Sadideen H, Akhavani M A, Mosahebi A, Harris P A
Cadogan Clinic, 120 Sloane Street, London,UK; Department of Surgery and Cancer, Imperial College London, London, UK.
Department of Plastic Surgery, Royal Free Hospital, London, UK.
J Plast Reconstr Aesthet Surg. 2020 Nov;73(11):1966-1975. doi: 10.1016/j.bjps.2020.08.068. Epub 2020 Aug 26.
The BAAPS advice against Brazilian butt lift (BBL) surgery in the UK was set in October 2018. A Delphi study conducted by BAAPS highlighted the importance of defining current practice and perceptions amongst UK surgeons, as this is currently unknown.
To evaluate BAAPS members' current practice and perceptions around BBL surgery to ensure patient safety and propose better recommendations.
A BAAPS-commissioned survey was emailed to all BAAPS members through an on-line link. The survey collected quantitative and qualitative information in several domains.
This survey received a 44% response rate. Of 102 respondents, 32 surgeons undertook BBL surgery before the BAAPS advice to halt it. There was a wide variation in actual fat volumes injected, and in perceptions of what constituted a small or large volume. Virtually all respondents (96.9%) performed only subcutaneous fat injections. There were differences in fat harvest techniques. The majority (66.7%) felt that BAAPS should maintain its recommendation against undertaking BBL surgery until further data became available. Nearly a quarter of 102 respondents (20.6%) had been treated for BBL complications, the majority as a result of surgical tourism.
The survey provides member-reported perception and experience with regard to BBL surgery in the UK. The demand for BBL surgery and its provision should be reassessed in the UK. This information will be analysed with further national and international data to better define and shape the scope of the safety of BBL surgery in the UK. BAAPS will use such data towards the production of future guidance and support for surgeons and patients.
英国美容整形外科学会（BAAPS）于2018年10月发布了反对巴西臀部提升术（BBL）的建议。BAAPS开展的一项德尔菲研究强调了明确英国外科医生当前的手术操作及看法的重要性，因为目前这方面情况尚不清楚。
评估BAAPS成员目前在BBL手术方面的操作及看法，以确保患者安全并提出更好的建议。
通过在线链接向所有BAAPS成员发送了一份由BAAPS委托开展的调查问卷。该调查收集了多个领域的定量和定性信息。
本次调查的回复率为44%。在102名受访者中，有32名外科医生在BAAPS建议停止BBL手术之前就开展了该手术。实际注射的脂肪量差异很大，对于多少脂肪量算少或多的看法也存在差异。几乎所有受访者（96.9%）仅进行皮下脂肪注射。脂肪采集技术也存在差异。大多数人（66.7%）认为在有更多数据之前，BAAPS应维持其反对开展BBL手术的建议。102名受访者中有近四分之一（20.6%）曾接受过BBL手术并发症的治疗，大多数是由于医疗旅游导致的。
该调查提供了成员报告的关于英国BBL手术的看法和经验。英国应重新评估对BBL手术的需求及其开展情况。这些信息将与更多的国内和国际数据一起进行分析，以更好地界定和规范英国BBL手术的安全范围。BAAPS将利用这些数据制定未来针对外科医生和患者的指导意见并提供支持。
