How Safe is a Brazilian Butt Lift?

Understanding the Risks of a Brazilian Butt Lift

The Brazilian Butt Lift (BBL) has rapidly gained popularity as a top cosmetic procedure for enhancing the shape and fullness of the buttocks. This procedure involves liposuction to remove excess fat from areas like the abdomen, thighs, or flanks, which is then strategically injected into the gluteal region to achieve a fuller, more youthful appearance.

While BBLs are in high demand, many patients are unaware of the significant risks and complications associated with the procedure. In fact, the Brazilian Butt Lift is considered one of the deadliest aesthetic surgeries, mainly due to fat migration, which can lead to serious complications like pulmonary embolism—a potentially fatal condition.

In this article, we'll explore the safety of the Brazilian Butt Lift, highlight the risks involved, and emphasize the importance of choosing a certified plastic surgeon to reduce the chances of complications. Whether you’re thinking about undergoing a BBL or simply curious about the procedure, understanding these crucial safety concerns is essential before making any decisions.

How Dangerous is a BBL?

BBL in Bluffton, South Carolina

BBL procedures have increased dramatically in popularity, with over 60,000 surgeries performed in the U.S. alone in 2021. However, this surge in demand has raised concerns within the medical community, particularly regarding the safety of the procedure. Research conducted by Dr. Emily Finkelstein and colleagues has shown that the BBL carries a 1 in 4,000 chance of fatal complications, which is significantly higher than many other cosmetic surgeries. The main issue lies with fat migration during the procedure. If the fat is injected into the wrong layer, it can enter the bloodstream, leading to complications like pulmonary embolism and, in the worst cases, death.

BBL Complications and Efforts to Improve Safety

BBL procedures are on the rise, but many of these surgeries are not performed by board-certified plastic surgeons or in certified surgical centers. Many patients opt for lower-cost options abroad, where safety standards may not be as stringent, leading to a higher risk of complications. Additionally, a significant number of patients who travel overseas for BBLs return home with serious complications, often not covered by insurance.

In response to the high complication rate, new safety guidelines have been proposed, such as the use of ultrasound to monitor fat placement and limits on the number of procedures a surgeon can perform in a day. However, the adoption of these practices has been inconsistent, leaving patients still at risk. Until these guidelines are universally followed, BBL surgery continues to carry significant risks.

Prioritizing Patient Safety

While the Brazilian Butt Lift has proven to be effective for body contouring, it's important to be fully informed about the potential risks involved. At Revive Palmetto, patient safety is always our top priority, and we do not offer BBL procedures due to the associated complications. If you are considering any cosmetic procedure, we encourage you to speak with a board-certified plastic surgeon, thoroughly research the risks, and make sure you are undergoing the procedure in a safe, reputable setting. Your health and well-being should always come first.

Ready to Enhance Your Appearance with Expert Care? Explore Our Safe, Trusted Procedures.


Schedule a consultation with Dr. Little at Revive Palmetto in Bluffton, South Carolina. While we don’t offer BBL procedures due to the associated risks, we provide a variety of safe, expertly performed plastic surgery and aesthetic treatments customized to your unique needs. Discover personalized care dedicated to enhancing your natural beauty and boosting your confidence!

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