A Brazilian butt lift also known as a BBL is one of the most popular cosmetic procedures at Centre for Surgery in London. The procedure consists of 360 liposuction followed by fat transfer to the buttocks to create a curvier and more enhanced silhouette. Centre for Surgery has been the home of advanced BBL surgery for the last four years and our surgeons have refined their techniques to ensure the procedure is as safe as possible. We have taken safety precautions a step further by introducing the ultrasound-guided BBL procedure where the surgeon only injects the fat into the buttocks under the direct vision of the ultrasound probe.
The older method of carrying out BBL
The previous concerns about the BBL procedure centred on the technique involved with injecting fat into the buttocks. Older methods involved injecting the fat using fine cannulas under pressure directly into the gluteus muscle. There are significant risks of injecting fat directly into the muscle including the risk of fat embolism. Fat embolism is the condition where globules of fat have entered the bloodstream from large veins located within the gluteus muscle of the buttock. This fat is then able to travel to the heart or lungs and can lead to serious complications including death. When this technique has been used, there have been reports of serious complications, particularly when people have travelled abroad including to Turkey for BBL surgery as a result of the very low prices offered. The risks of undergoing a cut-price surgical procedure carried out by an inexperienced surgeon are so significant that many women have been left with permanent life-changing injuries.
What does a ultrasound-guided BBL involve?
The first step of a BBL procedure always involves liposuction to extract fat from targeted areas of the body such as the abdomen and waist. Once the fat has been properly prepared it is then re-injected into the body with specially designed cannulas as part of the fat transfer. The surgeon will aim to inject the fat above the gluteus muscle followed by the sculpting of the area with a technique known as expansion vibration lipofilling. To accurately visualise exactly where the fat is injected requires the use of real-time ultrasound scanning. Centre for Surgery is the first clinic in the UK to utilise the ultrasound-guided Brazilian butt lift technique. The technique is so effective that all our surgeons now use ultrasound-guided fat injection as standard during all Brazilian butt lift procedures.
Once the surgeon is ready to inject fat into the buttocks, an ultrasound probe covered in a sterile sleeve is applied to the buttock to visualise the different internal layers of the buttocks including the gluteus muscle layer, and subcutaneous fat and skin. Once the surgeon has visual confirmation of the correct layer for the cannula position then the fat is slowly reinjected using a peristaltic pump and a vibrating cannula which helps to expand the space as the fat is injected. This tissue expansion principle not only optimises the safety of the procedure but is also able to increase the amount of fat that can be injected. The surgeon can see on a screen exactly where the fat is being injected and this helps to significantly minimise the risk of any fat migrating into the muscle layer. It is always important to remember that any fat which is injected into the gluteal muscle can cause disruption of large vessels and potentially lead to a fat embolism. Using ultrasound guidance makes the BBL much safer than previously. Centre for Surgery is renowned for using only the most advanced techniques and methods and remains the leading clinic for BBL surgery in London. The ultrasound-guided BBL procedure takes approximately 3 to 4 hours to complete depending on the number of areas where Liposuction was carried out.
If you’d like to learn more about the ultrasound-guided BBL technique, book a consultation with one of our expert plastic surgeons today.