July 26, 2019—On June 11, 2019, a task force of multiple plastic surgery societies (ASAPS, ASPS, ISAPS, ISPRES, and IFATS) issued an urgent Gluteal Fat Grafting Safety Advisory in response to the alarming number of deaths still occurring from the Brazilian Butt Lift (BBL).
The cause of mortality is uniformly fatal fat embolism due to fat entering the venous circulation. The research findings suggest that mortality risk can be minimized if the entire procedure is confined to the subcutaneous space with no violation of the fascia of the gluteus maximus muscles. The procedure should be approached with extreme caution.
The guidelines suggested here are not rules, do not constitute legal advice, and do not ensure a successful outcome. The ultimate decision regarding the appropriateness of any treatment must be made by each healthcare provider considering the circumstances of the individual situation and in accordance with the laws of the jurisdiction in which the care is rendered.