Static Injection, Migration, and Equalization (SIME): A New Paradigm for Safe Ultrasound-Guided Brazilian Butt Lift:...

Area of Science:

• Plastic Surgery
• Aesthetic Medicine
• Surgical Technology

Background:

• Brazilian butt lift (BBL) is a popular body contouring procedure.
• Fat embolism risk exists with gluteal muscle injection during BBL.
• Consistent subcutaneous fat graft placement is crucial for safety but difficult to confirm.

Purpose of the Study:

• To evaluate real-time intraoperative ultrasound for identifying gluteal subcutaneous landmarks.
• To determine if ultrasound enables consistent fat graft placement in the subcutaneous space.
• To assess ultrasound's utility in guiding BBL procedures.

Main Methods:

• 4150 Brazilian butt lift (BBL) procedures utilized real-time intraoperative ultrasound.
• Ultrasound confirmed cannula position and fat graft placement in the subcutaneous plane.
• Operative times were compared to BBLs performed without ultrasound.

Main Results:

• Real-time ultrasound provided visual confirmation of subcutaneous fat graft deposition.
• The technique allowed precise targeting of fat into specific gluteal subcutaneous compartments.
• Fat graft placement was consistently maintained above the deep gluteal fascia.

Conclusions:

• Real-time intraoperative ultrasound enables confirmation of subcutaneous-only fat injection.
• The technology facilitates targeted fat deposition within specific gluteal compartments.
• Ultrasound assists in leveraging the deep subcutaneous space for improved gluteal projection and contouring.