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
