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Deaths Caused by Gluteal Lipoinjection: What Are We Doing Wrong?
Lázaro Cárdenas-Camarena1, Jorge Enrique Bayter, Herley Aguirre-Serrano
1Guadalajara, Jalisco, México; and Bucaramanga and Bogotá, Colombia From the Instituto Jaliscience de Cirugia Reconstructiva, INNOVARE Cirugía Plástica Especializada; Security Committee of the Mexican Association of Plastic Esthetic and Reconstructive Surgery; Anesthesiologist and Reanimation Critical and Intensive Care Medicine, Clínica "El Pinar"; and Universidad Nacional de Colombia, Instituto Nacional de Medicina Legal y Ciencias Forenses Regional Colombia.
Gluteal lipoinjection can cause death due to fat embolism from blood vessel damage. Surgeons should avoid deep muscle injections during buttock augmentation to minimize risks.
Area of Science:
- Plastic Surgery
- Aesthetic Medicine
- Surgical Safety
Background:
- Gluteal lipoinjection is a popular cosmetic procedure for gluteal contour enhancement.
- Limited research exists on the causes of mortality associated with gluteal lipoinjection.
Observation:
- A study analyzed deaths from gluteal lipoinjection in Mexico and Colombia.
- Data was collected via surveys of plastic surgeons and autopsy records.
Findings:
- Gluteal lipoinjection was linked to mortality, primarily from fat embolism.
- Deaths often occurred during or immediately after the procedure due to gluteal blood vessel damage.
Implications:
- Intramuscular gluteal lipoinjection carries a risk of fatal fat embolism.
- Careful surgical technique, avoiding deep muscle plane injections, is crucial for patient safety.
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