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American Association of Plastic Surgeons

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Public Perception Of Gluteal Fat Grafting Safety
Darya Fadavi, BS, Waverley He, BA, Franca Kraenzlin, MD, Halley Darrach, BS, Pragna Shetty, MPH, Karan Chopra, MD, Helen Xun, BA, Justin M. Sacks, MD MBA.
Johns Hopkins School of Medicine, Baltimore, MD, USA.

PURPOSE: This study aims to understand how sociodemographic factors influence perceptions of “Brazilian Butt Lift” (BBL), the cosmetic procedure with the highest mortality rate, among adult women. We also investigate whether education about risks changes willingness to receive this procedure.
METHODS: A Qualtrics© survey including education about BBL was administered on mechanical Turks, with the inclusion criteria of female sex.
RESULTS: Survey data from 489 female participants were included. 78.1% of participants found the BBL mortality rate to be higher than expected. Of the original 177 willing participants, 129 participants (72.9%) became unwilling after education. Multivariate logistic regression indicated that individuals who were more willing to undergo a BBL after education were individuals who alter their image on social media (OR 3.6, p<0.05), have a diagnosis of body dysmorphic disorder (OR 60.5, p<0.05), or have an acquaintance that received a BBL (OR 230.2, p<0.05).
CONCLUSION: Overall, survey participants were less willing to undergo BBL after being informed of its risks, indicating the critical role of patient education during informed consent. Additionally, individuals who are unhappy with their body shape, or who feel cultural or social pressure to attain a certain body shape, may accept higher levels of risk to improve their looks, suggesting that patient motivation for the procedure may limit even the most effective informed consent process. The surgical community can consider regulating the BBL procedure and improving safety using evidence-based risk-reduction techniques. Educating BBL patients of inherent risks with the procedure is critical for both surgeon and patient.


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