Showing posts with label buttock augmentation. Show all posts
Showing posts with label buttock augmentation. Show all posts

Thursday, June 22, 2017

Deadly Brazilian Butt Lifts

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In my previous blog Brazilian Butt Lift - Buttock Augmentation Implants and Injections I discussed the history of buttock augmentation, the surgery and illegal buttock injections by untrained individuals leading to loss of life. According to statistics from the American Society for Aesthetic Plastic Surgery (ASAPS) plastic surgeons, dermatologists, and facial plastic surgeons performed 18,487 of these procedures in the US in 2015 compared to 7,382 in 2011, a 150% increase over 4 years. The total from 2011 through 2015 is estimated at over 65,000. If other surgeons are included the 2015 total could have been as high as 23,000 and the 2011 through 2015 numbers as high as 100,000. In 2015 a buttock procedure (fat grafting, buttock implant or buttock lift) was performed in the US every 30 minutes of every day. Now as the procedure becomes increasingly popular with surgeons it has become obvious that this is the mostly deadly procedure performed by plastic and cosmetic surgeons.

To investigate this ASAPS created a task force, which surveyed, queried and interviewed medical malpractice carriers, state medical boards, individual plastic surgeons world wide, American medical examiners and U.S. autopsy reports in July 2016. 25 deaths associated with the procedure were confirmed by individual surgeons and medical examiners over the previous 5 years. 4 deaths were reported between 2014 and 2015 by the American office operating room accreditation entity AAAASF. That translates to 1 death every 2 to 3 months from this procedure. The very first case report of death following buttock fat injection due to fat travelling to the lungs (pulmonary fat embolization-PFE) was published in the pathology literature in 2015. I am also aware of deaths from the procedure due to puncture of large arteries or bowel with the metal tubes used to harvest or inject the fat. The ASAPS task force consisted of 11 surgeons, pathologists, and statisticians who limited their study to the risks of both fatal and nonfatal fat embolization. Most non-fatal fat embolization cases require a stay in the intensive care unit on a ventilator breathing machine and may result in permanent lung impairment.

The queried surgeons accounted for a career total of 198,857 cases. In this group there were 32 fatal and 103 non-fatal fat embolization cases. Over the previous 12 months (July 2015 to July 2016) this group had performed 17,519 cases resulting in 5 fatal and 12 nonfatal pulmonary fat embolization cases. That is almost 1 death every 2 months and 1 case requiring hospitalization in the intensive care unit per month. Surgeon experience i.e. number of cases performed was not statistically related to the number of pulmonary fat embolization cases. About half of the surgeons reported having performed 50 or fewer cases. The technique used/described by the surgeon though was statistically associated with increased risk of having either complication.

Transverse View of the Right Side of the Body at Hip Level





Tuesday, February 5, 2013

Brazilian Butt Lift - Buttock Augmentation Implants and Injections

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Fertility dolls with large hips and buttocks have been found dating back to the pre-dynastic Egyptians of 4000 B.C.

Doll statues and carvings were often placed near a couples bed or on the family altar with suitable offerings that would ask the fertility goddess to work in their favour.

With colonization of Africa in the 1800s women's clothing styles in Europe aimed to accentuate a thin waist with large hips and buttocks. At first this was accomplished by layering clothes on top of each other (petticoats). These could become quite heavy so caged or hooped underskirt frames (crinolines) followed by bustles and then corsets were introduced.




Monday, December 1, 2008

Free Fat Grafting

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Grafts of small pieces of fat removed from one area of the body and placed in another area was first attempted in the late 1800s and early 1900s. These were used as padding between 2 surfaces in the body, plugs to stop bleeding, to fill out indented areas for cosmetic reasons, etc. The main difficulty was getting the fat to survive as larger blobs of fat would die before any blood vessels could grow into them. More than half of the implanted fat would disappear so early proponents of this would put more fat in place than they needed. That way they would end up with the right amount of fat after blood vessels finished growing into the fat and no more fat would die. In order to make the fat easier to work with (structurally more durable) and add some bulk to the graft a thin layer of deep skin layers were left attached to the fat grafts. These are called dermal fat grafts. Unfortunately this does not make more of the graft survive. Also those grafted tissues that do not survive tend to turn into scar tissue that may be seen and/or felt leading to a poor cosmetic result.


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