Are blood transfusions preventable with BBL and breast augmentation?

I would say that the rate is 1/1000 or less.  I
would search for the board certified plastic surgeon who you feel is
most likely to give you the best results and who performs hundreds of
these procedures each year. I would look at patient reviews as well as
before and after photos on that surgeon's website.Kenneth Hughes, MDLos Angeles, CA

Thank you for your question.It is rare to need a blood transfusion during a breast augmentation and Brazilian buttlift. If tumescent liposuction is performed to obtain the fat for the buttlift, blood loss is minimal. If tumescent fluid is not used, there is more blood loss and a higher chance of blood transfusion. However, when undergoing major surgery, bleeding may happen, and it is a good idea to bank blood if advised by your surgeon. Good luck!Regards,Manish C. Champaneria, MD

Although all surgeries come with risks, it is pretty unusual to need a transfusion after a BBL. Not never, but pretty close. All things being normal otherwise, it does not seem unreasonable to have this type of surgery without agreeing to a transfusion. As always, it up to you and your board certified plastic surgeon to make this decision together.

I have never had to give a blood transfusion for a brazilian butt lift. It is unlikely that you would need to have a transfusion.

I have only given blood transfusion to one patient after cosmetic surgery.Perhaps my approach to surgery is conservative, but I don't believe blood transfusions play a role in cosmetic surgery unless complications occur.Surgery should be limited within parameters where blood transfusions are not needed.If doing multiple procedures puts a patient at risk for a blood transfusion, then those procedures should be broken up into multiple sessions.If your surgeon knows that you are not amenable to having a blood transfusion, then he or she should not proceed with the second surgery if they feel that the blood loss is anything close to needing a transfusion.In my experience, neither a Brazilian nor a breast augmentation cause significant amounts of blood loss.When meticulous care is taken during surgery, blood loss levels are usually very low for these types of procedures.I am curious as to your thoughts behind not accepting blood since you appear to be inquiring about autologous blood.Jehovah's Witness believers generally do not accept autologous or banked blood.Perhaps you are not a Jehovah's Witness.If you were my patient, I would ask you to have an agreement that during surgery, should there be any risk of losing enough blood to warrant a blood transfusion, the surgery would be stopped and the remainder finished at a later time to avoid a transfusion.If done correctly, you should not need a transfusion for these two procedures.I personally believe the need for a transfusion is much lower than 1 out of 40.Considering your concerns, you should have a clear understanding of what your hemoglobin and hematocrit counts are well before starting the procedure. Take all precautions to keep your blood levels as high as possible, adding supplemental iron if indicated.Best of luck,Mats Hagstrom, M.D.