safe Long Term

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Fat transfer is a much safer option than implants for gluteal augmenation. There are no long term side effects of fat transfer that have been described to date.  Infection is possible but also very uncommon.  If you do not have an infection in the early postop period, you are unlikely to have any long term issues. Best wishes.

Short term vs long term complications of BBL

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Thank you for the question.  Most of the potential complications of buttock fat grafting occur in the days and weeks following the procedure.  These are very rare but can include fat necrosis, seromas, infection, poor or asymmetric fat survival, and embolic events (clots).  Long term complications of buttock fat grafting are essentially related to the continuing aging process and therefore are not really complications.  An experienced board certified plastic surgeon can provide the number of cases he/she has done and the complication rate they have experienced.

All the best,

Dr Remus Repta

Remus Repta, MD
Scottsdale Plastic Surgeon
4.9 out of 5 stars 173 reviews

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