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"Brazilian Butt Lift" under Local Anesthesia: A Novel Technique Addressing Safety Concerns
Christopher T Chia1, Spero J Theodorou1, Erez Dayan1
1From the Manhattan Eye, Ear & Throat Hospital; Harvard Plastic Surgery, Brigham & Women's Hospital, Massachusetts General Hospital; and the Department of Plastic and Reconstructive Surgery, University of Texas Southwestern Medical Center.
Gluteal lift surgery under local anesthesia is safe and effective, with no reported deaths or complications in 32 patients. This procedure offers durable aesthetic results without the risks associated with general anesthesia.
Area of Science:
- Plastic Surgery
- Aesthetic Medicine
- Surgical Safety
Background:
- The gluteal lift, or Brazilian butt lift, has seen technique and outcome improvements.
- Speculation exists that fat embolism arises from superficial vein damage, necessitating intramuscular fat injection for optimal results.
Purpose of the Study:
- To present data on gluteal lift performed under local anesthesia.
- To address safety concerns and clarify existing speculations regarding the procedure.
Main Methods:
- Gluteal lift performed under local anesthesia with oral medications and tumescent infiltration.
- Fat harvested via closed-system liposuction, gravity-separated, and injected using a peristaltic pump and specialized cannulas.
Main Results:
- 32 female patients (average age 38.6 years, BMI 24.8 kg/m²) underwent 47 procedures over 52 months.
- Average injected fat volume was 359 ml per buttock.
- No deaths or complications were reported.
Conclusions:
- Buttock fat grafting under local anesthesia demonstrates a safe and effective profile.
- The awake patient undergoing the procedure allows for immediate surgeon awareness of cannula misplacement, mitigating fat embolism risk.
- The study supports durable results and an excellent safety profile for this technique.
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