With cosmetic surgery and aesthetic therapies on the rise, there’s one surgical choice that our readers don’t need. The Brazillian Butt Raise, or BBL, is likely one of the most controversial surgical procedures in current reminiscence, and in accordance with our fourth version of the State of Aesthetics, essentially the most educated customers have named it essentially the most unpopular process for the second yr in a row.

We dive deep into the BBL, discover what’s behind its unpopular place and discover out what specialists take into consideration this sizzling matter process.

State of Aesthetics

Should you’re studying this, you’re in nice firm. NewBeauty readers are essentially the most superior and educated customers, and that’s why the State of Aesthetics faucets 1000’s of you to supply a real-time take a look at the aesthetic business. Powered by BeautyEngine subscribers, we check out what’s in style, how readers select their therapies, and what you search for in a supplier.

See our full report right here.

The BBL is Unpopular Amongst Customers

With 72% of respondents saying they’d by no means contemplate a Brazillian Butt Raise, our State of Aesthetics information reveals that the BBL is extra unpopular than some other surgical procedure for the second yr in a row amongst educated customers. Actually, the second-most unpopular process, the breast discount, solely garnered 41%.

It’s clear that the BBL is unpopular amongst educated customers.

Duxbury, Massachusetts plastic surgeon Christine Hamori, MD notes that requests have dipped at her observe through the years. “I’ve observed over the previous few years that BBL requests have decreased considerably,” Dr. Hamori says. “Possibly it’s associated to the semaglutide or ‘skinny shot’ craze the place folks not have fats to maneuver to their buttocks.”

What’s a Brazillian Butt Raise?

Designed to switch fats from areas of the physique to the buttocks to create a shapely, totally backside, the Brazillian Butt Raise is a surgical procedure with an advanced historical past. For one, the surgical procedure itself has essentially modified because it first rose to reputation within the 2010s.

Palo Alto, CA plastic surgeon David Boudreault, MD explains that the earlier technique concerned injecting fats straight into the muscle. “Historically, medical doctors have been injecting into the muscle, which might journey into the blood vessels after which the lungs, which prompted a pulmonary embolism and folks would die,” Dr. Boudreault explains. “After analysis, all board-certified medical doctors have a brand new method of performing the process in the event that they need to stay compliant, referred to as the subcutaneous-only gluteal augmentation.”

However it isn’t simply the strategy of surgical procedure that has modified. In keeping with Pittsburgh plastic surgeon Jeffery R. Antimarino, MD, what you’d contemplate a BBL now can be totally different in strategy and targets. “We nonetheless contemplate these procedures a BBL as a result of we’re speaking about contouring and altering the form of the decrease physique,” Dr. Antimarino explains. “We’re not going for quantity; we’re going for form.”

Is the BBL Protected?

As soon as thought of essentially the most harmful beauty surgical procedure by the American Plastic Surgical procedure Affiliation, the BBL seems very totally different from 2019. When carried out by a board-certified plastic surgeon adhering to the brand new customary for the process, issues have been considerably lowered.

“Usually, when sufferers have points, principally with fats embolisms, that’s the results of the surgeon putting fats within the muscle tissue,” Dr. Antimarino explains. “And after they try this, they’re hitting massive blood vessels which can be very deep. So, while you keep extra superficial and in direction of the pores and skin, there’s actually no massive blood vessels in these areas. That method, the danger could be very small to sufferers.”

The American Society of Plastic Surgeons additionally commissioned analysis on the BBL and codified this safer strategy as a proper advice. “Latest survey information has urged that many, many surgeons are altering their method primarily based on the suggestions of the duty drive and that the mortality charge is roughly that of the stomach tuck, one in about 15,000,” mentioned Pittsburgh plastic surgeon and ASPS former President, J. Peter Rubin, MD.

Now, to stay compliant, board-certified plastic surgeons should carry out the process on this method.

“I’ve been performing the up to date model of the process for nearly six years now and I’ve by no means had a complication,” Dr. Boudreault explains. “However it’s actually essential to ask your surgeon what method they’re utilizing.”

Is the BBL Development Over?

Sure and no.

We most likely received’t see that 2010s craze once more. Some celebrities have had their BBLs eliminated and we’re seeing a sustained progress of ‘tweakment’ procedures reasonably than dramatically emphasised varieties. That’s to not point out that the BBL has extra dangerous press than most beauty procedures, and even its up to date, safer method can’t fully shake that repute.

That mentioned, there are nonetheless those that are in search of contour and form on this space. “Personally, I see most likely two sufferers every week which can be within the BBL,” Dr. Antimarino says. “It’s not ever been massively in style in my space, nevertheless it’s nonetheless a sustained curiosity.”