Objectives: The purpose of this study is to present techniques, long term results, ethnic differences and address safety concerns BBL surgery in large series.
Introduction: Brasilian Butt Lift surgery is one of the hottest topics in plastic surgery nowadays. Increased surgery rate also increases complication rates. Despite the knowledge of high mortality rate if the surgeon follow strictly the rules mortality and complication rate can be lowered.
Materials / method: A retrospective review of Brazilian Butt Lift surgery was included this study. All surgeries performed by 1 surgeon. Autologous fat collected with sterile, closed system liposuction and accumulate in suction cannister. We used sedimantation by gravity, after obtaining purified fat then fat grafting performed criss-crossing patterns with basket cannulas.
Lateral inguinal incision used for fat grafting to hips and intermediate areas; intergluteal-infragluteal incisions used for central and intermediate areas.
Results: 1012 female and 5 male patients with an 28.6 average age underwent BBL surgery over 35 months. 12 patients needed revision surgery; 8 of them undergone revision surgery (asymmetry because of the different fat survival each areas was the most common reason). 7 patients request second round BBL surgery.No major complication, death, fat emboli or life threatening complications was observed.
Conclusion: Ethnicity is a determining factor in BBL surgery. Black people have a thicker and more compact dermis. Black patients has lower skin expansion rate when compared with the white skinned patients. But complication rate is lower in black people because of thick layer surrounds buttocks.
Gluteal skin quality, tightness or firming situation of the skin is another determining factor for fat survival rate and how much fat volume will glutea accept. Postoperative process is critical for the optimal results. Close hemogram check-up, early mobilisation, pain management, electrolyte etc should be managed
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