Division of Plastic and Reconstructive Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.
Aesthet Surg J. 2023 Feb 3;43(2):162-178. doi: 10.1093/asj/sjac224.
Brazilian butt lift (BBL) surgery has been the fastest growing aesthetic surgical procedure over the past decade. By 2017, the risk of death from pulmonary fat (PFE) was identified, earning the BBL the highest mortality rate of any aesthetic surgical procedure. South Florida carries the highest BBL mortality by far in the nation.
The purpose of this study was to explore the factors involved in making South Florida an outlier in terms of BBL mortality.
The anatomic findings of the gluteal dissections from 11 post-BBL surgery autopsies (22 hemibuttocks) were assessed for commonalities. The public records of patients who died from BBL-related fat emboli were examined to determine commonalities.
All BBL PFE cases had fat grafts injected into the gluteal musculature in multiple different levels. Another commonality involved the location where the surgery took place, with the great majority of patients (92%) undergoing surgery at high-volume, budget clinics located in South Florida. Short surgical times of approximately 90 minutes appeared to be the norm for these cases.
South Florida has experienced 25 BBL-related fat emboli deaths between 2010 and 2022; however, 14 of these occurred after publication of the Aesthetic Surgery Education and Research Foundation's 2018 guidelines and the 2019 Florida Board of Medicine's BBL "subcutaneous-only" rule. The working environment at the clinics, and the short surgical times for these cases, may be the most important contributors to the BBL mortality in South Florida.
巴西臀部提升（BBL）手术是过去十年中增长最快的美容手术。到 2017 年，已确定肺脂肪（PFE）死亡风险，使 BBL 成为任何美容手术中死亡率最高的手术。到目前为止，南佛罗里达州的 BBL 死亡率是全国最高的。
本研究旨在探讨使南佛罗里达州成为 BBL 死亡率异常的因素。
评估了 11 例 BBL 手术后尸检（22 个半臀部）的臀部解剖发现中的共同因素。检查了因 BBL 相关脂肪栓塞而死亡的患者的公共记录，以确定共同因素。
所有 BBL PFE 病例的脂肪移植物均注入臀部肌肉的多个不同层次。另一个共同点涉及手术地点，绝大多数患者（92%）在南佛罗里达州的高容量、预算诊所接受手术。这些病例的手术时间通常约为 90 分钟。
南佛罗里达州在 2010 年至 2022 年间经历了 25 例与 BBL 相关的脂肪栓塞死亡病例；然而，其中 14 例发生在 2018 年美学外科学教育和研究基金会的指南和 2019 年佛罗里达州医学委员会的 BBL“皮下”规则发布之后。诊所的工作环境以及这些病例的短手术时间可能是南佛罗里达州 BBL 死亡率的最重要因素。
