Click to See Reviews

Get a Quote NOW

Book Online

In-Depth Guide to BBL Complications and Risks

Conveniently located to serve San Antonio and surrounding communities.

Immediately Understanding BBL Complications

  • Fat Embolism: Fat entering bloodstream, leading to life-threatening conditions.
  • Infection: At injection or liposuction sites, potentially severe.
  • Blood Clots: Deep vein thrombosis and pulmonary embolism, posing serious risks.
  • Tissue Necrosis: Dead tissue in the buttocks causing scarring or need for further surgery.
  • Asymmetry and Contour Irregularities: Leading to uneven or unnatural buttock shapes.
  • Seroma and Hematoma: Fluid or blood collection at surgical sites, increasing infection risk.
  • Excessive Fat Removal: Can result in contour deformities in donor areas.
  • Complications from Anesthesia: Potential for adverse reactions during surgery.
  • Unrealistic Expectations: Psychological distress from unmet surgery outcomes.
  • Poor Post-Operative Care: Increasing complication risks and delaying healing.

Brazilian Butt Lift (BBL) surgery has become increasingly popular, promising to enhance the size and shape of the buttocks. However, it’s not without significant risks and complications. From fatal fat embolisms to infections and tissue necrosis, the dangers associated with this cosmetic procedure are serious. Moreover, complications like asymmetry, contour irregularities, and excessive fat removal can lead to dissatisfaction with the results, requiring additional surgeries to correct.

Understanding these risks is crucial for anyone considering a BBL. Choosing a board-certified and experienced surgeon and carefully following post-operative care instructions are key steps to minimize risks. However, even with the best precautions, complications can occur, highlighting the importance of a thorough pre-surgical evaluation and realistic expectations about the surgery outcomes.

Infographic detailing common BBL complications and risks, including fat embolism, infection, tissue necrosis, and the importance of choosing a qualified surgeon - bbl gone wrong infographic comparison-2-items-formal

Understanding BBL and Its Popularity

The Brazilian Butt Lift (BBL) is a cosmetic procedure that has soared in popularity over recent years, thanks in part to high-profile celebrities and social media influencers showcasing enhanced, curvy figures. At its core, BBL involves the transfer of fat from one part of the body to the buttocks, aiming to achieve a fuller, more voluptuous rear end.

Why BBL?

The appeal of BBL lies in its dual benefit: it slims down areas with excess fat, like the abdomen or thighs, while enhancing the buttocks. This procedure is not just about adding volume; it’s about sculpting the body for a more desirable silhouette. Plus, since it uses the patient’s own fat, there’s a lower risk of rejection compared to synthetic implants.

However, the procedure’s popularity doesn’t eliminate the potential for complications. Understanding the risks, the signs of a procedure gone wrong, and how to address issues is crucial for anyone considering a BBL.

Fat Transfer: A Natural Approach

One of the key differentiators of BBL from other butt-enhancement methods is the use of the patient’s own body fat. This technique is seen as a more natural approach to augmentation, sidestepping many of the complications associated with synthetic implants. The process begins with liposuction to remove excess fat, which is then purified and injected into the buttocks.

While the idea of using one’s own fat for enhancement is appealing, recognize that the procedure is not without risk. The handling and injection of fat must be performed meticulously to avoid complications such as fat necrosis or uneven absorption, which can lead to asymmetry and the need for revision surgeries.

The Importance of a Qualified Surgeon

Given the intricacies of the BBL procedure, the choice of surgeon cannot be overstated. A board-certified plastic surgeon with experience in fat transfer techniques is paramount to minimize risks and achieve the desired outcome. The expertise of the surgeon plays a crucial role in navigating the thin line between achieving optimal results and experiencing complications.

For those considering a BBL, it’s vital to research and choose a surgeon who not only has the necessary qualifications but also a track record of successful outcomes. Discussions during the consultation should include the surgeon’s approach to achieving symmetry, how they handle complications should they arise, and what you can expect during the recovery process.

In summary, the Brazilian Butt Lift has become a sought-after procedure for those looking to enhance their curves naturally. However, the decision to undergo a BBL should be made with a full understanding of the potential risks and the importance of selecting a qualified, experienced surgeon. Doing so can greatly increase the chances of a successful outcome and satisfaction with your new look.

Leading directly into the next section, it’s crucial to recognize the signs of a BBL gone wrong to address them promptly and effectively.

Common Complications of BBL

When considering a Brazilian Butt Lift (BBL), understand the potential for complications. While many achieve the desired outcome, some face issues that can impact both appearance and health. Here are common complications associated with BBL:

  • Uneven Buttocks: This is when one side of the buttocks looks different from the other. It can be due to uneven fat removal or transfer.

  • Lumps: Sometimes, the fat may not be evenly distributed, leading to lumps and bumps. This can make the skin’s surface look irregular.

  • Disproportionate Contours: The goal of a BBL is to create a harmonious contour from the waist down to the legs. However, improper fat placement can result in unnatural proportions.

  • Scarring: Any surgery involves cuts that can lead to scars. While they are usually discreet, some people may have more visible scarring.

  • Chronic Pain: Some patients report long-term discomfort in the areas treated, which could be due to nerve damage or other issues during surgery.

  • Improper Fat Placement: If fat is injected too deeply, it can lead to serious complications, including fat embolism, a life-threatening condition where fat enters the bloodstream and blocks blood vessels.

Real-life stories and experiences shared online highlight the importance of understanding these risks. For instance, reports of surgeries leading to “diaper booty”—a term used when too much fat is added, resulting in a saggy appearance—underscore the potential for undesirable outcomes. Additionally, the tragic story of a young woman from the Bronx, who passed away due to complications from a BBL, serves as a cautionary tale about the importance of choosing a reputable surgeon and facility.

The recovery process from a BBL involves significant aftercare, including not sitting directly on the buttocks for six weeks, to avoid complications like tissue necrosis (death of tissue) and to ensure the best possible outcome. Dr. Earle emphasizes the power of a BBL to transform a patient’s body but also warns about the importance of understanding it’s a major surgery with significant tolls on the mind and body.

To prevent and address these complications, it’s crucial to:
1. Choose a Board-Certified Plastic Surgeon: Ensure they have experience in performing BBLs.
2. Follow All Aftercare Instructions: Proper post-operative care is essential for healing and avoiding complications.
3. Maintain Open Communication: Discuss any concerns or unusual symptoms with your surgeon immediately.

By being fully informed and carefully selecting your surgeon, you can minimize the risks associated with BBL and increase your chances of a satisfactory outcome.

Recognizing the signs of a BBL gone wrong is the next step in addressing them effectively.

Signs of a BBL Gone Wrong

A Brazilian Butt Lift (BBL) aims to enhance the buttocks’ shape and size, creating a more pleasing profile. However, when things don’t go as planned, several signs can indicate a procedure has gone wrong.

Uneven Buttocks

One of the most apparent signs of a botched BBL is unevenness. This can manifest as one buttock being visibly larger or higher than the other, creating an asymmetrical appearance. This unevenness can be due to improper fat distribution or uneven absorption of the injected fat.

Lumps and Hard Spots

Lumps or hard areas within the buttocks may indicate fat necrosis, where the transferred fat cells have died. These lumps can be uncomfortable and distort the smooth contour of the buttocks, leading to a botched appearance.


While some scarring is expected following a BBL, excessive or highly visible scars can indicate poor surgical technique. Scars should typically be small and discreetly placed, but a botched procedure might leave larger, more noticeable scars.

Chronic Pain

Experiencing pain during the recovery period is normal, but if the pain persists beyond the expected healing time, it could signal complications such as nerve damage or infection.

Unnatural Appearance

A well-performed BBL should result in buttocks that look and feel natural. However, an unnatural appearance, such as overly round or disproportionate buttocks, can occur if too much fat is injected or if it is not appropriately placed.

It’s crucial to communicate with your surgeon if you experience any of these signs after your BBL procedure. Addressing these issues early can help prevent long-term complications and dissatisfaction.

To learn more about the complications and risks associated with a BBL gone wrong, consider reading about fixing a Brazilian Butt Lift gone wrong and understanding the dangers of BBL surgery, which provide in-depth insights and professional advice on these matters.

By recognizing these signs early, patients can seek corrective measures, potentially through revision surgery, to address and amend the undesirable outcomes of a botched BBL.

Continuing to the next section, we’ll delve into the long-term effects of BBL and what patients can expect years after undergoing the procedure.

Long-Term Effects of BBL

When considering a Brazilian Butt Lift (BBL), look beyond the immediate post-surgery period and understand the long-term impacts. Ten years post-surgery, maintaining a healthy weight is crucial for preserving the results. Over time, the body undergoes natural changes, which can affect the appearance of your BBL. Let’s explore what you can expect a decade after your surgery.

Drastic Changes in Body Shape

Initially, a BBL provides a more plump and perky buttocks, enhancing your overall silhouette. The fat transferred during the procedure is intended to integrate with your existing tissues, growing and aging with your body. However, significant weight fluctuations can drastically alter the results. Gaining a substantial amount of weight can cause the fat cells in the buttocks to enlarge, potentially leading to an unnatural appearance. Conversely, losing weight might decrease the volume of your buttocks, diminishing the results of your BBL.

Maintaining a Healthy Weight

To preserve the outcomes of your BBL, staying close to your post-surgery weight is advisable. This stability helps maintain the shape and volume of your buttocks as the fat cells transferred during the procedure adapt to their new location. A healthy diet and regular exercise play a critical role in keeping your results intact over the years.

The Appearance After 10 Years

A decade after a BBL, the improvements in the shape and contour of your buttocks should still be noticeable, assuming you’ve maintained a relatively stable weight. The success of the procedure in the long term largely depends on the skill of the surgeon, the quality of the aftercare, and your commitment to a healthy lifestyle.

It’s also worth noting that as we age, our skin loses elasticity. While the transferred fat remains, the skin around the buttocks may sag over time, affecting the overall appearance. Regular exercise, especially strength training, can help maintain muscle tone and skin elasticity, contributing to a more youthful appearance of the buttocks.

Addressing Long-Term Complications

Though rare, some long-term complications like fat necrosis (dead fat cells) or uneven absorption of the fat may necessitate additional procedures to correct or enhance the initial BBL results. Consulting with a board-certified plastic surgeon who specializes in BBLs is crucial if you’re considering any further treatments.

For individuals curious about what a BBL looks like after 10 years, real patient stories and before-and-after photos can offer valuable insights. The Plastic and Cosmetic Center of South Texas provides examples of long-term BBL outcomes, helping set realistic expectations for potential patients.

In conclusion, a Brazilian Butt Lift can offer lasting results, contributing to a more contoured and voluptuous silhouette. However, the longevity of these results depends heavily on maintaining a healthy lifestyle, the natural aging process, and the body’s response to weight changes. Understanding these factors is crucial for anyone considering a BBL or looking to preserve their post-surgery appearance in the long run.

Addressing BBL Regrets

Regret over a Brazilian Butt Lift (BBL) procedure can stem from a variety of issues, from unrealistic expectations to a “bbl gone wrong” scenario involving complications like uneven buttocks, lumps, or disproportionate contours. Addressing these regrets often involves corrective procedures, lifestyle adjustments, or both.

Corrective Procedures:

When a BBL doesn’t turn out as expected, some may turn to corrective surgeries. This could involve the removal of excess fat, redistribution for a more even appearance, or, in some cases, the introduction of silicone implants for added volume or shape correction. Each of these options comes with its own set of risks and considerations. For instance, the appeal of silicone implants lies in their ability to provide a more predictable and permanent solution compared to fat transfer, which may reabsorb over time. However, as with any surgery, there’s the potential for complications, underscoring the importance of choosing a highly experienced surgeon.

Lifestyle Adjustments:

Beyond surgery, addressing BBL regrets may also involve lifestyle changes. This includes embracing a balanced diet and regular exercise to maintain or improve the buttocks’ shape naturally. While these efforts can’t reverse a BBL, they can enhance overall body contour and muscle tone, contributing to a more satisfying appearance and potentially mitigating some of the dissatisfaction with the initial procedure.

Emotional and Psychological Support:

It’s also crucial to acknowledge the emotional and psychological impact of a BBL gone wrong. Seeking support from therapists, support groups, or online communities can provide solace and guidance. Sharing experiences and strategies with others who have faced similar challenges can be incredibly empowering and healing.

Informed Decisions Moving Forward:

For those considering corrective procedures or additional booty-boosting enhancements, it’s vital to proceed with caution. Thorough research, consultations with multiple board-certified plastic surgeons, and a clear understanding of the potential risks and realistic outcomes are essential steps in making an informed decision. The goal of any cosmetic procedure should be to enhance your confidence and well-being, not detract from it.

In summary, addressing BBL regrets involves a combination of corrective procedures, lifestyle adjustments, and emotional support. Each individual’s journey is unique, and what works for one person may not work for another. It’s about finding the right balance and making choices that align with your personal goals and well-being.

In the next section, we’ll delve into the preventive measures and fixes for BBL complications, providing insights into how to avoid common pitfalls and what to do if you’re facing issues post-surgery.

Preventing and Fixing BBL Complications

Preventing and addressing complications from a Brazilian Butt Lift (BBL) are essential steps to ensure you achieve the desired outcomes without facing long-term issues. Complications can range from minor aesthetic concerns to severe health risks. Understanding how to avoid and remedy these issues is crucial.

Preventing BBL Complications

Choose a Qualified Surgeon: The importance of selecting a board-certified plastic surgeon with experience in BBL procedures cannot be overstated. A skilled surgeon is less likely to cause complications such as fat necrosis or uneven buttocks. They understand the importance of injecting fat into the correct layers and can accurately predict the amount of fat that will survive the transfer process.

Understand the Procedure: Being fully informed about the BBL process, risks, and post-operative care is crucial. Knowing the potential complications and how to spot them early can make a significant difference in your recovery and outcome.

Follow Pre- and Post-Operative Instructions: Adhering to your surgeon’s guidelines before and after surgery minimizes risks. This includes avoiding certain medications, smoking, and alcohol before surgery, and following specific sitting and sleeping protocols after the procedure.

Fixing BBL Complications

Fat Necrosis and Pseudo-Capsules: Fat necrosis occurs when transferred fat doesn’t survive, leading to hard lumps. Pseudo-capsules form around these dead fat cells. Treatment may involve surgery to remove the necrotic fat and correct the contour deformities. Early intervention by a qualified surgeon can prevent further complications.

Butt Lift for Correction: In cases where excessive fat transfer leads to sagging or the infamous “diaper butt,” converting to a traditional butt lift can be an option. This procedure involves removing excess skin and tissue to lift and tighten the buttocks, correcting the sagging appearance.

Addressing Fat Injection Errors: If fat is improperly injected into the muscle or too much is injected into a small space, corrective surgery may be necessary. The corrective procedure might involve removing misplaced fat or redistributing it to achieve a more natural and symmetrical appearance. The goal is to ensure the fat is only in the subcutaneous space where it belongs.

Understanding the Death Risk: The most severe potential problem is death, which can occur if fat is mistakenly injected into the blood vessels, leading to a fat embolism. Choosing a surgeon who strictly adheres to safety protocols and injects only into the subcutaneous layer is vital to minimizing this risk.

In conclusion, while BBL can significantly enhance your body’s contours, it’s not without its risks. Being well-informed, choosing the right surgeon, and adhering to all pre- and post-operative instructions are key to preventing complications. If complications occur, prompt and appropriate corrective measures can address these issues, though it’s always better to avoid them in the first place. Safety and health should always take precedence over aesthetic desires.

In our next section, we’ll answer some of the most frequently asked questions about BBL, providing further insights into what to expect from the procedure and how to ensure the best outcomes.

Frequently Asked Questions about BBL

When considering a Brazilian Butt Lift (BBL), it’s natural to have questions about what could go wrong, potential regrets, and the long-term appearance of the procedure. Let’s dive into some of the most common inquiries.

What happens if BBL goes wrong?

A BBL gone wrong can manifest in several ways, including uneven buttocks, lumps, disproportionate contours, scarring, and chronic pain. For instance, incidents of botched BBL procedures have led to severe complications, as highlighted by the story of a woman who experienced damaged, rotting skin after her procedure. Another critical risk is fat embolism, where injected fat enters the bloodstream and can lead to life-threatening conditions. These complications underscore the importance of choosing a qualified, experienced surgeon for your BBL procedure.

Do people regret getting a BBL?

Yes, some individuals do regret getting a BBL. The reasons can range from dissatisfaction with the aesthetic outcome—like not achieving the desired shape or size—to experiencing severe complications that impact their health or require corrective surgery. For example, the phenomenon known as “diaper booty,” where the buttocks appear disproportionately large or saggy, can lead to regret and the desire for revision surgery. It’s crucial to have realistic expectations and to discuss them thoroughly with your surgeon before proceeding.

What does BBL look like after 10 years?

The appearance of a BBL after 10 years can depend on several factors, including the technique used, the amount of fat that survives the transfer process, and the patient’s lifestyle. Generally, a significant portion of the transferred fat (about 70 to 80 percent) tends to survive long term. If you maintain a relatively stable weight and lead a healthy lifestyle, your BBL can continue to look plump and perky even a decade later. However, note that natural aging and gravity will eventually affect the appearance of the buttocks, just as they do with the rest of the body. For more on the longevity of BBL results, the importance of choosing an experienced surgeon cannot be overstated, as their expertise can significantly influence the outcome’s durability.

In conclusion, while a BBL can offer transformative results, it’s not without risks. Being well-informed and selecting a reputable surgeon can help mitigate these risks and increase the likelihood of a satisfactory outcome.


When considering a Brazilian Butt Lift, understanding the potential risks and prioritizing your safety are paramount. A BBL, though popular for its body-transforming potential, comes with its share of complications, from minor issues like uneven buttocks to severe, life-threatening risks such as fat embolism. The stories of BBL gone wrong serve as a sobering reminder of what can happen when things don’t go as planned.

Patient Safety First

Our top priority should always be patient safety. This means doing thorough research, understanding the procedure inside and out, and knowing the signs of complications. An informed decision is a safe decision. The allure of transformative results should never overshadow the importance of your health and safety.

Choosing the Right Surgeon

The significance of selecting a board-certified plastic surgeon with experience in performing BBLs cannot be overstated. A qualified surgeon is your first line of defense against potential complications. They can provide guidance, clear expectations, and the assurance that you are in capable hands. At the Plastic and Cosmetic Center of South Texas, we are committed to upholding the highest standards of patient care and safety.

Informed Decisions are Key

Making an informed decision about undergoing a BBL involves weighing the potential benefits against the risks. It’s about more than just the immediate results; it’s about considering the long-term impact on your body and well-being.

By being well-informed, you can set realistic expectations, prepare for the recovery process, and reduce the likelihood of regret. A successful BBL is not only about achieving the desired aesthetic but also about ensuring a safe and healthy recovery.

In summary, while the Brazilian Butt Lift can offer significant benefits in terms of body confidence and aesthetic satisfaction, it’s crucial to approach this procedure with caution and thorough understanding. Being well-informed about the risks, choosing a reputable surgeon, and prioritizing patient safety above all else are key steps to making an informed decision about BBL. Let’s not overlook the importance of these steps in the pursuit of the perfect silhouette.

Dr. Jeneby Virtual Consult Scheduling

Call us at 210-270-8595 or fill out this form

This field is for validation purposes and should be left unchanged.

Care Credit Application Graphic
United Medical Logo
Lending USA Logo
Alphaeon Credit Financing Options Graphic

Before & After Gallery

Real Patient Results

Before and After Gallery

Ensure yourself the best cosmetic procedure experience by coming to the Plastic & Cosmetic Center of South Texas. Dr. Jeneby is a reputed San Antonio plastic surgeon who has performed thousands of surgical procedures. See his work by clicking the button below!