Fat embolism during Brazilian Butt Lift
Fat Embolism is a risk during the fat transfer done in a Brazilian Butt lift. In my legal practice I have been called upon to examine and evaluate 5 such events. In all 5 there was major illness and in one there was death. What we have found here in the Stanford realm of influence is that all 5 fat embolisms occurred when the surgeon injected fat into the gluteus muscle. This muscle contains a large venous plexus of vessels and if fat is inadvertently injected into this venous plexus it will go to the lung and be an embolism. Although the injection of fat into the muscle continues as a common practice, I strongly recommend that this not be done. In my practice fat is injected only into the existing buttocks fat and the result is very gratifying both in take and in artistic aesthetic result. We have never had a fat embolism. When the fat is transferred into the buttocks fat an embolism is nearly impossible. One argument for muscle injection is that it results in a better take. While this may be true I think the benefit is minimal and at the potential price of a fat embolism. So this is where I stand on fat embolism risk and this is what I teach the Stanford residents. In aesthetic surgery SAFETY is the one consideration that stands far and away above all else. Of course next is a beautiful result and a happy patient. But there must be SAFETY. Every morning as I scrub in for my first case my mind thinks and dwells on SAFETY, SAFETY, AND SAFETY. The rest of all good events then follows along. My Best, Dr C
A fat embolism is very rare and while it can happen with BBL, it can also happen with any liposuction procedure. It is a very rare occurrence. Dr. Commons' comments are very pertinent.
Dr. Commons who answered the question is right on the mark. This is an honest clear true straight foreword answer.
What are the chances of a fat embolism happening from or during a brazilian butt lift fat transfer?
I have not seen a fat embolus or a pulmonary embolus in the thousands of liposuctions and Brazilian buttlift procedures I have performed. It would be a very rare event.
a board certified plastic surgeon who performs hundreds of Brazilian
buttlifts each year. Then look at the plastic surgeon's
website before and after photo galleries to get a sense of who can
deliver the results.
Kenneth Hughes, MD
Los Angeles, CA