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Brazilian Butt Lift

Anesthesia Implications
Position : Supine, Prone, Lateral
Time : 2-4 hours (long)
Blood Loss : Moderate (50 - 200 ml)
Maintenance Paralytic : Generally not required
Considerations : Tumescent Solution

Anesthetic Approaches

1GETT
The Anesthesia:

Approach - Typically general anesthesia with an ETT due to prone positioning, and duration of the surgery. Risks - Fat embolism is a possibility, but extremely rare. The general concerns of the tumescent solution should be also considered (see below).

The Pathophysiology:

This surgery is purely cosmetic. It is performed to augment the shape and size of the buttocks without implants.

The Surgery:

The surgeon will begin with liposuction of the abdomen, flank, thighs, or back. The fat will be removed from these areas and then injected into the hips and buttocks. Fat is injected only into the subcutaneous layer and not the muscle or fascia. Injections into the muscle increase the risk of a fat embolism.