Health & Lifestyle

BBL not all the time A-OK: Why the Brazilian butt raise is likely one of the deadliest plastic surgical procedures ever

Hundreds of hundreds of girls all over the world are paying large bucks — and taking large dangers — to get plumper, perkier derrières.

More than 520,000 individuals elected to get some sort of buttock augmentation, together with what’s referred to as the BBL, or Brazilian butt raise, in 2021.

That’s an astounding 40.5% improve over 2017, in response to the International Society of Aesthetic Plastic Surgery.

Yet the BBL — a process that includes harvesting fats from different areas of the physique and injecting it into the buttocks — has been proven to have the very best mortality price of another aesthetic surgical procedure process. 

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In South Florida alone, 25 BBL-related deaths had been reported between 2010 and 2022.

And in a research printed within the Aesthetic Surgery Journal in 2017, researchers from the University of Miami Miller School of Medicine discovered that the chance of dying from the BBL process was someplace between one in 2,351 and one in 6,214.

Fox News Digital talked to a lady who had the process — which for her was secure and easy, in response to her descriptions.

A Brazilian butt lift (BBL) is a procedure that involves harvesting fat from other areas of the body — and injecting it into the buttocks.

A Brazilian butt raise (BBL) is a process that includes harvesting fats from different areas of the physique — and injecting it into the buttocks. (iStock)

A 24-year-old Pilates teacher from Glendale, Arizona, stated she’d all the time been self-conscious about sure areas of her physique — and determined to do one thing about it.

“I’ve all the time had ‘hip dips,’ and I used to be sad with the pouch that was beginning to kind on my tummy,” Alexandra of Arizona (she requested that her final title be omitted) informed Fox News Digital through e mail. 

“I needed I may simply transfer the fats to my bottom as an alternative,” she stated.

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Once she determined to get a Brazilian butt raise, the traveled to San Francisco, California, for the process. There, Dr. Jonathan Kaplan, a board-certified plastic surgeon, carried out her surgical procedure. 

She stated she was thrilled with the outcomes. 

“I used to be by no means attempting to get a giant butt, actually — it was primarily nearly eradicating my fats and changing it to fill out my curves a little bit extra,” she stated. “I simply needed a fuller, extra pure look.”

Brazilian butt raise’s doubtful origins

It’s not completely clear who pioneered the process or the way it acquired its title. 

It’s been reported {that a} Brazilian plastic surgeon named Ivo Pitanguy was the primary to carry out it within the Sixties. 

Alexandra, a 24-year-old from Glendale, Arizona, pictured here, had a BBL to transfer fat from her stomach to her backside. "I just wanted a fuller, more natural look," she said. She had the surgery in San Francisco and said she's thrilled with the result.

Alexandra, a 24-year-old from Glendale, Arizona, pictured right here, had a BBL to switch fats from her abdomen to her bottom. “I simply needed a fuller, extra pure look,” she stated. She had the surgical procedure in San Francisco and stated she’s thrilled with the consequence. (Alexandra from Glendale, Arizona)

However, Dr. Leonard Grossman, a New-York primarily based plastic surgeon, informed Fox News Digital that he has been credited with inventing the process. 

In 1996, Dr. Grossman carried out the surgical procedure on a TV present in 1996. The affected person on the present was a Brazilian girl, so the phase was titled “Building the Brazilian butt.”

Today, the surgical procedure is extensively known as the Brazilian butt raise — even by the American Board of Cosmetic Surgery.

The finish result’s a rounder, fuller, perkier butt.

Despite its title, the BBL isn’t really a “raise.” It’s a fat-grafting course of the place fats is faraway from different areas through liposuction and injected into the buttocks. The finish result’s a rounder, fuller, perkier butt.

Depending on the person affected person’s anatomy and fats composition, the fats may be extracted from the stomach, thighs, hips, decrease again or different areas.

The BBL doesn’t use any synthetic fillers or implants, simply the physique’s personal pure fats. 

So why are BBLs so dangerous — and what ought to individuals know in the event that they’re contemplating a surgical increase to their bottoms? 

BBLs can generate worry, confusion 

Dr. Alexander Zuriarrain, a quadruple board-certified plastic surgeon with Zuri Plastic Surgery in South Miami, Florida, stated he is carried out greater than 2,000 Brazilian butt lifts and has by no means had a complication. 

He believes lack of coaching is in charge for lots of the deaths.

“There is an absence of consensus on the precise methods that needs to be employed when injecting fats into the buttock,” Dr. Zuriarrain informed Fox News Digital in an e mail. 

“This has led to a substantial amount of confusion amongst practitioners in addition to worry within the public.”

For anyone considering a BBL, it’s important to choose an experienced surgeon who is certified by the American Board of Plastic Surgery. 

For anybody contemplating a BBL, it’s essential to decide on an skilled surgeon who’s licensed by the American Board of Plastic Surgery.  (iStock)

Dr. Grossman has additionally carried out hundreds of Brazilian butt lifts and stated he is by no means had any points. He agrees that the alarming variety of deaths is because of inexperienced docs performing BBLs with out the correct coaching.

“Just as a result of somebody is board-certified doesn’t imply they’re an skilled plastic surgeon,” he stated in a dialogue with Fox News Digital.

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Dr. Grossman claims to know of a minimum of one surgical procedure group within the state of New York that advertises having plastic surgeons on workers regardless of having had no formal coaching. Just final 12 months, he stated the group skilled a minimum of three deaths associated to BBL procedures. 

“They’re practising on human beings, and that is the place individuals are getting harm and dying,” he stated.

Danger of improper placement

Dr. Adam Rubinstein is chief of cosmetic surgery for Jackson North Medical Center in Miami, Florida. When it was reported that South Florida skilled 25 BBL-related deaths between 2010 and 2022, he and his colleagues did some investigating.

The state of Florida has limited surgeons to performing a maximum of three BBLs per day. Pulmonary fat embolism is the leading cause of death during BBL procedures, studies show.

The state of Florida has restricted surgeons to performing a most of three BBLs per day. Pulmonary fats embolism is the main reason for dying throughout BBL procedures, research present. (iStock)

“We discovered that in almost all of these circumstances, fats was positioned into the muscle, resulting in fats embolism, which induced the sufferers’ deaths,” he informed Fox News Digital in an e mail. 

“It is now well-known that putting fats within the muscle is a really dangerous thought … It is now not allowed within the state of Florida,” he added.

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Dr. Rubinstein stated there are giant veins across the muscle tissues of the buttocks that may be injured throughout a BBL if the fats injections are positioned in these muscle tissues. 

“If that occurs, there’s a excessive danger of fats coming into the injured veins and being carried by the bloodstream to the lungs, inflicting a fats embolism,” he stated. 

Pulmonary fats embolism is the main reason for dying throughout BBL procedures, research present.

Alexandra of Arizona (pictured here) traveled to San Francisco for her BBL surgery. "I was never trying to get a big butt, really — it was mainly just about removing my fat and replacing it to fill out my curves a little more."

Alexandra of Arizona (pictured right here) traveled to San Francisco for her BBL surgical procedure. “I used to be by no means attempting to get a giant butt, actually — it was primarily nearly eradicating my fats and changing it to fill out my curves a little bit extra.” (Alexandra from Glendale, Arizona)

In 2017, the Aesthetic Surgery Education and Research Foundation (ASERF) despatched an nameless survey to 4,843 plastic surgeons worldwide to attempt to decide how typically fats embolisms occurred. 

Around 7% of the surgeons who responded stated they’d seen a minimum of one pulmonary fats embolism throughout their careers, with a complete of 32 fatalities reported.

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In June 2021, the Florida Medical Association (FMA) introduced in a press launch on its web site that intramuscular or submuscular fats injections had been prohibited. 

The launch additionally said that “[w]hen performing gluteal fats grafting procedures, fats could solely be injected into the subcutaneous area and must not ever cross the gluteal fascia.” 

High-risk sufferers face larger danger

BBLs are extra harmful for some sufferers than others.

Depending on the individual patient’s anatomy and fat composition, the fat can be extracted from the abdomen, thighs, hips, lower back or other areas of the body.

Depending on the person affected person’s anatomy and fats composition, the fats may be extracted from the stomach, thighs, hips, decrease again or different areas of the physique. (iStock)

“Factors that make sufferers vulnerable to problems with any surgical procedure embrace a historical past of diabetes, hypertension, anemia, weight problems and malnutrition,” Dr. Samuel Lin, an affiliate professor of surgical procedure at Harvard Medical School, informed Fox News Digital.

Patients who smoke or drink excessively ought to cease doing so earlier than surgical procedure, stated Dr. Lin. Those with persistent lung, coronary heart or kidney illness additionally face the next danger of problems, he warned.

Additionally, people who find themselves considerably obese or underweight most likely aren’t good candidates for BBLs, Dr. Rubinstein stated. 

“Being obese enormously will increase the dangers of problems, together with an infection and wound therapeutic issues,” he stated. 

The BBL is a fat-grafting process in which fat is removed from other areas via liposuction — and injected into the buttocks. 

The BBL is a fat-grafting course of through which fats is faraway from different areas through liposuction — and injected into the buttocks.  (iStock)

“On the flip facet, a really skinny affected person has much less fats within the buttocks to start with and may very well be at the next danger for fats being unintentionally positioned into and across the muscle tissues.” 

Also, a really skinny individual could not have sufficient fats to switch from different areas.  

BBL security suggestions

For these contemplating a BBL, it’s essential they select an skilled surgeon who’s licensed by the American Board of Plastic Surgery. 

“It’s not sufficient to ask a physician if she or he is board licensed,” stated Dr. Rubinstein. “You should search for the American Board of Plastic Surgery, since that’s the solely Board that certifies plastic surgeons. A physician may be licensed by the American Board of Pediatrics and nonetheless offer BBL surgical procedure companies.”

“Do your homework like your life will depend on it, as a result of it simply would possibly.”

Additionally, Dr. Zuriarrain recommends selecting a surgeon who makes use of a wi-fi ultrasound machine that helps make sure the injection doesn’t go too deep into the muscle, which is “a recipe for fats embolism and doable dying.”

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(The FMA now requires that Florida surgeons use ultrasound know-how for buttock injections.)

Experts additionally say to avoid high-volume cosmetic surgery facilities.

"You probably shouldn’t be the seventh operation your surgeon is performing that day," said one board-certified plastic surgeon about the process and precautions. "Make sure you’re not getting a tired surgeon at the end of the day."

“You most likely shouldn’t be the seventh operation your surgeon is performing that day,” stated one board-certified plastic surgeon concerning the course of and precautions. “Make positive you’re not getting a drained surgeon on the finish of the day.” (iStock)

“You most likely shouldn’t be the seventh operation your surgeon is performing that day,” stated Dr. Rubinstein. 

“The state of Florida has now restricted the whole variety of operations a surgeon can carry out in a day. More than three procedures in in the future is usually a lot for one physician. Make positive you’re not getting a drained surgeon on the finish of the day.”

Dr. Rubinstein added that one of the simplest ways to keep away from a foul consequence is to make cautious decisions in procedures, surgeons and services.

“Do your homework like your life will depend on it, as a result of it simply would possibly,” he stated.

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