“As the Brazilian facelift continues to gain popularity, plastic surgeons around the world are searching for answers on how to perform it safely and effective”. “We wanted to share our Brazilian perspective on the critical steps in this procedure – highlighting the need to avoid injection of fat directly into the gluteal muscle to avoid potentially serious complications.”
“Our article summarizes the technical knowledge and experience that we have acquired while striving for the best cosmetic results and the best safety results with patients looking to improve their shape, ”published in Plastic and Reconstructive Surgery ® , the Official Physician Journal of the American Society of Plastic Surgeons (ASPS), the Rosics article was named Best international article in the journal’s annual Best Paper Awards.
Pushed by celebrity idols and social media influence – think Kim Kardashian and Nicki Minaj – more and more women are looking for the Brazilian buttock lift to obtain a fuller and rounder shape of the buttocks. According to statistics from the ASPS, nearly 24,000 women underwent buttock augmentation with fat grafting in 2018 – a 10% increase from the previous year. “With five years of continuous growth, buttock augmentation is no longer considered a passing trend.”
In Brazilian butt lift, the plastic surgeon performs liposuction to get fat from a part of the body, such as the abdomen, thighs or flanks; then uses the processed fat to sculpt and improve the appearance of the buttocks. Fat grafting quickly became the preferred choice for buttock enhancement, although buttock implants are still a good option for some patients. “There is an accumulated experience of over 30 years with this procedure in Brazil”. “Recent data shows that Brazil alone performs 20% of the total buttock augmentation procedures performed globally.”
A critical issue is the need to avoid serious adverse events. In 2015, reports began to show a low but significant death rate from fat embolism in patients undergoing Brazilian butt lift surgery. These reports triggered an urgent safety warning about these risks, as well as a warning to plastic surgeons to ensure proper technique – specifically, the injection of fat into the subcutaneous tissue, not directly into the gluteal muscles.
The authors note similarities with the safety concerns raised by the growing popularity of liposuction in the late 1990s. “As in this situation, a better understanding of the risks and an appropriate plastic surgery technique, the complications have decreased ”. More recently, new data suggesting that buttock augmentation may be considered safer than a tummy tuck, a widely accepted procedure.
The authors provide a simple memory aid to remind plastic surgeons of the key steps to ensure safe execution of buttock augmentation with fat grafting. The mnemonic “BRAZIL” refers to the use of blunt cannulas, retrograde injection, abundant hydration, avoiding injection into the defined danger zone, the use of implants in certain cases and injecting the largest volume of fat into the subcutaneous area. The award-winning paper follows on from a previous article that reported high patient satisfaction rates after a Brazilian butt lift. This study also gained worldwide attention, receiving the PRS Award for Best Cosmetic Paper for 2016.