Recently there has been much concern in the media over the safety of the procedure. The Gluteal Fat Grafting Safety Panel has concluded that a BBL can be performed safely when the surgeon performs all fat injections into the subcutaneous layer of the buttock. Fat should never be injected into the gluteal muscles or the fascia, which are structures below the subcutaneous layer. Injections into the muscle increases the risk of Pulmonary Fat Embolism (PFE), a very serious complication.
If you have been told that you require liposuction for medical reasons, you can be certain that insurance will only cover the extent of treatment needed to relieve your symptoms. In many cases, this amount of treatment is not going to result in flattering aesthetics. As such, you should consider the benefits of paying for further treatment that will help you not only achieve relief, but also an aesthetic enhancement that can help you feel confident about your appearance. Many practices, including mine, will work with patients in need of liposuction for medical reasons to determine a more comprehensive treatment plan, often at a discounted rate.
It’s important to understand exactly what your doctor’s quote includes. Does the number only include your surgeon’s fee? Or will it cover anesthesia, hospital fees, pre- or post-op appointments, and medications you’ll need throughout your recovery? If your doctor’s estimate doesn’t consider all those costs, be sure to factor them into your budget. Also be sure to ask how your surgeon handles revisions, in case you aren’t happy with your initial results.
This depends on your goals and if you have enough fat. Most of the time, patients have enough fat to achieve their desired results. However, if you don’t, then you may need butt implants instead. Keep in mind, though, that butt implants have been linked to more risks, including capsular contracture (formation of excess scar tissue around the implant), implant displacement and seroma/hematoma (fluid/blood collection).
 This technique of injecting the fat into the buttocks can be performed either with 1) manual injections or 2) with an injection pump. For 15 years I have performed manual fat injections, as I believe this technique is safer than the use of high pressure pumping techniques. With the manual injection technique, the fat is placed (or transferred) to the buttocks in hundreds of injections with special cannulas. Small amount of fat (2cc-5cc) are injected with each injection pass.

Since the fat that is eventually grafted into your bottom is extracted from other areas of your body, the BBL provides an ideal solution for people who would like more shapely glutes but would also like to refine their midsection with liposuction. Moreover, as the fat used for injection is your own tissue, there is no risk of allergic reaction or rejection.
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