Commentary on: Macro Fat Embolism After Gluteal Augmentation With Fat: First Survival Case Report

Buttock augmentation is now one of the fastest growing aesthetic procedures in the United States according to The American Society for Aesthetic Plastic Surgery, with 26,774 performed in 2018, a 61.1% increase since 2014,1 and over 300,000 buttock augmentations with fat transfer performed worldwide in 2017 according to latest statistics from The International Society of Aesthetic Plastic Surgery,2 despite its poor safety record.

A 2017 worldwide survey of 198,857 cases from 692 surgeons’ cases of gluteal fat grafting revealed 103 nonfatal pulmonary fat embolisms (PFE), a rate of 1:1931. There was no information about the type of embolus or treatment of those cases. PFE resulted in 32 deaths and an extrapolated mortality rate…

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