Robert Whitfield MD explains how fat transfer works differently for butts versus faces. Brazilian butt lifts started in South America 20 years ago, but deaths from the procedure emerged in Miami and LA about a decade earlier. Butt patients tend to be younger and heavier, while facial transfers are persistent and can expand if someone gains weight.
Well, I think if you look at 20 years ago in South America, they started doing butt augmentation with fat, the Brazilian butt lift. And then in this country, you know, we'll just say about 10ish years ago and about, what is it? We'll say 15, 16, 17. There were several deaths in Miami and LA from fat transfers to butts. And they were both unnecessary and they're more technical misadventures. Fat transfers are very simple to do. I've done several thousand fat transfers for cancer patients, cosmetic patients. They work given a certain set of parameters. And if you, you think of the two groups, if someone's getting a butt done, they're typically a younger patient. They may be a little bit heavier patient. And you're recontouring the waist, the abdomen and the inner outer thighs to create a shape and, and a bigger butt. Fine. Does that go away at, you know, five years, 10 years, 20 years? No. In fact, they typically get bigger because we usually gain weight. We don't. So if you look at a fat transfer in a face, that's what's going to happen in a face. If you put fat in someone's face when they're younger, uniformly it heals. And then over time, those people gain weight and it gets fuller. So what's the problem with the breasts?
