Seen so many BBL deaths but I want one done. I'm very scared, any advice?

Question

I’ve been looking into getting a BBL for two years now but I’ve seen a lot of deaths I am very unhappy with the way my body looks I feel like I could be more ever since I had the baby I have not really been feeling myself but I am very terrified that a BBL might kill me for the fact that I’ve seen a lot of recent deaths any advice

Stefan Mark Szczerba, MD · Answer

The risk of BBL is actually quite low.  There was a lot of news about the recent death in Florida is concerning but the procedure itself when done conservatively should not be near the blood vessels that are thought to be the cause of death from BBL.  I would visit with a few plastic surgeons and see who you feel can offer you a comfortable experience.  I think a in person consultation with a board certified plastic surgeon is usually pretty reassuring but do your homework on who you are consulting with!  Best Wishes!!

Kenneth Hughes, MD · Answer

If the fat is injected with larger cannula and superficially below the skin, the fat cannot get inside the blood vessels to cause this complication.  The problem is that this procedure was described and has been taught to be performed by injecting into the muscle for better fat survival due to better vascularity.  However, the larger blood vessels accompany this area.

Jan Hochtritt, BSc, MD · Answer

Thank you for this very relevant statement. Last year some fatal outcomes were reported in the news  and made huge headlines. The BBL surgery has evolved in the last years dramatically.  After introduction of this surgery a complication was recognized  that is potentially lethal. The fat embolism.  Because of the risk for this complication  that has also been seen in regular liposuction or in treating a bone fracture the technique of applying the fat has changed to a a lot more subtle and superficial technique . Fat is applied in fine droplets that Are disseminated more in the superficial layer of the tissue and not in the depth of the muscle where a lot of large blood vessel’s are located.  So the over all risk of a butt augmentation with your own fat has dropped dramatically and this surgery has become a lot safer than 10 years ago.  it is however essential that you turn to a board-certified plastic surgeon that has experience in this procedure.  All the best for your journey. Have a wonderful rest of the day and greetings from the beautiful island of Jamaica.

Luis A. Mejia, MD · Answer

Hello, thanks for your question and provided information. I have to say that bbl risk is very low. Ask your board certified plastic surgeon specifically what are they, before surgery, so you can know the risks after surgery. Don't be scared, choose a BC plastic surgeon and think well about your decision.

Millicent Odunze Geers, MD, MPH · Answer

Advice:Avoid having a non-plastic surgeon perform this procedure. Avoid any surgeon who injects fat into the gluteal musculature. Deep fat injection increases the risk of fat embolism and subsequent death or becoming a pulmonary cripple. Don’t go abroad for this procedure. Don’t base your decision on price. Make sure you have realistic expectations for your body type/shape. Don’t use airbrushed, photoshopped, filtered Instagram photos as a wish picture.

Adolfo Sesto, MD · Answer

Hi. Death rate in any plastic surgery procedure is really very low. Try to investigate your options and choose wisely. A plastic surgeon who is : accredited, experienced, high skilled, non aggressive in his treatments and cautious in his pre ops, one for whom your life is more precious than any aesthetic outcome, will be a good choice to diminish risks and your fear.Member of the American Society of Plastic Surgeons (ASPS)Member of the International Society of Aesthetic Plastic Surgery (ISAPS)Certified Plastic Surgeon

Ken Dolynchuk, MD · Answer

I share the concern you have. However, there has been much written about safe BBL technique in the Plastic Surgery literature over the years. If done in this way the procedure is very safe with less than 1% complications seen of any type. Make sure you see a board certified plastic surgeon if you decide to proceed.

Robert Whitfield, MD · Answer

I agree with you it is concerning.   I helped write an article about Making Fat Transfer to the Buttocks safer.  As a group Aesthetic Plastic Surgeons are working hard to make the procedure as safe as possible.

Ben Gbulie, MD, FACS · Answer

Hi BreeannaThanks for your question. BBL is a relatively safe procedure though like any other surgery there is some degree of risk. You should see a board-certified PS for an in person evaluation and he or she can discuss the procedure with you in detail and hopefully allay your fears. You should definitely feel comfortable with any procedure before doing it.I hope this helps.....

Morad Tavallali, MD, FACS (retired) · Answer

Any surgery has risks but those risks with a BBL are in fact very low. If you go to a board certified plastic surgeon who does mainly aesthetic surgery, does BBL, uses smaller cannulas with injection of the fat at low pressure, with the fat mixed with antibiotics,...you should be fine.Good luck

Seen so many BBL deaths but I want one done. I'm very scared, any advice?

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