Is my BBL safe if my doctor has 0 deaths ,11 years of experience and only puts the fat above the muscle?

Question

Hello, so my doctor has 0 deaths 11 years of experience and only puts the fat above the muscle when performing his BBLs and has performed numerous of BBLs. 3 of my friends have went with him and had no problem, my surgery is coming up soon and I’m just nervous. Would my BBL be safe? I’m a healthy patient as well, I’m just scared for my surgery.

Yunus Dogan, MD, FEBOPRAS · Answer

Hello 
The safest form of BBL is ultrasound guided BBL.  I would ask your dr if this is the way he performs his BBLs.

Daniel Barrett, MD · Answer

Dear bblchick0007,
finding the right Dr. is extremely challenging especially with the number of online platforms and resources available. There a lot of great Dr's available. Make sure he/she is a board-certified plastic surgeon. Definitely check to make sure your choice specializes in the procedure you want and spend the time to read through patient testimonials. There is a number of different sites where you can check for reviews (Realself, yelp, google, etc.).You can always pick up the phone and call around also, find an office you feel comfortable with and set up a few consultations. 
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Kenneth Hughes, MD · Answer

Hello, thank you for your question. The most important point is to keep the tip of the cannula away from larger vessels. This can only be assured by injecting under the skin so that the tip can be visualized at all times. There are other risks associated with BBL: numbness, infection, among others. Only, an experienced and specially trained plastic surgeon can help diminish those risks significantly. There is a low mortality rate for BBL of approximately 1 in 3,000, according to statistics issued by the American Society of Plastic Surgeons.

Cagil Meric Erenoglu, MD · Answer

Hi, bblchick0007! Thank you for your question.
Fat injection into the muscle is abandoned throughout the world by majority of the BBL surgeons. We can achieve the same results without taking the deadly risk of fat embolism. Fat transfer being done in the right level & depth is extremely important. Being too deep is risky for muscle entrance. Being too superficial won't give the results we desire. So the fat must be given to the deep fascia which is between the muscle and fascia. I can best detect my location with a real-time ultrasound I use during my surgery. Having the surgery in a well-equipped hospital facility with ICU included is also important.

Mats Hagstrom, MD (license on probation) · Answer

The great majority of plastic surgeons around the world have not had any fatalities and will not have a fatality during their career.

Fatalities do occasionally happen and any plastic surgeon who has a patient die as a complication of surgery would be left devastated by this.

Safety is first and foremost our number one priority.

The fact that your surgeon has not had any fatalities does not change your individual risk for the procedure.

There are always risks with surgical procedures and these include fatal outcomes though that complication is fairly rare.

We make decisions on a daily basis that involve risk and benefit ratios.

Driving a car on a regular basis has approximately one in 10,000 risk a fatality per year.

At one point the BBL was considered the most dangerous cosmetic procedure with a fatality of one and 3000.

That would be the equivalent risk of driving an automobile on a regular basis for three years.

I like to use these analogies for those who have highly emotional ways of thinking about decisions to have surgery.

We don’t know what the current fatality rate is with the BBL with surgeons using recommended safety protocols such as grafting with a blunt 5 mm blunt cannula and not grafting into that gluteus muscle.

Life is full of decisions that have consequences with different variables.

For those who are highly risk-averse cosmetic surgery may not be appropriate.

If you have concerns about your well-being and risks of the procedure I suggest you consult your plastic surgeon and discuss your concerns with him or her.

Best,

Mats Hagstrom MD

Is my BBL safe if my doctor has 0 deaths ,11 years of experience and only puts the fat above the muscle?

Answers (5)

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