Our Summary

This research paper looks into the safety of two popular cosmetic surgery procedures: the Brazilian butt lift (BBL) and abdominoplasty (also known as a “tummy tuck”). There has been some debate over the safety of the BBL, with some countries even banning the procedure due to a report suggesting one out of every 3000 patients dies as a result of the surgery.

However, the researchers in this study compared the mortality rates of both procedures and found that they are roughly the same. The causes of death differ, though. Most tummy tuck deaths are due to blood clots in the deep veins of the body that can travel to the lungs and cause a potentially fatal blockage (deep venous thrombosis/pulmonary embolism). On the other hand, BBL deaths are usually caused by fat traveling to the lungs (pulmonary fat embolism), which is usually due to the surgeon’s actions during the procedure.

More recent surveys suggest that the mortality rate for BBLs might actually be lower than previously thought - around one in 15,000. The researchers suggest that the risk of fat embolism during BBL surgery could be greatly reduced if surgeons have a better understanding of the body’s anatomy, the tools they’re using, and their surgical technique.

In conclusion, this study provides a clearer perspective on the safety of BBL surgery compared to other common cosmetic procedures.

FAQs

  1. What is the mortality rate of the Brazilian butt lift (BBL) procedure?
  2. What are the common causes of mortality in abdominoplasty and BBL procedures?
  3. Are the safety concerns of BBL and abdominoplasty procedures similar?

Doctor’s Tip

A helpful tip a doctor might tell a patient about abdominoplasty is to follow all post-operative instructions carefully, including wearing compression garments, avoiding strenuous activities, and attending follow-up appointments. This can help reduce the risk of complications and ensure a successful recovery.

Suitable For

Abdominoplasty is typically recommended for patients who have excess skin and fat in the abdominal area that does not respond to diet and exercise. This procedure is often performed on patients who have lost a significant amount of weight or who have had multiple pregnancies. Patients who are in good overall health and have realistic expectations for the outcome of the surgery are good candidates for abdominoplasty.

Timeline

  • Before abdominoplasty: The patient will have a consultation with the plastic surgeon to discuss their goals and expectations for the procedure. They may also undergo medical evaluations to ensure they are a good candidate for surgery.

  • Day of abdominoplasty: The patient will arrive at the surgical facility and undergo the procedure under general anesthesia. The surgery typically takes a few hours to complete.

  • After abdominoplasty: The patient will experience swelling, bruising, and discomfort in the days and weeks following the procedure. They will need to follow post-operative instructions provided by the surgeon, including wearing compression garments and avoiding strenuous activities.

  • Long-term recovery: The patient will gradually see the results of the abdominoplasty as swelling subsides and the area heals. They may have follow-up appointments with the surgeon to monitor their progress and address any concerns.

Overall, the patient can expect to see a flatter and more toned abdomen after abdominoplasty, with improved self-confidence and body image.

What to Ask Your Doctor

  1. What are the risks and potential complications associated with abdominoplasty, specifically in comparison to the Brazilian butt lift?

  2. What measures will be taken to minimize the risk of deep venous thrombosis/pulmonary embolism during and after the procedure?

  3. What experience do you have performing abdominoplasty and Brazilian butt lift procedures, and what is your complication rate?

  4. Can you provide me with information on the mortality rates for both abdominoplasty and Brazilian butt lift procedures?

  5. How will my individual health and medical history impact the safety and success of the procedure?

  6. What post-operative care and monitoring will be necessary to ensure a safe recovery from the surgery?

  7. Are there any alternative procedures or techniques that may be safer or more suitable for my specific goals and concerns?

  8. How will you address any concerns or complications that may arise during or after the procedure?

  9. Can you provide me with before and after photos of previous patients who have undergone abdominoplasty or Brazilian butt lift procedures?

  10. Are there any specific recommendations or precautions I should follow before undergoing the procedure to help ensure a safe and successful outcome?

Reference

Authors: Del Vecchio DA, Wall SJ Jr, Mendieta CG, Aslani AA, Hoyos AE, Mallucci PL, Whitaker IS. Journal: Plast Reconstr Surg. 2021 Dec 1;148(6):1270-1277. doi: 10.1097/PRS.0000000000008599. PMID: 34847113