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Brazilian Butt Lift–Associated Mortality: The South Florida Experience

BACKGROUND: Brazilian butt lift (BBL) surgery has been the fastest growing aesthetic surgical procedure over the past decade. By 2017, the risk of death from pulmonary fat (PFE) was identified, earning the BBL the highest mortality rate of any aesthetic surgical procedure. South Florida carries the...

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Autores principales: Pazmiño, Pat, Garcia, Onelio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9896146/
https://www.ncbi.nlm.nih.gov/pubmed/35959568
http://dx.doi.org/10.1093/asj/sjac224
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author Pazmiño, Pat
Garcia, Onelio
author_facet Pazmiño, Pat
Garcia, Onelio
author_sort Pazmiño, Pat
collection PubMed
description BACKGROUND: Brazilian butt lift (BBL) surgery has been the fastest growing aesthetic surgical procedure over the past decade. By 2017, the risk of death from pulmonary fat (PFE) was identified, earning the BBL the highest mortality rate of any aesthetic surgical procedure. South Florida carries the highest BBL mortality by far in the nation. OBJECTIVES: The purpose of this study was to explore the factors involved in making South Florida an outlier in terms of BBL mortality. METHODS: The anatomic findings of the gluteal dissections from 11 post-BBL surgery autopsies (22 hemibuttocks) were assessed for commonalities. The public records of patients who died from BBL-related fat emboli were examined to determine commonalities. RESULTS: All BBL PFE cases had fat grafts injected into the gluteal musculature in multiple different levels. Another commonality involved the location where the surgery took place, with the great majority of patients (92%) undergoing surgery at high-volume, budget clinics located in South Florida. Short surgical times of approximately 90 minutes appeared to be the norm for these cases. CONCLUSIONS: South Florida has experienced 25 BBL-related fat emboli deaths between 2010 and 2022; however, 14 of these occurred after publication of the Aesthetic Surgery Education and Research Foundation's 2018 guidelines and the 2019 Florida Board of Medicine's BBL “subcutaneous-only” rule. The working environment at the clinics, and the short surgical times for these cases, may be the most important contributors to the BBL mortality in South Florida.
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spelling pubmed-98961462023-02-06 Brazilian Butt Lift–Associated Mortality: The South Florida Experience Pazmiño, Pat Garcia, Onelio Aesthet Surg J Original Article BACKGROUND: Brazilian butt lift (BBL) surgery has been the fastest growing aesthetic surgical procedure over the past decade. By 2017, the risk of death from pulmonary fat (PFE) was identified, earning the BBL the highest mortality rate of any aesthetic surgical procedure. South Florida carries the highest BBL mortality by far in the nation. OBJECTIVES: The purpose of this study was to explore the factors involved in making South Florida an outlier in terms of BBL mortality. METHODS: The anatomic findings of the gluteal dissections from 11 post-BBL surgery autopsies (22 hemibuttocks) were assessed for commonalities. The public records of patients who died from BBL-related fat emboli were examined to determine commonalities. RESULTS: All BBL PFE cases had fat grafts injected into the gluteal musculature in multiple different levels. Another commonality involved the location where the surgery took place, with the great majority of patients (92%) undergoing surgery at high-volume, budget clinics located in South Florida. Short surgical times of approximately 90 minutes appeared to be the norm for these cases. CONCLUSIONS: South Florida has experienced 25 BBL-related fat emboli deaths between 2010 and 2022; however, 14 of these occurred after publication of the Aesthetic Surgery Education and Research Foundation's 2018 guidelines and the 2019 Florida Board of Medicine's BBL “subcutaneous-only” rule. The working environment at the clinics, and the short surgical times for these cases, may be the most important contributors to the BBL mortality in South Florida. Oxford University Press 2022-08-11 /pmc/articles/PMC9896146/ /pubmed/35959568 http://dx.doi.org/10.1093/asj/sjac224 Text en © The Author(s) 2022. Published by Oxford University Press on behalf of The Aesthetic Society. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Original Article
Pazmiño, Pat
Garcia, Onelio
Brazilian Butt Lift–Associated Mortality: The South Florida Experience
title Brazilian Butt Lift–Associated Mortality: The South Florida Experience
title_full Brazilian Butt Lift–Associated Mortality: The South Florida Experience
title_fullStr Brazilian Butt Lift–Associated Mortality: The South Florida Experience
title_full_unstemmed Brazilian Butt Lift–Associated Mortality: The South Florida Experience
title_short Brazilian Butt Lift–Associated Mortality: The South Florida Experience
title_sort brazilian butt lift–associated mortality: the south florida experience
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9896146/
https://www.ncbi.nlm.nih.gov/pubmed/35959568
http://dx.doi.org/10.1093/asj/sjac224
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