Despite latest suggestions and elevated affected person schooling on dangers, Brazilian Butt Lift–associated fatalities in South Florida proceed to happen. In the final 5 years, 19 women have died due to problems with the favored surgical procedure. It’s such a reoccurring concern that the Florida Board of Medicine made a swift transfer final week to limit the number of BBLs carried out a day by plastic surgeons to three.
The Three BBL Surgery a Day Limit
According to NBC6 in South Florida, the board dominated to restrict the variety of BBLs a surgeon can carry out every day to keep away from fatigue, which some surgeons have advocated for in an effort to scale back threat. BBL risks include fat embolism which may happen when the fats used to reshape the butt enters the bloodstream. Louisville, KY plastic surgeon M. Bradley Calobrace, MD says the ruling is a good step ahead in addressing this concern. “I think this action is very appropriate as our role as plastic surgeons is to provide treatments, but err on the side of safety. We can’t put our head in the sand. It is right to look at those things surgeons can do to minimize risks while still being able to provide the benefit. Deaths have occurred from BBLs and something must change if we want to continue to provide these treatments.”
Ultrasound Guidance Requirement To Reinject the Fat
In the final 4 years, a specialised multi-society cosmetic surgery process pressure was created to analysis BBL dangers and supply surgeons with suggestions to mitigate these dangers. In addition to urging surgeons to inject the fats above the muscle, in addition they advocate utilizing ultrasound expertise in the course of the process to keep away from puncturing an artery whereas reinjecting. Florida’s emergency ruling, which is in impact for 90 days, additionally consists of a requirement for BBL surgeons to use ultrasound expertise to information them as they inject fats into a affected person’s butt. “Real-time ultrasound imaging has been shown to be useful in determining the depth of the gluteal muscles during the BBL in order to avoid injecting fat in the wrong location that could result in fat embolism,” says Eugene, OR plastic surgeon Mark Jewell, MD. “I believe that the limitation of three BBL procedures per day per surgeon is also reasonable because surgeon fatigue can produce technical errors and mistakes during the BBL.”
While the usage of ultrasound expertise could also be deemed helpful, Tucson, AZ plastic surgeon Raman Mahabir, MD says extra info and schooling is required earlier than it turns into a requirement for surgeons throughout the board. “Safety is always important and I would support any attempt to increase the safety profile of this operation that has a high morbidity and mortality rate. That said, there is little evidence to support the use of ultrasound as a way to limit risk. At best, it may be helpful; at worst it may create a false sense of safety. What ultrasound training is required of the surgeon? What is the specific equipment and timing requirement? It may raise more questions than answers.”
Florida Plastic Surgeon Reactions
Fort Myers, FL plastic surgeon Ralph R. Garramone, MD says he hopes this determination is carried out all through the nation. “Florida may be progressive with regard to this ruling, but it should be a national standard established by the American Society of Plastic Surgeons or the American Society for Aesthetic Plastic Surgery,” he shared.
Miami plastic surgeon Sean Simon, MD, who has carried out hundreds of BBL surgical procedures, agrees that the ruling raises extra questions than gives solutions. He believes the Florida Board of Medicine ought to goal the particular “surgical mills” the place these deaths are occurring and that setting limits and the quantity of surgical procedures that may be carried out is a Band-aid answer. “If there is one takeaway about this for me, it’s that the board should look into the specific cosmetic surgery centers where this is happening. The one thing that will save lives and be incredibly simple and cost savings for the state of Florida would be to remove the Florida Department of Health as the organization that accredits these surgical centers and require that the accreditation for come from the American Association for Accreditation of Ambulatory Surgery Facilities.”
The ‘Surgical Mill’ Problem
For his half, La Jolla, CA plastic surgeon Robert Singer, MD says the suggestions have made strides in bettering the security of the process in recent times, and the Florida ruling is a affordable development to enhance security. “The other aspects are that for some reason the highest rate of fatalities has been in Florida. We do have to look at where the procedure is done and many of these centers are in strip malls without good oversight of the facilities,” he notes. “Certainly, patients need to avoid surgical mills where multiple procedures are done on these patients day and night. The issues come down to physician training, ethics, ability and the most important thing for any operation, patient safety.”
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