Holcomb-Kreithen doesn’t treat Brazilian Butt Lift surgery as an off-the-rack trend; we respect the meticulously planned fusion of lipo sculpting science, surgical artistry, and patient-first ethics.
Guided by double board-certified surgeons and decades of peer-reviewed innovation, we follow the strictest national safety directives. In this blog, we will show you exactly how those standards translate into safer procedures, sculpted silhouettes, and truly transformative outcomes.
What is Precision Liposculpting?
Every transformative BBL starts with strategic liposuction. Removing fat from the waist, abdomen, flanks, and thighs helps us sculpt sleek, balanced contours before a single cell reaches the buttocks.
This two-in-one approach refines stubborn “problem zones” while harvesting the most viable adipocytes, specialized fat cells that store energy and provide natural volume, for long-term buttock fullness, a cornerstone of the curvier, hourglass silhouette patients crave.
Why Real-Time Ultrasound is the Gold-Standard Safety Net
A decade ago, the mortality rate associated with Brazilian Butt Lift (BBL) procedures was conservatively estimated to be 1 in 2,500.
However, updated, evidence-based protocols, such as the use of larger blunt-tip cannulas, subcutaneous-only placement, and ultrasound guidance, have significantly improved safety, lowering the mortality rate to approximately 1 in 15,000.
Here’s what you need to know:
- This figure is now comparable to that of abdominoplasty, according to the British Association of Aesthetic Plastic Surgeons' Safety Review
- To adhere to these protocols, Florida's landmark regulations now require surgeons to visualize the cannula tip in real-time
- This requirement ensures that every fat parcel remains safely within the subcutaneous layer, dramatically reducing the risk of fat embolism
National societies agree that ultrasound-guided fat grafting is a sensible step toward ensuring that surgeons stay above the fascia, as noted by the ASPS/ASERF advisory. Additionally, the 2024 ABCS consensus endorses this technique as a best practice.
Dr. Marc Salzman was an early adopter of this technology, integrating high-resolution probes that allow us to see exactly where each micro-droplet of fat is placed.
Closed-Loop Fat Purification: Safety Starts Before the Transfer
A BBL is only as safe as the fat you reinject. That’s why our operating room runs a closed-loop purification system that gently washes and filters lipo-aspirate, removing blood, oil, and debris while preserving healthy stem-cell–rich adipocytes.
Peer-reviewed studies show that closed washing and filtration significantly improve long-term graft viability compared with simple gravity separation or high-speed centrifugation. The result? Cleaner grafts, fewer inflammatory reactions, and a stronger safety margin from the very first step.
360° Aesthetic Mapping
Once purification is complete, our surgeons use three-dimensional contour mapping to tailor injection depth, vector, and volume to your unique anatomy. This creates a silhouette that looks organically yours from every angle.
Data-Driven Outcomes
Safety and sculpture mean little without durability, so we track both fat-survival statistics and patient-reported outcomes. In a 3,000-patient series, surgeons documented ≈70 % fat retention at one year and an impressive 86 % satisfaction rate when modern safety protocols were followed.
Ready to Learn More?
If you're ready to sculpt your silhouette and boost your self-confidence, the Holcomb–Kreithen Plastic Surgery & Medspa team is here to guide you every step of the way. Our commitment to evidence-based protocols, data-driven outcomes, and compassionate, concierge-level care ensures you can proceed confidently.
Book your private consultation today, whether in Sarasota, Tampa, or virtually, and discover how our gold-standard safety measures can lead to truly transformative results for you.