What are the risks and long term health effects of Vaser Lipo and BBL?

Question

I am 25 years old weighing about 120lbs, 5'2 height. My weight generally stays around the same, with 5lbs fluctuating. I am considering having vaser lipo done to my flank, upper and lower abdominal area and then transferring that fat to have a BBL. I would like to know if there are any long term health risks from having the procedure done? And will the results actually last, with proper nutrition and exercise? Thank you!

George Marosan, MD · Answer

Thank you for your question. Without photos, only general comments can be made. I have been using the VASER for close to 20 years. Never did I have any burns! Burns are the result of poor surgical technique and not the fault of the technology. VASER lipo does preserve the fat that is transplanted to the buttocks. The advantage of the VASER lipo is that I can do Hi Def Lipo (VHD) which is a specialized technique to create youthful athletic bodies. The fat survival is not superior with the VASER, puregraft does not give you "better" fat, microcannula injection is more dangerous than large cannula (

Martin Jugenburg, MD · Answer

vaser bbl is like regular bbl (same risks) but adds the vaser component.  Vaser can potentially have higher risk of lipo burns so it’s important that your surgeon is skilled w Vaser, and as well as have a lot of experience w BBL especially SafeBBL as there are risks of fat embolism

Moises Salama, MD · Answer

Liposuction and fat transfer have never been shown to have long team health effects so long as the procedure is done correctly and complications are avoided. All the best,Moises Salama

Daniel Del Vecchio, MD · Answer

There is no clinical evidence that Vaser fat is  superior to any other fat harvesting system.  Period.There is also no clinical evidence that puregraft is superior to any other fat processing technique. This includes just letting the fat settle.  In fact, puregraft takes more time and wastes more fat by fat being stuck on the filter - more time and fat wasted compared to simple decantation. Lastly, there is no published clinical evidence that micro fat packaging is superior to fat grafting using expansion vibration lipofilling or syringe based lipofilling.  If you are considering Brazilian butt lift, I would recommend you seek consultation with the surgeon who has done this thousands of times has had no deaths, and has injected subcutaneously a long time and can show good results.Best Regards Once he

Leonard Tachmes, MD · Answer

Hi and welcome to our forum!
Your BMI (body mass index equals: weight in kg. / square of height in meters) is 21.95, in a healthy range (you can find BMI calculators on the internet). It is best to be at your comfortable body weight at the time of a BBL. There are no known long term health problems associated with the procedure itself if uncomplicated. Significant complications are rare events.
Seek advice from a board certified plastic surgeon.
Best wishes...

Mats Hagstrom, MD (license on probation) · Answer

well let's see here, of course the worst complication is that you die. Death is a very serious complication and happens frequently from this procedure in comparison to all of their cosmetic procedures.  A BBL currently holds the title of the most dangerous cosmetic procedure performed with a fatality rate of one out of 3000 cases.  So there's that.  In terms of complications that are bad but not fatal the list is fairly extensive. It includes intra-abdominal injuries, intravascular injuries, intra-to Resik injuries and more. Many of these can be fatal but many can be survived as well. The key to having a reasonably good outcome when this type of injury happens during liposuction or fat transfer is early diagnosis and immediate intervention.  Press the most common complication is not actually a medical complication but is rather disfigurement.  This happens often enough that I personally put it solidly in the category of complications.  This week I had two patients with righteously disfigured arms  from the use of VASER. There are lots of talented plastic surgeons who can use this device properly and get good results. It's not the device it's the surgeon. But when a powerful device that can remove excess amounts of fat is given to someone who doesn't know what they're doing  sometimes too much fat is removed and now the patient is botched. The results of the liposuction and fat transfer very more than any surgical procedure I have ever known. The results truly very from grotesque disfigurement to beautyfull body transformation. The primary determinant of who gets disfigured and who gets a beautiful transformation is based simply on two variables. They are the patient being a good candidate to start with and then being in the hands of the most talented plastic surgeons.  Both of these have to happen in order to get great outcomes.  There has been an unfortunate trend among providers to post BBL pictures immediately after surgery even on the operating room table to show how talented they are and how good their results look.  The problem is early fat transfer results of them look for times bigger than they will six months later.  If we could all use immediate after pictures for fat transfer cases then we could all look like magicians.  Leading people to believe that these are their actual results is highly unethical and sets a standard that will only upset thousands of patients and make honest providers look less competent.  The reviews are far too manipulated to be trustworthy.  Here are my recommendations for finding the best plastic surgeon. Of the absolute top plastic surgeons I know none of them pay for advertising, one of them doesn't even have a website, another one doesn't post before or after pictures on his website, they spend zero time on social media related to surgery, they have far fewer reviews than most other plastic surgeons, their reviews are consistently excellent and the reviews are spread equally among all the various doctor review websites like health grades, vitals, rateMD, yelp and real self.  These doctors are busy in their office and in the operating room hoping and serving their patients. These are the ones you want. These are the ones who delivered the homerun results every time they do it with a smile and you trust him from day one.  The ones you tell all your friends to go because you just know that this person will deliver a great resource time and time again. Not the ones in the Dominican republic that have 700+ reviews on real self only and 85% of the reviews were written before the people have their procedures.  Find the red plastic surgeon and everything falls into place.  The wrists are there but a talented plastic surgeon will make sure they are minimized. He or she will also sit you down and reassure you telling you what the actual percentage chance of each one of these things happening as well as exactly what he or she will do to help you should it happen. The person will most likely have admitting privileges in the local hospital for these complications can be properly managed so you can get back home and enjoy your life soon.  Of course most people don't have complications with liposuction and BBL but this particular procedure has a single complication that is often fatal called a fat embolism and it is unique to the BBL procedure. In regards to long-term results once your results are at six months then you can consider them final and they will be present for the rest of your life. Your body will of course change over the years but you can consider the changes from your procedure to be per minutes.   As stated earlier, the results seen immediately after surgery or a grotesque distortion of what your final results will be like.  Most of the complications I listed are the serious ones. They would generally be a short term issue but some of them can lead to chronic illness for the rest of your life. This is especially true for someone who survives fat embolism's.  An abdominal injury by accidentally putting a liposuction cannula into the abdomen could give someone a colostomy.  Potentially for a long period of time or even for life. Not here to be negative or to scare you but you specifically asked about the risks were. In my own practice I've performed over 7000 liposuction and fat transfer procedures. Of these I've had to fairly minor complications. All three patients were hospitalized for less than a week two of them for 24 hours and when not to have great results with no long-term sequelae. This is out of 7000 procedures.  I've never had a fatality and I've never had a patient develop a fat embolism.  I hope I never do.  I consider liposuction one of the absolute safest surgical procedures you can undergo.  We do these procedures with our patients awake as an office space procedure using a local Anastasia similar to what dentist do.  A BBL always gives me a bit of nerves. I always think about the dreaded fat embolism and pray that it will not happen to me that day.  Are use safety precautions that are recommended but that is not a guarantee that I could not develop a fat embolism for someone.  Any ethical provider will consider this risk and discuss it with patients well before the date of surgery.  Hope I didn't upset you. Best, Mats Hagstrom MD

Arian Mowlavi, MD, FACS (license on probation) · Answer

We want you to be at your comfort weight ideally, where your weight will not fluctuate. This way, the results are permanent. If you are a good candidate for a Brazilian Butt Lift (BBL), the optimal outcomes are achieved with: 1) use of VASER liposuction to harvest the fat, 2) a closed looped system such as Puregraft to process the fat, and 3) strategic micro-packet transplant technique. These three processes have demonstrated over 95% fat graft take. This means that your results will be stable as long as you maintain your weight. As an official VASER trainer, I am routinely referred unhappy BBL patients. One of the most common reasons for disgruntled BBL patients is that patients are not able to accurately communicate their desired buttocks goals to their surgeons.  A buttocks assessment tool can be an invaluable tool to communicate to your surgeon the exact buttocks size and shape you are desiring. A Skype or FaceTime consultation with a BBL specialist can help you get an accurate recommendation and pricing. 
Respectfully,
Arian Mowlavi MD,FACS
Realself 100 Hall of Fame Inductee

Manuel Belen, MD - Account Suspended · Answer

Hello,
  
Thank you for sharing the information, it is a pleasure for me to answer your question.
  
It is difficult to evaluate the options without seeing photos,
It is advisable to consult with a certified plastic surgeon, for a good evaluation, to provide you with all the information you need to know about the appropriate recommendations, so that you can achieve the desired goals in your body.
  
I hope this answer will help you
  
My best wishes for you...

What are the risks and long term health effects of Vaser Lipo and BBL?

Answers (8)

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