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BBL & Gluteal Fat Grafting – BAAPS Update

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Gluteal fat grafting (GFG), more commonly known as a or BBL, has recently been studied by the British Association of Aesthetic Plastic Surgeons. After conducting a four-year analysis of outcomes data and a detailed of new technologies, BAAPS has published new guidelines on superficial gluteal lipofilling (SGL) in the UK.

Click here to read the new 2022

BAAPS had previously advised its members against performing a Brazilian butt lift, also known as a BBL. This was due to suggesting there was a higher death rate associated with the procedure with other types of fat transfer surgery. Brazilian butt lift in the UK has become an increasingly requested procedure with 20% growth in numbers annually. The traditional method of buttock augmentation involved buttock implants. The rate of complications after buttock implant surgery has often been viewed as acceptably high, with higher rates of implant-related complications, . In 2020 alone, there were reported to be over 40,000 buttock augmentation procedures, including both buttock implants and fat transfer to the buttocks.

Reports surfaced in 2015 detailing serious complications with BBL surgery, fat emboli and inadvertent fat injection into the deep pelvic veins. BAAPS, therefore, advised its members not to perform gluteal fat grafting.

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Brazilian Butt Lift Overview

BBL is a specialised body contouring procedure designed to enhance the fullness and shape of the buttocks by removing fat from other areas of the body using . Common liposuction areas include the abdomen, flanks and thighs. The fat that has been removed will then be processed to remove impurities before being injected into the buttocks. The procedure produces a more defined and fuller shape of the buttocks. As with any surgical procedure, BBL surgery involves certain risks that must be understood before deciding to undergo the procedure.

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What do the new BBL guidelines recommend?

The driving force behind the new guidelines and procedure protocols has been encouraged by the development and refinement of new BBL techniques and since 2018. The new BAAPS recommendations regard the procedure as safe, provided that important surgical steps are followed, including:

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Here at Centre for Surgery, we fully embrace the new BAAPS guidelines Birthmarks and blemishes have been using these since 2019, which makes us one of the most centres for superficial gluteal lipofilling in the UK, with over 500 procedures carried out with no over the last three years. All serious complications associated with BBL have involved fat injection into the muscle layer. Our surgeons take precautions to avoid the deeper injection of fat into the muscle layer and use the ultrasound-guided BBL to ensure that fat is injected into the subcutaneous layer of the buttocks. guidance is the only way to ensure the procedure is carried out as safely as possible.

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Unfortunately, growing numbers of patients based in the UK continue to choose surgeons who are not listed on the GMC register or choose to have the abroad, Turkey. The standards of medical regulation in Turkey and Europe do not match the highly rigorous healthcare regulatory standards in the UK. There could be a higher risk of complications, including severe sepsis, deep vein thrombosis, pulmonary embolism, and potentially fatal fat when patients have a BBL abroad.

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Why choose Centre for Surgery for BBL?

Centre for is regulated by the Care Quality Commission (CQC) in the UK, and our is situated in Marylebone, in the heart of central London. We have achieved a ‘good’ rating at our Baker Street clinic. Our standards of postoperative aftercare have been described as ‘outstanding’ by the CQC. All our surgeons who perform fat grafting, also known as superficial gluteal lipofilling, are listed on the GMC specialist register for plastic surgery and have extensive experience in performing fat transfer to the buttocks in London.

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Please call us today at or fill out the below to schedule an in-person consultation with a specialist BBL Surgeon.

Call or fill in the form below. A patient coordinator will call you within one working day to book your consultation with the consultant best matched to your enquiry.

—Please choose an option—Rhinoplasty (nose surgery)Blepharoplasty (eyelid surgery)Facelift / Neck liftOtoplasty (ear surgery)Breast augmentationBreast liftBreast reductionLiposuctionTummy tuckBrazilian Butt Lift (BBL)Mummy makeoverLabiaplasty / Cosmetic gynaecologyGynaecomastia (male breast reduction)FTM / MTF top surgerySkin lesion / mole removalMorpheus8 / Fotona / non-surgicalRevision surgery (any previous procedure)Other / not sure yet




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Centre for Surgery is a CQC-regulated private hospital on London’s Baker Street, delivering plastic and cosmetic surgery through GMC-registered specialist surgeons. Our expertise spans facial procedures including and , , for men, and body contouring procedures such as and . Patient safety, surgical excellence and results sit at the heart of everything we do.

Centre for Surgery is a private hospital on London’s iconic , and cosmetic led by GMC-registered consultant surgeons.

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