Buttock augmentation or Gluteal Fat Grafting procedure is considered to be one of the fastest growing cosmetic procedures in the United States and according to the American Society for Aesthetic Plastic Surgery (ASAPS) around 20,000 Buttock augmentation surgeries have been performed in 2016. ASAPS began tracking fat grafting to the buttocks in 2015, and for the two years it has collected that data, an average of 91% of all buttock augmentation procedures have consisted of fat grafting. Recently, The Aesthetic Surgery Education and Research Foundation (ASERF) formed the Gluteal Fat Grafting Task Force to investigate the risks associated with this increasingly popular procedure.
‘According to the American Society for Aesthetic Plastic Surgery, more than 20,000 Buttock augmentation procedures have been performed in 2016 alone, it is currently one of the fastest growing aesthetic procedures in the United States’The Task Force, comprised of board-certified plastic surgeons, identified factors that either added risk or proved to be protective and/or preventative techniques associated with the procedure.
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These findings were published in the Aesthetic Surgery Journal and have led to the adoption of the following recommendations:
- Avoid injecting fat into the deep muscle
- Use a >4.1 mm single hole injection cannula
- Avoid downward angulation of the cannula
- Position patient and place incisions to create a path that will avoid deep muscle injections
- Maintain constant three-dimensional awareness of the cannula tip Only inject when cannula is in motion
- Consider pulmonary fat embolism in unstable intra- and postoperative patients
- Review gluteal vascular anatomy and draw landmarks to identify and avoid injection into the pedicle
- Include risk of fat embolism and surgical alternatives in the informed consent process
ASERF in concert with ASAPS, is also committed to educating prospective patients about the importance of finding a board-certified plastic surgeon when considering any plastic surgery procedure.