Abstract
BACKGROUND: The global popularity of Brazilian buttock lift (BBL) has led to a rise in the need for large volume fat transfer and disproportionate buttock and hip contouring. Becuase of the pandemic, there has been a rise in requests for BBL revision and buttock reduction. OBJECTIVES: The authors review their experience with a recent trend in BBL revision or buttock reduction to evaluate patient outcomes and complications. METHODS: A retrospective chart review of all patients who underwent BBL revision or buttock reduction between February 2018 and December 2023 was conducted. Patient outcomes and complications were analyzed to assess the safety and outcome of performing these procedures. RESULTS: A total of 123 patients were included in the study. Seventy-seven (63%) of these procedures were completed under local anesthesia with oral sedation. One hundred and eleven patients (90%) of patients undergoing BBL revision also included additional surgical procedures. The most common patient-reported dissatisfaction is residual adiposity in 10%, skin laxity in 6%, and persistent asymmetry in 4% in the study. The study revealed a 1% complication rate. CONCLUSIONS: BBL revision or buttock reduction is an increasingly popular body contouring procedure. It can be performed safely as an outpatient procedure by a well-trained and experienced plastic surgeon. The authors predict a significant rise in these procedures. In the author's experience, these procedures are associated with a very low rate of complications and a high level of patient satisfaction. LEVEL OF EVIDENCE 4: (Therapeutic).