Brazilian Butt Lift questions

It is gluteal fat grafting: fat removed by liposuction is injected into the buttocks to change size and shape. It adds volume and does not remove loose skin.[1][2]

A 2017 survey found a higher death rate than for any other aesthetic operation, with 32 deaths in 198,857 cases. After surgeons moved to subcutaneous-only injection, the reported rate trended down to 1 in 14,952 by 2019.[1][2]

In an office surgery setting, s. 458.328 requires fat only in the subcutaneous space, ultrasound or equal guidance while injecting, an in-person exam by the day before, and one physician per patient from anesthesia to extubation.[1]

No. Florida law says fat extraction and gluteal fat injection must be done by the physician and may not be delegated. Other delegated duties need the patient's written consent and direct supervision.[1]

A 2022 emergency rule limited a surgeon to 3 a day. Current law requires one physician per patient during the whole procedure, and the physician may not start another procedure on another patient at the same time.[1][2]

Ultrasound shows the cannula above the fascia while fat is injected. A meta-analysis of 6,235 ultrasound-guided cases found no deaths or fat emboli; a 2026 review found no randomized trials.[1][2][3]

ASPS says 60 to 80% on average. Final results show at about one year, and the grafted fat changes with weight.[1]

ASPS advises avoiding prolonged sitting for about two weeks, sleeping face down or on the side, and using a cushion behind the thighs. Exercise usually resumes after six to eight weeks.[1]

One review found complications in 21.6% of implant patients and 9.9% of fat grafting patients. A survey of 2,226 implant patients counted complications in 38.1%.[1][2]

Sculptra (poly-L-lactic acid) is injected off-label in the buttocks; FDA approved it for the face. In a 30-woman trial, 84% were rated improved at 6 months. FDA recommends against fillers to increase buttock size and has not approved injectable silicone for any aesthetic use.[1][2][3]