IMCAS Academy International
Programme

Objectives: - [x] Gluteal fat grafting: Why is it dangerous ?
- [x] Why should we use ultrasound for BBL ?
- [x] Basics in ultrasound gluteal anatomy, gluteal spaces
- [x] Identify your canula in ultrasound guided fat grafting
- [x] Understanding the process of echo guided gluteal fat grafting
- [x] Preop mapping and targeted fat grafting

Introduction: Gluteal augmentation with fat transfer is one of the most popular procedure in aesthetic surgery.
Its popularity did not stop rising these last ten years with some of the highest growth rate among all cosmetic procedures.
The importance of social network in our speciality and the democratization of plastic surgery highly participated in the interest for this procedure.
This also lead to mediatization of the tragic accidents that happened these last ten years in USA and Europe, accidents that brought some countries to the point of thinking about banishing it.

Materials / method: The state of Florida is well known for the number of BBL they do each year, between 15 000 and 18 000 for a total of 25 000 annually in USA but also for the number of death recorded these last ten years and directly related to this technique.
In 2018, following these dramatic and repeated accidents,a group of international expert met with the ASPS, ASEPS ans ISAPS to urge surgeons to change their techniques.
Although the same year, the ASERF task force gave precise recommendations for BBL, new death occured.

Results: In April 2022, a practice advisory on guteal fat grafting was released in the ASJ and it recommended the use of ultrasound-guided documentation of cannula placement prior to and during the fat injection.
In June 2022, after a high number of deaths in Florida with PFE, the medical board decided that any surgeon performing this procedure must use ultrasound guidance.

Conclusion: Echoguided buttock lipofilling is a safe and easy way to perform gluteal fat grafting.
The use of ultrasound is becoming very popular in many fields and the devices are now portable and really cheap.

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