2023-05-09 20:32:14
The butt lift with fat transfer, or BBL, is considered the deadliest plastic surgery procedure, and now the Florida legislature has taken steps to make it safer.
For over 6 years, we have been telling you regarding the more than two dozen women who have died following undergoing butt lift surgeries with fat transfer or BBL’s in South Florida. Now, once once more, state legislators are taking matters into their own hands.
A new bill passed unanimously by both the House and the Senate would mandate that “fat extraction and fat injections into the buttocks must be performed by the physician and cannot be delegated.”
Four surgeons who lead our area’s leading plastic surgery societies say the law might help fix a problem that may have contributed to some of the deaths at several high-volume surgery centers.
Dr. Onelio Garcia, Board Director of the Florida Society of Plastic Surgeons, says that “some of these clinics the surgeon is doing 10-12 procedures a day.”
For his part, Dr. Pat Pazmiño, director of the Board of the Florida Society of Plastic Surgeons explains that “this law says that the surgeon needs to do all the surgery. So, if the surgeon does all the surgery, it is not possible to so many”.
Hence, nurses or physician assistants can no longer perform liposuction or fat transfer.
In all the cases we documented, the cause of death was a pulmonary embolism, which occurs when fat is injected too deep into the patient’s buttocks, penetrating the muscle.
The medical board had passed an emergency order requiring doctors to use ultrasound machines during BBLs to make sure that didn’t happen, and this bill would make that requirement law.
“When surgeons use ultrasound for this surgery, they can see and make sure that all the fat is under the skin, but never in the muscle. And because of that, the surgery is much safer,” says Dr. Pat Pazmiño.
García, Director of the Board, explains that “this will give us the opportunity that this is not a blind procedure. That the surgeon is looking at where the cannula is at all times and that he keeps it above the muscle in the subcutaneous tissue “.
The bill also requires surgeons to examine the patient in person the day before the procedure. Doctor Pazmiño agrees and you go further with his recommendations.
“Number one, they need to see and talk to the surgeon more than a day before surgery. Number two, they need to ask the surgeon when they are going to see you following surgery. For any complications or problems. And number three, before surgery, the patient should ask his surgeon to please give him the ultrasound video of the surgery”, recommends Pazmiño.
These experts say they are grateful to the legislature for prioritizing the health of patients and are hopeful the bill will soon become law.
“We encourage the governor to sign this into law,” says the president of the Florida Society of Plastic Surgeons, adding that followingward it is important to enforce that law,” says Dr. Max Polo, president of the Florida Society of Plastic Surgeons .
The only rule that the board of medicine had established that this bill does not address is a limit on the number of BBL’s a surgeon can do in a day, but these experts say that if a surgeon follows this new law and does all the surgery alone, it is impossible for him to do as many as we have reported.
The bill is now on Governor Ron DeSantis’ desk awaiting his signature.
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