New BBL Safety Legislation Praises Board-Certified Cosmetic Surgeons

Discover how the new BBL safety legislation in Florida is protecting patients. Learn about the risks and the role of board-certified cosmetic surgeons.

The American Board of Cosmetic Surgery (ABCS) has praised the recent implementation of new BBL safety legislation in Florida. This legislation now mandates ultrasound guidance and other safety measures for all gluteal fat grafting surgeries performed in office settings. BBL surgery, or Brazilian butt lift, carries unique risks and the new laws aim to protect patient safety without limiting physicians’ rights. Issues such as improper injections and the rising popularity of the procedure have contributed to the need for increased safety measures. The ABCS is also taking steps to promote BBL safety, including launching a Brazilian Buttock Lift Safety Exam and hosting a national safety course. With a focus on patient safety, the ABCS aims to champion this cause on a broader scale.

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Background Information

BBL Surgery and its Risks

Brazilian butt lift (BBL) surgery has gained significant popularity in recent years, thanks to its ability to enhance and reshape the buttocks. However, like any surgical procedure, BBL surgery comes with its own set of risks. One of the most severe risks associated with BBL surgery is pulmonary fat embolism (PFE), which can occur when fat is injected too deeply into the gluteal muscles, resulting in fat entering the bloodstream and potentially causing a fatal blockage in the lungs.

Rise in Popularity of BBL Procedures

The rise in the popularity of BBL procedures has led to a concerning trend of what some experts refer to as “BBL factories.” These are facilities where surgeons perform numerous BBL surgeries in a day, often without taking the necessary precautions and without proper candidate selection and pre-surgical counseling. This increase in demand for BBL procedures has also led to a surge in the number of inexperienced surgeons attempting the surgery, further increasing the risks associated with the procedure.

New BBL Safety Legislation in Florida

Overview of the Florida Law

Recognizing the need to address the risks and ensure patient safety, Florida lawmakers have recently enacted new legislation to regulate BBL surgery. The law mandates the use of ultrasound guidance or an equivalent, medical board-authorized technology to help avoid intramuscular injection. This technique is crucial in ensuring that fat is injected into the subcutaneous space rather than crossing the muscle’s overlying fascia. Additionally, the law requires physicians to meet in person with patients no later than one day before their surgery and prohibits the delegation of fat extraction or injections to someone else.

Addressing Risks and Codifying Best Practices

The Florida law aims to address the risks associated with BBL surgery by codifying best practices for the procedure. By requiring ultrasound guidance and prohibiting intramuscular injection, the law helps ensure that surgeons follow proper injection techniques and reduce the risk of PFE. The in-person consultation requirement ensures that patients receive thorough pre-surgical counseling and enables surgeons to assess the patient’s suitability for the procedure. Overall, the new legislation provides a crucial framework for enhancing patient safety in BBL surgeries.

Praise from Board-Certified Cosmetic Surgeons

Commendation for Florida Lawmakers

Board-certified cosmetic surgeons, particularly those affiliated with the American Board of Cosmetic Surgery (ABCS), have commended Florida lawmakers for their proactive approach to protecting BBL patients. The ABCS, a leading organization in promoting patient safety and certifying surgeons in cosmetic procedures, recognizes the importance of regulations and legislation that strike a balance between patient safety and the rights of physicians to practice.

Importance of Patient Safety

The commendation from board-certified cosmetic surgeons highlights the importance of prioritizing patient safety in BBL surgeries. These surgeons understand the risks involved in BBL procedures and believe that the new legislation in Florida will serve as a significant step towards minimizing those risks. Patient safety is a fundamental principle of ethical medical practice, and any measures that support this principle are highly valued by board-certified cosmetic surgeons.

Understanding the Risks of BBL Surgery

Pulmonary Fat Embolism (PFE)

One of the most significant risks associated with BBL surgery is pulmonary fat embolism (PFE). This occurs when fat injected into the gluteal muscles enters the bloodstream and blocks the blood vessels in the lungs, causing severe respiratory distress and potentially leading to death. It is imperative that surgeons take precautions to prevent fat from being injected too deeply into the gluteal muscles, thus minimizing the risk of PFE.

Proper Injection Techniques

Proper injection techniques play a crucial role in reducing the risks associated with BBL surgery. Surgeons must carefully inject fat into the subcutaneous plane, just below the skin, to avoid injecting fat into the gluteal muscles. This requires precise skill and knowledge of anatomy. By adhering to proper injection techniques, surgeons can significantly mitigate the risk of PFE and other complications.

Board-Certified Cosmetic Surgeons and BBL Safety

Role of the American Board of Cosmetic Surgery (ABCS)

The ABCS plays a vital role in promoting patient safety and advocating for best practices in cosmetic surgery, including BBL procedures. As an organization of board-certified cosmetic surgeons, the ABCS sets rigorous standards for its diplomates to ensure that they adhere to the highest level of proficiency and safety in their practice. By enforcing these standards, the ABCS aims to protect patients and improve the overall quality of cosmetic surgical care.

ABCS Efforts to Promote BBL Safety

To further promote BBL safety, the ABCS has taken proactive measures. Firstly, they will be launching a Brazilian Buttock Lift Safety Exam in the near future. This exam will be the first of its kind, open to all surgeons interested in enhancing their skills and demonstrating their commitment to patient safety in BBL surgeries. Secondly, the ABCS will hold its second national Brazilian butt lift safety course in New Orleans next February. These initiatives demonstrate the ABCS’s dedication to educating and supporting surgeons in enhancing patient safety.

ABCS Brazilian Buttock Lift Safety Exam

Exam Details and Purpose

The Brazilian Buttock Lift Safety Exam, developed by the ABCS, is designed to assess surgeons’ knowledge and proficiency in performing safe and effective BBL surgeries. The exam aims to ensure that surgeons understand the risks associated with the procedure, have a thorough understanding of proper injection techniques, and demonstrate their commitment to patient safety. By offering this exam, the ABCS provides a valuable opportunity for surgeons to refine their skills and stay updated on the latest advancements in BBL safety.

Open to All Surgeons

Unlike other certification exams that may have stringent prerequisites or limitations, the ABCS Brazilian Buttock Lift Safety Exam is open to all surgeons interested in enhancing their BBL skills. This inclusivity allows surgeons from various backgrounds and levels of experience to participate, offering a valuable learning experience for all. By making the exam accessible, the ABCS aims to encourage a widespread commitment to patient safety in BBL surgeries.

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ABCS National Brazilian Butt Lift Safety Course

Course Details and Date

The ABCS will be hosting its second national Brazilian butt lift safety course in New Orleans next February. The course aims to provide surgeons with comprehensive training and education on BBL safety. Participants will have the opportunity to learn from leading experts in the field and engage in practical workshops to refine their skills in proper injection techniques and other important aspects of BBL surgery. The course is open to all interested surgeons who seek to enhance patient safety and improve their proficiency in BBL procedures.

Supporting Surgeons in Enhancing Patient Safety

The national Brazilian butt lift safety course offers an invaluable resource for surgeons looking to enhance patient safety in their BBL practice. By equipping surgeons with the knowledge and skills necessary to perform BBL surgeries safely and effectively, the ABCS supports the ongoing pursuit of excellence in cosmetic surgery. This course serves as a platform for surgeons to learn from industry leaders, share experiences, and stay updated on the latest best practices in BBL safety.


The recent legislation in Florida mandating ultrasound guidance and other safety measures for BBL surgeries is an important step towards protecting patients and enhancing safety in the field of cosmetic surgery. Board-certified cosmetic surgeons, such as those affiliated with the ABCS, commend Florida lawmakers for their efforts in striking a balance between patient safety and the rights of physicians. The risks associated with BBL surgery, particularly pulmonary fat embolism, highlight the importance of adhering to proper injection techniques and promoting patient safety.

The ABCS, through initiatives such as the Brazilian Buttock Lift Safety Exam and the national safety course, further supports BBL safety by providing opportunities for surgeons to enhance their skills and knowledge. By promoting best practices and offering comprehensive training, the ABCS aims to elevate the standards of patient care and ensure that BBL surgeries are performed with the utmost safety and proficiency. With the collaboration of lawmakers, medical professionals, and organizations like the ABCS, the field of cosmetic surgery can continue to evolve and prioritize patient safety above all else.

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