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Brazilian Butt Lift: What We Learned Over 7000 Patients?

Serbülent Güzey1, Ayça Ergan Şahin2

  • 1The SG Clinic, Istanbul, Türkiye.

Aesthetic Plastic Surgery
|May 26, 2026
PubMed
Summary

Brazilian Butt Lift (BBL) using a subcutaneous-only fat grafting technique with multimodal prophylaxis resulted in zero embolic events. This large series demonstrates improved safety for gluteal augmentation procedures.

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Area of Science:

  • Plastic Surgery
  • Aesthetic Medicine
  • Surgical Safety

Background:

  • Gluteal fat grafting, commonly known as Brazilian Butt Lift (BBL), carries risks of serious embolic events.
  • Pulmonary fat embolism and thromboembolic events are significant concerns in BBL procedures.

Purpose of the Study:

  • To evaluate the safety of a standardized subcutaneous-only injection protocol for Brazilian Butt Lift (BBL).
  • To assess embolic events, thromboembolic complications, and overall safety outcomes in a large series of BBL procedures.

Main Methods:

  • Retrospective review of 7,000 consecutive BBL procedures (2018-2024).
  • Utilized subcutaneous-only fat injection, stiff cannulas, retrograde technique, sacral/lateral access, and multimodal thromboembolism prophylaxis.
  • Analyzed demographics, operative variables, complications, and patient satisfaction.
Keywords:
Autologous fat transferBrazilian Butt LiftFat embolismGluteal fat graftingSubcutaneous injectionThromboembolism

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09:51

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Published on: September 7, 2022

Main Results:

  • Zero instances of pulmonary fat embolism, fat embolism syndrome, deep vein thrombosis, or pulmonary embolism were recorded.
  • Estimated fat graft survival was approximately 70% with 1,200 cc injected per buttock.
  • Minor complications included seroma (23%), anemia (6.6%), and fat necrosis (1.9%).

Conclusions:

  • A strict subcutaneous-only injection technique combined with multimodal prophylaxis achieved zero embolic events in 7,000 BBL cases.
  • Standardized operative protocols are crucial for optimizing safety in gluteal fat grafting.
  • Minor complications were manageable, supporting the safety of this standardized approach.