BBL in Higher BMI Patient, Raleigh, NC*

Fat transfer o the buttock also known as Brazilian buttock lift has become more popular recently. Improved shape of the buttocks is a highly desired goal of many woman. This procedure involves liposuction typically back and flank area with processing of the harvested fat and injection into the buttock area. It recently has caught nationwide attention because of some notable deaths that occurred particularly in the state of Florida. It is felt that inadvertent injection of the fatty tissue into the vascular system led to patient deaths. Therefore it is very important when considering this procedure to choose a board certified plastic surgeon with experience . It is recommended that fat only be injected into the subcutaneous space of the buttock. In the past, it was recommended that the gluteal muscle be injected but this likely led to many of the perioperative deaths. Subcutaneous placement does limit the final outcome to some degree but most patients enjoy a improvement in the roundness and shape of the buttock. Generally slender patients do not have enough fat to allow a reasonable result, On the other hand obese patients are not as good candidates. Although fat is abundant, obesity can lead to more problems with fat transfer and potentially lack of engraftment of the injected fat. In general, Dr. Lyle recommends only performing this procedure with patients with body mass index of 30 or less. Healthy patients with BMI of 30 -35 can possibly be considered