Commentary on: Report on Mortality from Gluteal Fat Grafting: Recommendations from the ASERF Task Force

Wall, Simeon; Vecchio, Daniel Del

doi:10.1093/asj/sjx080

Cited by 33 publications

(7 citation statements)

References 5 publications

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“…3 This report, which used a retrospective, anonymous surgeon survey, had a 14 percent response rate. 29 In May of 2019, a second ASERF survey 30 was sent to members of the American Society for Aesthetic Plastic Surgery and the International Society of Aesthetic Plastic Surgery. The survey asked about fat embolisms and deaths associated with gluteal fat grafting in the past 24 months (the time since new subcutaneous safety recommendations were established).…”

Section: Discussionmentioning

confidence: 99%

Safety Comparison of Abdominoplasty and Brazilian Butt Lift: What the Literature Tells Us

Vecchio¹,

Wall²,

Mendieta³

et al. 2021

Plastic &Amp; Reconstructive Surgery

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Background: Although abdominoplasty is a mainstay of the plastic surgeon, the safety of the Brazilian butt lift (BBL) has been questioned, effectively being prohibited in some countries. The central rationale for the safety concern over the BBL stems from a publication stating a mortality rate of one in 3000. The question remains: What is the real safety of these procedures? Methods: Focusing on mortality, literature searches were performed for BBL and for abdominoplasty. The 2017 Aesthetic Surgery Education and Research Foundation survey data and publication were examined and analyzed. Additional data from the American Association for Accreditation of Ambulatory Surgical Facilities were obtained independently. Results: Abdominoplasty and BBL appear to have similar safety based on mortality; however, the nature of their mortalities is different. Although most abdominoplasty deaths are secondary to deep venous thrombosis/pulmonary embolism-inherent circulatory thrombotic abnormality-BBL mortality is associated with iatrogenic pulmonary fat embolism. BBL mortality rates from more recent surveys on BBL safety demonstrate a mortality of one in 15,000. Conclusions: Although deep venous thrombosis/pulmonary embolism will always remain an abdominoplasty risk, intraoperative BBL pulmonary fat embolism has the potential to be reduced dramatically with a better understanding of dynamic anatomy, surgical instrumentation, and technique. The authors are now presented with a better lens with which to view a more accurate safety profile of BBL surgery, including its place among other commonly performed aesthetic procedures.

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Section: Discussionmentioning

confidence: 99%

Safety Comparison of Abdominoplasty and Brazilian Butt Lift: What the Literature Tells Us

Vecchio¹,

Wall²,

Mendieta³

et al. 2021

Plastic &Amp; Reconstructive Surgery

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show abstract

“…To further increase the safety, the cannula tip should always be directed upward during the injection and not more than Paying attention to all these small details can help avoid serious side effects that can be life-threatening, that is, fat embolism, sciatic nerve injury. 130…”

Section: During Fat Placement It Is Very Important To Follow the Colemanmentioning

confidence: 99%

Autologous fat transfer—principles, techniques, and outcomes for facial rejuvenation, scars, breast, and buttocks

Roh

Chung

Goyal

et al. 2021

Dermatological Reviews

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Autologous fat transfer is a common method to correct soft-tissue defects. It has been used in various conditions with subcutaneous atrophy induced by trauma or inflammation. Recently, the use has become popular for cosmetic purposes such as facial rejuvenation andbody contouring. In this article, we review the science and method behind its practice and describe other possible indications for autologous fat transfer.

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“…9,10 Flexible, small-diameter cannulas can be subject to deformational bend, and syringe Luer-Lok (Becton, Dickinson & Co., Franklin Lakes, N.J.) junctions are highly unstable on axial loading. [8][9][10] This combination of flimsy cannulas and unstable junctions creates flexibility misguidance and may explain why some surgeons lack precision in fat graft deposition, which can be dangerous, both medically and aesthetically. [8][9][10] Not all patients require or desire pectoralis fat grafting, and an important discussion needs to be had with the patient about their specific goals.…”

mentioning

confidence: 99%

“…[8][9][10] This combination of flimsy cannulas and unstable junctions creates flexibility misguidance and may explain why some surgeons lack precision in fat graft deposition, which can be dangerous, both medically and aesthetically. [8][9][10] Not all patients require or desire pectoralis fat grafting, and an important discussion needs to be had with the patient about their specific goals.…”

mentioning

confidence: 99%

Discussion: Gynecomastia Treatment through Open Resection and Pectoral High-Definition Liposculpture

Wall

Claiborne

2021

Plastic &Amp; Reconstructive Surgery

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Commentary on: Report on Mortality from Gluteal Fat Grafting: Recommendations from the ASERF Task Force

Cited by 33 publications

References 5 publications

Safety Comparison of Abdominoplasty and Brazilian Butt Lift: What the Literature Tells Us

Safety Comparison of Abdominoplasty and Brazilian Butt Lift: What the Literature Tells Us

Autologous fat transfer—principles, techniques, and outcomes for facial rejuvenation, scars, breast, and buttocks

Discussion: Gynecomastia Treatment through Open Resection and Pectoral High-Definition Liposculpture

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