August 16, 2023 • 29 mins
Brazilian butt lift is considered among surgical circles the deadliest aesthetic procedure ever performed. Since 2010 to date there have been 25 deaths in South Florida due to the cosmetic procedure Brazilian Butt Lift, also known as BBL, and 23 of the 25 were performed in high volume budget clinics. Trying to stop these these deaths, in 2019 there was a global mandate that doctors could no longer inject fat directly into the muscle area because of the high risk of death and last year in 2022 Florida‘s Board of Medicine put emergency regulations in place to combat the problem in their state. Yet the number of deaths in Florida attributed to this procedure continues to grow. So why is this procedure, with the highest mortality rate of any cosmetic procedure, continue to be so popular? Join Dr. Rady Rahban as he delves into the three factors that create the perfect storm with this highly controversial procedure, the Brazilian Butt Lift.
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IG: @drradyrahban
TikTok: @radyrahbanmd
FB: @radyrahbanmd
Website: radyrahban.com
✨ If you enjoyed this episode of Plastic Surgery Uncensored:
✔️ Subscribe on Apple Podcasts, Spotify, or wherever you listen.
✔️ Rate & Review—your feedback helps more people find us.
✔️ Follow Dr. Rady Rahban across all platforms for daily insights, behind-the-scenes, and patient education:
- Instagram: @drradyrahban
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- YouTube: @Rady Rahban
- Facebook: @Rady Rahban
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Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
(00:06):
On this week's episode of Plastic SurgeryUncensored, we're gonna be doing a repost.
We're gonna be reposting our episode onthe dangers of BBL. Unfortunately,
this time last year I had apost talking about the innumerable deaths due to
this procedure, and sadly, thistime one year later, we still have
many innocent women who are dying fromthis procedure, as most recently as a
(00:29):
Jackie O who we are not sureas to why she died, but there
is some thought that it may havebeen due to the BBL or Brazilian buttlet.
If you're contemplating or anticipating this procedure, I highly suggest you tune in
and listen to my thoughts so thatyou're fully informed before you go ahead and
take the plunge. Welcome to anotherepisode of Plastic Surgery Uncensored. I'm your
(00:50):
host, Doctor Roddy Raban, andtoday we're gonna be talking about bbl's what
a hot topic. It's always ahot topic, but it's a hot topic
today because of deaths and legislation andso, as everyone knows, I'm not
a huge fan of bbls. Ihave my reasons which I'll elaborate on again
(01:15):
today and bbls are in the newsbecause of deaths in Florida. So we're
gonna have a chat about new legislatureand Maria, my fantastic producer, will
be joining me. I'm Maria highin there. So the topic is bbls,
(01:37):
which is like always interesting, peoplewanted, people hated, people can't
figure out why they're doing it.It's all over the place. So South
Florida is like the mecca of bblsFlorida in general, but South Florida,
and it's basically the epicenter of whereeveryone flies to or one of the places
that people fly to or go toget bbl's done. And as such,
(02:00):
when a certain area has a highvolume of a surgery done, it also
highlights its complications. So there hasbeen nineteen deaths of healthy young women in
five years in South Florida, eightdeaths in twenty twenty one alone. First
question is why are people dying?So the reason people die of this procedure
(02:23):
and why it's considered the deadliest procedurein cosmetic surgery in decades is because when
you borrow the fat, prepare thefat, reinject the fat, into the
buttock area. If your surgeon isnot super careful, that fat that's being
injected can be injected into some ofthe very large caliber veins in that area
(02:49):
because that area has big sized vessels, and that fat goes into those vessels,
shoots up into your lungs and thenas an embolist or an emboli,
known as a fat emboli. Soit is equivalent to a blood clot that
goes and causes a pulmonary embolist thatwe traditionally knows as a pe except instead
(03:13):
of blood, it's fat. Andthis is well documented. This is well
documented. It's been known for avery long time. And in twenty nineteen,
a huge mandate was placed across theglobe, to be honest with you,
because people in Brazil, people inVenezuela, I mean, this is
(03:35):
a global phenomenon across the globe.It was understood that you should no longer
inject fat into the muscle. Sowhat happened was that you're injecting fat into
the area above the muscle, thesoft tissue area. And then people were
injecting fat into the muscle because anytimeyou put fat in the muscle, it's
likely to take but a lot ofthe large vessels are located inside the muscle
(04:00):
and was a much higher risk ofdying. So despite that, whatever you
want to call it, I don'twant to say it's a recommendation or requirement.
The rate of debts in Florida hasstilli been on the rise, so
much so that very recently the Boardof Medicine, the Florida Board of Medicine,
(04:21):
place an emergency order. So whatis it that the Board of Florida
has implemented to stop this cascade ofdebt? The requirement is that doctors do
no more than three bbls in aday and they use ultrasound to help them.
(04:46):
In my humble opinion, that isridiculous. That is the stupidest thing
I've ever heard. What is itbeing implied that they're doing too many therefore
that's why they're tired, and that'swhy they're growing up. Exactly so.
The because there was this one particularcase study of these women that have died,
one of them was this doctor whohad done seven, count them,
(05:10):
seven bbls in a day, andthis poor thirty three year old girl who
died was his last case of theday, and he started her surgery at
eight pm and had started his dayat six am. So of course,
in that particular instance, that's insaneand that's crazy and should not have happened.
(05:33):
But that's not, in my opinion, the main reason why all these
people are dying, and so Ithink it's kind of the craziest, like
it's let's say people are driving here, perfect example, people are dying of
drunk driving. And and then allof a sudden, you're implicating the government
(05:55):
says that you can't drive a fourdoor you own it can drive a four
door car when you had drinks becausea two do car is likely to be
a sports car, which is likelyto cause you to drive faster, which
is like what why not say don'tdrink alcohol? Right, So there's much
(06:15):
bigger fish to fry than the numberof these you do in a day.
So I don't know. I ingeneral, I'm not a fan of the
surgery. So let me explain youwhy I'm not a fan of surgery.
It doesn't mean that I won't performit. It just means I seldom performant,
and I only perform it if Ithink someone is an ideal candidate.
So the reason is this The basicprinciple of a BBL is you do three
(06:41):
sixty LiPo aka I liposuction every squareinch of your body arms, upper back,
braw fat, lower back, stomach, inner thighs, outer thighs.
Whatever. The reason I do that'sree sixty LiPo is because I need a
ship ton of fat. Did orderinsert the butt in order to make a
(07:06):
visible difference. So I know everyonewho's sitting at home who can't wait to
get a bbl's going and what seemsto be wrong with that? That's a
win win. I get to liepersuption my body, and I get to
use the fat in the area thatI needed. High five. Well,
(07:26):
the idea is you're stealing from Paulto pay Peter. So Peter is wealthy,
Peter is rich, and now parIs Paul is poor as shit.
So the problem I have is becausethe botoc region is quite large, unlike
let's say your lips. In orderto make a volumetric difference, in order
(07:48):
for you to go wow, thatlooks so much better, you need to
fill the butt with a lot offat. So let's go through this.
You have two of them, twobutts. You need several hundred ccs in
each botock to even see it visually, you need two to three ccs in
(08:09):
a lip for you to look likea duck, and you need hundreds of
c seasons the butt to see anydifference. When you do liposuction, a
significant amount of the stuff you suckout is fluid. When you inject the
fat into the buttock, a significantamount of the fat dies. So in
(08:31):
reality, in order for you toget I'm making up numbers five hundred ccs
of fat, you need two thousandccs of liposuction fluid. So hence the
sudden need to liposuction so many areas, because if you liposuction only let's say
(08:52):
the back, or let's say youliposuction all the areas, but you're not
that aggressive, you just don't getenough fat. If you don't get enough
fat, then when you injected it, patients will be dissatisfied. So the
biggest issue I have with the procedureis in order for the butt to look
good, you have to be veryaggressive about liposuctioning the areas the donor sites
(09:20):
that you borrow. Again, peopleare still going, I don't get it,
what's the problem. So what theproblem is the areas you borrow them
from your stomach, your inner thighs, your lower back, your upper back.
When the dust settles, when isthat two years? Not six months?
(09:46):
Not all the photos on Instagram,not all on the table results.
Two years later, when the dustsettles, you will see one percent the
sequeli of that aggressive libel section.So what is that, Maria? What
are the things that you see twoyears later? When you've stolen from Paul
(10:13):
NumPy? You're going to see aship ton of lumpy bumpy irregularities, dance
divits, contour irregularities. Uh huh, and then the other one loose skin
from the area that you took outthe fat. So let me understand this.
If a patient loses fifty four poundsI don't know, just died in
(10:37):
exercise, and their body becomes depleteof fat because they lost fifty four pounds
and they're skinny, what tends tohappen to the skin on their belly?
It's flabby, it's flabby, getskind of loose, it's kind of stretchy.
What happens to the skin in theirarms? Same thing? Right,
(11:01):
So what difference does it make ifyou lose fifty pounds or high liposuction?
As a matter of fact, whenI suction the fat out as opposed to
you losing it on your own,it's worse because pols. In addition to
the fat I'm removing, I'm removinga boatload of connective tissue. I see
(11:22):
it when I do liposuction. There'slittle stringy things that's septate that connects your
muscle to your skin. So whenyou liposuction someone, which I also do
incredibly infrequently, you have to beconservative. Who the hell wants to do
(11:43):
that? The whole point of liposuctionis to be aggressive. I want the
fat. God, So this isthe formula that leads to shitty outcomes and
why I'm not a fan of theliposuction part of BBL. It's putting volume
in your butt, making it rathergetting rid of hip dips, all those
things. I'm for it. I'mvolume in your face, volume in your
(12:05):
breast, volume in your butt.All good. The problem is that the
damage we create from the liposuction,which I get at least three or four
calls a month from people calling mefor hey, just does doctor von fix
blah blah blah dance divid's loose skin? Do you know how many tummy tucks
(12:26):
I've done in women who have neverhad kids. You're kidney. Oh many,
And it's always I had liposuction doneon my stomach a few years earlier,
whether it's for a BBL or justfor the hell of it. Many
I've done. I've done a tummytucks in twenty year olds who were nineteen
(12:46):
Rather should me it's not twenty yearold's like twenty five year olds who had
liposuction when they were twenty two,super aggressive and now they got all this
loose skin as if they've had threekids. So that's the backstory. So
now we're gonna take a quick break. We'll come back and I'm going to
tell you my thoughts as to whatI think is the reason why people are
dying of these bbls. And thenwhen you know why they're dying, then
(13:11):
you should address the legislature. Accordingto hey, drinking and driving causes debts.
Stop drinking and then we can resolvethe issue. Not drive a four
door car instead of a two door. You know what I'm saying. All
Right, we'll be right back withthe second half of Classic Surgery and Censored
with doctor Rodi Raband. All right, welcome back to the second half of
(13:48):
plastic surgery and censored. And I'mon my BBL liposuction rants with Maria.
I want you to know I livein Miami and there isn't a shopping center
or office complex where you do notsee cosmetic procedure BBL. I mean,
this really is a capital. Idon't know if it's because so many people
(14:11):
comes from that in America they stoppedby, but perfect segue, and that
is part of the perfect segue.So why the hell is this happening.
We don't have this happening with rhinoplasty. We don't have this happening with We
didn't have this happening in the ninetieswith breastocks. People weren't dying left right
(14:31):
in the center. So the reasonwhy this is a true crisis, I
mean, I'm talking about what arethe numbers here, nineteen deaths in five
years, eight deaths in twenty twentyone. I'm talking mothers of three,
mothers of four, young women justotherwise healthy, go into a clinic,
boom drop debt. Forget about allthe women that go to these third world
countries. Oh my god, Godhelp you. If you do medical tourism
(14:54):
or destination plastic surgery. That's acatastrophe we had. Who did we have
on one of our shows where hersister went got a BBL and then became
brain dead and they had to flyher back. That was Jelina Solano.
Jelina Solano's a Hispanic reporter and itwas done here in South Florida, South
(15:15):
Florida. Oh my god. Whatabout our patient that we did the lip
reduction on who allegedly died of herfound BBL? Jocelyn Gando? Right,
So the Latina, the Mexican,Kim New Kardashian. Right. So this
is a true crisis. So Numberone is you have a procedure that inherently,
just by the mechanics of the surgery, is deadly. In other words,
(15:39):
for you to die of a rhinoplasty, you just have to bleed for
hours upon hours. Otherwise, inand of itself, it's not deadly.
But because you're shoving fat into thebutt and you're putting in an area with
a lot of vessels, it cancause death. The reason it caused death,
in my opinion, is that peopleare pushing the envelope of killing in
(16:00):
the butt with so much fat becausebigger is better, right, So as
a surgeon. If I want mypatience to be happy and I want great
results, I'm going to so calledpush the envelope. And it turns out
that the higher the pressure just thinkabout this, the higher the pressure in
(16:21):
the butt, they're more likely thefat is to go into the vessels.
Right. Imagine a balloon that's fullyinflated versus one that's semi deflated. Right,
So the procedure is deadly. Secondly, it is being incredibly overpromoted and
(16:41):
popularized on social media. So thedesire, the hunger, the want for
it is so much greater than anyother procedure we've ever had. And wouldn't
you think that almost it's like abody dysmorphia because you see these little waste,
these big butts, and not tellyou why I keep doing it.
I'll tell you why. No,I'll tell you why. Because rhinoplasti isn't
(17:07):
linked directly to sexuality. Eyelids arenot linked directly to sexuality. So,
like other procedures, when you gettoo much done, you look weird and
you're ostracized. Right, right,people will come up to the catwoman and
(17:30):
be like, oh my god,you look so sexy. Will you go
out with me. But there isa sub world, a sex world,
a only fans world, a worldwhere a girl who's otherwise just so called
quote unquote ordinary, by massively inflatingher butt, creating this weird anime,
(17:56):
bizarre appearance that by all standards,if it was her nose or her ear,
would be ostracized. Now has amassive following of Instagram followers and only
fans people paying germoney. It's monetized, whereas other abnormalities don't get monetized.
That is wherein lies the problem.So here I am if you notice a
(18:21):
lot of these women that are dyingare lower socioeconomic so this is the if
you look, this is all partof the mix. So here you have
a procedure that's potentially deadly. Youhave all these young girls Latinos, African
Americans, Dominicans, and all thesein which the culture promotes its body image.
(18:45):
I had a black an Abi rightnow, let's which is part of
the culture. Because listen it you'refrom I don't know, Germany, you're
just not well endowed US. Butif you're from Brazil, just genetically you
are. So I had an AfricanAmerican patient come to me hotly normal,
(19:06):
and she was telling me that asa normally full figured African that she's not
good enough is in terms of herfigure in the African American culture, like
there is a sort of pressure withineach subculture for and I was like shocked.
I was like, what do youmean you're really full figure. She's
like, yeah, but not notby today's standards. So here you have
(19:30):
deadly procedure culture plus monetization. Youtake these young girls who can bypass school,
college, regular normal routes, andthen it creates the perfect storm.
(19:52):
So they must have the procedure,must they don't have the money to do
it at a super reputable guy,some guy that has well trained, well
educated, super pedigree, etc.There are pop up clinics left, right
(20:14):
and center where there are a tonof cosmetic surgeons, these sort of fly
by night procedural people O. B. G. Wayan's emergency medicine guys dermatologists
providing inexpensive, high volume procedures.Again inexpensive aka affordable to the average person
(20:40):
who must have the procedure right thisweekend. And I do a lot of
them, and I make money.So instead of doing a normal two three
cases a day, I'm doing eightcases a day at super low prices in
order to make the same as somebodyelse, and I just churnham and burn
him. So do you see howthis is a perfect storm for these deaths.
(21:06):
And the funny thing is that they'redoing it because of vanity and that
to say at the end they windup losing their lives and leaving their children,
orphan their husbands or it's catastrophic,it's but but but again, it's
like vaping they market to young adults, it's like prostitution to young women.
(21:30):
It's these things where we as asociety have to step in and help.
So we can, of course,naturally whose fault is it? I mean,
no one forced you to go andget the procedure done in a strip
mall right, But and the samenary that's where they're are, no well
core an office building. But Iknow you said that that that the it's
not good to do it there becausein an emergency you have to call nane
(21:53):
on one to go take them tothe hospital instead of having the hospital right
there. So when a legislature isput into effect, when laws are brought
into effect, we shouldn't be limitinghow many of these, we should be
limiting who's doing them. How manyalcoholic beverages are you having is directly correlated
(22:18):
to how drunk you are. Who'sdoing these procedures, how well they're trained,
what is their academic requirements? Inorder to do this procedure, you
need one thousand man hours and acertificate by the American Board, blah blah
blah, And then if a patientwants to get it done, they need
to show you the certificate. ThenI can say I am adequately trained by
(22:41):
a larger organization that says that ifyou've done a thousand hours, I'm making
up a number. I've done fiftyof these supervised. The likelihood that I'm
going to do some short cut,crappy ass surgery is much less. So
it frusts straits me because it's soso silly, these little these the stupid
(23:07):
requirements no more than three, Soinstead of killing seven people that day,
they're only gonna kill three. Don'tget me wrong, it's not that board
certified plastic surgeons aren't killing patients.As a matter of fact, if I'm
not mistaken, the guy that didseven in a day was a board certified
plastic surgeon. So by Joe NyGreedy, they're getting by no means what
I suggest that. It's all we'rethe best board certified surgeons, YadA,
(23:30):
YadA, YadA, and everybody else'sshit. No, there's a lot of
terrible board certified plastic surgeons. It'sjust statistically less. And when there's a
procedure that is as deadly as thisone, people should get extra training.
That's it, simple, just getextra training any rate. It's just it's
(23:51):
one of those pet peete frustration things. And then the irony of all this
Kim Kardashian and those individuals are reversingit. Yeah, that's it. Yeah,
yeah, Well you know, I'veheard things that it's not naturally being
reversed, but well you can't.What do you mean naturally be reversed?
(24:11):
I just stuck, you know,a thousand ccs a fact in my butt.
It doesn't just go away. Igotta suption it out. I gotta,
I gotta get it out. Well, so, but if they lose
weight, if they know, ifit doesn't matter if you lose weight,
right, No, no, no, no. In general, in general,
it's almost impossible to reverse without somedeformity. So I put a breast
(24:32):
implant in a woman. She getseight hundred ccs of implant. She then
calls and says, you know what, I'm over it. I'm out of
this stage. I don't like theway this looks. No problem, I
go and remove that breast implant.What are her breast skin look like?
It's snaking. So it's not thatsimple. Yes, remember in clothes and
(24:55):
spanks and and I mean garments,and you know, the Kardashians are well
known to have amazing undergarments, right, like what did she go to the
met Dala and she looked like whatwas that what's her name, Marilyn Monroe's
dress? Yeah, like like JessicaRabbit Like she was like had like almost
had like one rib. You know, you know it is what it is.
(25:18):
All I'm just saying is it's justsuch a mess. And I feel
so bad because this procedure and thisunderworld and this crossing between sexuality plastic surgery,
it's gotten really messy. And thecrosshairs are these poor people that are
dying. And you know, youcan do bbl's. I think it's a
(25:40):
great procedure. I think if it'sdone tastefully in the right patient and done
judiciously. Sure, why not,it's a procedure. It's just not it's
just being so the volume is crankedup. Instead of listening to the music
at six decibels, it's you're listeningto music at tend decibels. So any
rate, and people like the Kardashiansare an influence. Well, you know,
(26:07):
they're the nips with the sisters orwhether it be the bus. You
can't blame the Kardashians at some point. No, I'm saying, of course
everybody has. We're in a societythat we don't take responsibility for nothing.
But but I think that what I'mafraid too is that the influence of social
media and these celebrities have a greatinfluence on on these people and our society.
(26:30):
And unfortunately that's that's what they aspire. Well, let's see, this
is not a new phenomenon, right, Marilyn Monroe. Even at the nineteenth
century, anytime, somebody, youknow, I am certain that back in
the days in the seventeen hundreds,women aspired to be like the Queen,
right, right, because that wasthe only celebrity that was known. This
(26:52):
that's not new. What's new isthat instead of seeing a picture of Marilyn
monrona movie you seven four hundred andforty four manipulated, morphed photoshop images of
not real women, and then yourbrain is turned into mush and you think,
oh my god, I have tolook like this. I don't look
(27:12):
like that with men like this,you know, blah blah blah, and
all of a sudden you go andget this stun gun in them all any
rate, Just be careful. That'sjust the bottom line. I don't think
this particular and there I don't thinkthere's any legislation coming down the pipe that's
going to protect the patient. Justknow that at the end of the day,
(27:33):
which is said it should be,but there isn't and I don't see
it coming anytime soon, definitely.If this is any indication, this is
a joke. So it's going tobe a long time before you can rely
on big Brother to help you.And you need to be really careful.
And this is a really vulnerable areawhere people are getting harmed every day.
(27:55):
All right, Maria, that's it. That's all I could say about this
subject. But I want to tellyou wanting before we go, you know,
just like the subject with the bBL this podcast helps a lot of
people is some clarity and understanding ofprocedures. And just recently we had a
review on our podcast. We hada review yes trow Cynthia G seven thirty
(28:22):
and is it positive? Wait,of course five stars, and she says
one of my favorite Doctor Roband isamazing. I feel like he speaks in
such an approachable and honest way.I love all the topics where I'm interested
in doing that surgery or not.He provides valuable info, questions to ask,
and things to consider. I lovehow much info I get from this
(28:44):
podcast and constantly recommend you should listenbefore considering any type of any type of
procedure so you understand what to askand think about. And that's the whole
point of this podcast, right,it's amazing. Well my mom can write
I don't think it was your mom, But that's fine. No, I'm
so happy, as you know,we do this in order for people to
learn. You take time on yourweekends. I take time on my weekends.
(29:07):
We do this out of joy andpassion, and when I know that
it helps someone, then it's worthit because that's you know. We're here
to provide knowledge and information. Soshare this podcast with people you love and
know. If you enjoy it,jot down something nice and until next week
we sign off. We'll see younext week. On plastic surgery,
On this week's episode of Plastic SurgeryUncensored, we're gonna be doing a repost.
We're gonna be reposting our episode onthe dangers of BBL. Unfortunately,
this time last year I had apost talking about the innumerable deaths due to
this procedure, and sadly, thistime one year later, we still have
many innocent women who are dying fromthis procedure, as most recently as a
(00:29):
Jackie O who we are not sureas to why she died, but there
is some thought that it may havebeen due to the BBL or Brazilian buttlet.
If you're contemplating or anticipating this procedure, I highly suggest you tune in
and listen to my thoughts so thatyou're fully informed before you go ahead and
take the plunge. Welcome to anotherepisode of Plastic Surgery Uncensored. I'm your
(00:50):
host, Doctor Roddy Raban, andtoday we're gonna be talking about bbl's what
a hot topic. It's always ahot topic, but it's a hot topic
today because of deaths and legislation andso, as everyone knows, I'm not
a huge fan of bbls. Ihave my reasons which I'll elaborate on again
(01:15):
today and bbls are in the newsbecause of deaths in Florida. So we're
gonna have a chat about new legislatureand Maria, my fantastic producer, will
be joining me. I'm Maria highin there. So the topic is bbls,
(01:37):
which is like always interesting, peoplewanted, people hated, people can't
figure out why they're doing it.It's all over the place. So South
Florida is like the mecca of bblsFlorida in general, but South Florida,
and it's basically the epicenter of whereeveryone flies to or one of the places
that people fly to or go toget bbl's done. And as such,
(02:00):
when a certain area has a highvolume of a surgery done, it also
highlights its complications. So there hasbeen nineteen deaths of healthy young women in
five years in South Florida, eightdeaths in twenty twenty one alone. First
question is why are people dying?So the reason people die of this procedure
(02:23):
and why it's considered the deadliest procedurein cosmetic surgery in decades is because when
you borrow the fat, prepare thefat, reinject the fat, into the
buttock area. If your surgeon isnot super careful, that fat that's being
injected can be injected into some ofthe very large caliber veins in that area
(02:49):
because that area has big sized vessels, and that fat goes into those vessels,
shoots up into your lungs and thenas an embolist or an emboli,
known as a fat emboli. Soit is equivalent to a blood clot that
goes and causes a pulmonary embolist thatwe traditionally knows as a pe except instead
(03:13):
of blood, it's fat. Andthis is well documented. This is well
documented. It's been known for avery long time. And in twenty nineteen,
a huge mandate was placed across theglobe, to be honest with you,
because people in Brazil, people inVenezuela, I mean, this is
(03:35):
a global phenomenon across the globe.It was understood that you should no longer
inject fat into the muscle. Sowhat happened was that you're injecting fat into
the area above the muscle, thesoft tissue area. And then people were
injecting fat into the muscle because anytimeyou put fat in the muscle, it's
likely to take but a lot ofthe large vessels are located inside the muscle
(04:00):
and was a much higher risk ofdying. So despite that, whatever you
want to call it, I don'twant to say it's a recommendation or requirement.
The rate of debts in Florida hasstilli been on the rise, so
much so that very recently the Boardof Medicine, the Florida Board of Medicine,
(04:21):
place an emergency order. So whatis it that the Board of Florida
has implemented to stop this cascade ofdebt? The requirement is that doctors do
no more than three bbls in aday and they use ultrasound to help them.
(04:46):
In my humble opinion, that isridiculous. That is the stupidest thing
I've ever heard. What is itbeing implied that they're doing too many therefore
that's why they're tired, and that'swhy they're growing up. Exactly so.
The because there was this one particularcase study of these women that have died,
one of them was this doctor whohad done seven, count them,
(05:10):
seven bbls in a day, andthis poor thirty three year old girl who
died was his last case of theday, and he started her surgery at
eight pm and had started his dayat six am. So of course,
in that particular instance, that's insaneand that's crazy and should not have happened.
(05:33):
But that's not, in my opinion, the main reason why all these
people are dying, and so Ithink it's kind of the craziest, like
it's let's say people are driving here, perfect example, people are dying of
drunk driving. And and then allof a sudden, you're implicating the government
(05:55):
says that you can't drive a fourdoor you own it can drive a four
door car when you had drinks becausea two do car is likely to be
a sports car, which is likelyto cause you to drive faster, which
is like what why not say don'tdrink alcohol? Right, So there's much
(06:15):
bigger fish to fry than the numberof these you do in a day.
So I don't know. I ingeneral, I'm not a fan of the
surgery. So let me explain youwhy I'm not a fan of surgery.
It doesn't mean that I won't performit. It just means I seldom performant,
and I only perform it if Ithink someone is an ideal candidate.
So the reason is this The basicprinciple of a BBL is you do three
(06:41):
sixty LiPo aka I liposuction every squareinch of your body arms, upper back,
braw fat, lower back, stomach, inner thighs, outer thighs.
Whatever. The reason I do that'sree sixty LiPo is because I need a
ship ton of fat. Did orderinsert the butt in order to make a
(07:06):
visible difference. So I know everyonewho's sitting at home who can't wait to
get a bbl's going and what seemsto be wrong with that? That's a
win win. I get to liepersuption my body, and I get to
use the fat in the area thatI needed. High five. Well,
(07:26):
the idea is you're stealing from Paulto pay Peter. So Peter is wealthy,
Peter is rich, and now parIs Paul is poor as shit.
So the problem I have is becausethe botoc region is quite large, unlike
let's say your lips. In orderto make a volumetric difference, in order
(07:48):
for you to go wow, thatlooks so much better, you need to
fill the butt with a lot offat. So let's go through this.
You have two of them, twobutts. You need several hundred ccs in
each botock to even see it visually, you need two to three ccs in
(08:09):
a lip for you to look likea duck, and you need hundreds of
c seasons the butt to see anydifference. When you do liposuction, a
significant amount of the stuff you suckout is fluid. When you inject the
fat into the buttock, a significantamount of the fat dies. So in
(08:31):
reality, in order for you toget I'm making up numbers five hundred ccs
of fat, you need two thousandccs of liposuction fluid. So hence the
sudden need to liposuction so many areas, because if you liposuction only let's say
(08:52):
the back, or let's say youliposuction all the areas, but you're not
that aggressive, you just don't getenough fat. If you don't get enough
fat, then when you injected it, patients will be dissatisfied. So the
biggest issue I have with the procedureis in order for the butt to look
good, you have to be veryaggressive about liposuctioning the areas the donor sites
(09:20):
that you borrow. Again, peopleare still going, I don't get it,
what's the problem. So what theproblem is the areas you borrow them
from your stomach, your inner thighs, your lower back, your upper back.
When the dust settles, when isthat two years? Not six months?
(09:46):
Not all the photos on Instagram,not all on the table results.
Two years later, when the dustsettles, you will see one percent the
sequeli of that aggressive libel section.So what is that, Maria? What
are the things that you see twoyears later? When you've stolen from Paul
(10:13):
NumPy? You're going to see aship ton of lumpy bumpy irregularities, dance
divits, contour irregularities. Uh huh, and then the other one loose skin
from the area that you took outthe fat. So let me understand this.
If a patient loses fifty four poundsI don't know, just died in
(10:37):
exercise, and their body becomes depleteof fat because they lost fifty four pounds
and they're skinny, what tends tohappen to the skin on their belly?
It's flabby, it's flabby, getskind of loose, it's kind of stretchy.
What happens to the skin in theirarms? Same thing? Right,
(11:01):
So what difference does it make ifyou lose fifty pounds or high liposuction?
As a matter of fact, whenI suction the fat out as opposed to
you losing it on your own,it's worse because pols. In addition to
the fat I'm removing, I'm removinga boatload of connective tissue. I see
(11:22):
it when I do liposuction. There'slittle stringy things that's septate that connects your
muscle to your skin. So whenyou liposuction someone, which I also do
incredibly infrequently, you have to beconservative. Who the hell wants to do
(11:43):
that? The whole point of liposuctionis to be aggressive. I want the
fat. God, So this isthe formula that leads to shitty outcomes and
why I'm not a fan of theliposuction part of BBL. It's putting volume
in your butt, making it rathergetting rid of hip dips, all those
things. I'm for it. I'mvolume in your face, volume in your
(12:05):
breast, volume in your butt.All good. The problem is that the
damage we create from the liposuction,which I get at least three or four
calls a month from people calling mefor hey, just does doctor von fix
blah blah blah dance divid's loose skin? Do you know how many tummy tucks
(12:26):
I've done in women who have neverhad kids. You're kidney. Oh many,
And it's always I had liposuction doneon my stomach a few years earlier,
whether it's for a BBL or justfor the hell of it. Many
I've done. I've done a tummytucks in twenty year olds who were nineteen
(12:46):
Rather should me it's not twenty yearold's like twenty five year olds who had
liposuction when they were twenty two,super aggressive and now they got all this
loose skin as if they've had threekids. So that's the backstory. So
now we're gonna take a quick break. We'll come back and I'm going to
tell you my thoughts as to whatI think is the reason why people are
dying of these bbls. And thenwhen you know why they're dying, then
(13:11):
you should address the legislature. Accordingto hey, drinking and driving causes debts.
Stop drinking and then we can resolvethe issue. Not drive a four
door car instead of a two door. You know what I'm saying. All
Right, we'll be right back withthe second half of Classic Surgery and Censored
with doctor Rodi Raband. All right, welcome back to the second half of
(13:48):
plastic surgery and censored. And I'mon my BBL liposuction rants with Maria.
I want you to know I livein Miami and there isn't a shopping center
or office complex where you do notsee cosmetic procedure BBL. I mean,
this really is a capital. Idon't know if it's because so many people
(14:11):
comes from that in America they stoppedby, but perfect segue, and that
is part of the perfect segue.So why the hell is this happening.
We don't have this happening with rhinoplasty. We don't have this happening with We
didn't have this happening in the ninetieswith breastocks. People weren't dying left right
(14:31):
in the center. So the reasonwhy this is a true crisis, I
mean, I'm talking about what arethe numbers here, nineteen deaths in five
years, eight deaths in twenty twentyone. I'm talking mothers of three,
mothers of four, young women justotherwise healthy, go into a clinic,
boom drop debt. Forget about allthe women that go to these third world
countries. Oh my god, Godhelp you. If you do medical tourism
(14:54):
or destination plastic surgery. That's acatastrophe we had. Who did we have
on one of our shows where hersister went got a BBL and then became
brain dead and they had to flyher back. That was Jelina Solano.
Jelina Solano's a Hispanic reporter and itwas done here in South Florida, South
(15:15):
Florida. Oh my god. Whatabout our patient that we did the lip
reduction on who allegedly died of herfound BBL? Jocelyn Gando? Right,
So the Latina, the Mexican,Kim New Kardashian. Right. So this
is a true crisis. So Numberone is you have a procedure that inherently,
just by the mechanics of the surgery, is deadly. In other words,
(15:39):
for you to die of a rhinoplasty, you just have to bleed for
hours upon hours. Otherwise, inand of itself, it's not deadly.
But because you're shoving fat into thebutt and you're putting in an area with
a lot of vessels, it cancause death. The reason it caused death,
in my opinion, is that peopleare pushing the envelope of killing in
(16:00):
the butt with so much fat becausebigger is better, right, So as
a surgeon. If I want mypatience to be happy and I want great
results, I'm going to so calledpush the envelope. And it turns out
that the higher the pressure just thinkabout this, the higher the pressure in
(16:21):
the butt, they're more likely thefat is to go into the vessels.
Right. Imagine a balloon that's fullyinflated versus one that's semi deflated. Right,
So the procedure is deadly. Secondly, it is being incredibly overpromoted and
(16:41):
popularized on social media. So thedesire, the hunger, the want for
it is so much greater than anyother procedure we've ever had. And wouldn't
you think that almost it's like abody dysmorphia because you see these little waste,
these big butts, and not tellyou why I keep doing it.
I'll tell you why. No,I'll tell you why. Because rhinoplasti isn't
(17:07):
linked directly to sexuality. Eyelids arenot linked directly to sexuality. So,
like other procedures, when you gettoo much done, you look weird and
you're ostracized. Right, right,people will come up to the catwoman and
(17:30):
be like, oh my god,you look so sexy. Will you go
out with me. But there isa sub world, a sex world,
a only fans world, a worldwhere a girl who's otherwise just so called
quote unquote ordinary, by massively inflatingher butt, creating this weird anime,
(17:56):
bizarre appearance that by all standards,if it was her nose or her ear,
would be ostracized. Now has amassive following of Instagram followers and only
fans people paying germoney. It's monetized, whereas other abnormalities don't get monetized.
That is wherein lies the problem.So here I am if you notice a
(18:21):
lot of these women that are dyingare lower socioeconomic so this is the if
you look, this is all partof the mix. So here you have
a procedure that's potentially deadly. Youhave all these young girls Latinos, African
Americans, Dominicans, and all thesein which the culture promotes its body image.
(18:45):
I had a black an Abi rightnow, let's which is part of
the culture. Because listen it you'refrom I don't know, Germany, you're
just not well endowed US. Butif you're from Brazil, just genetically you
are. So I had an AfricanAmerican patient come to me hotly normal,
(19:06):
and she was telling me that asa normally full figured African that she's not
good enough is in terms of herfigure in the African American culture, like
there is a sort of pressure withineach subculture for and I was like shocked.
I was like, what do youmean you're really full figure. She's
like, yeah, but not notby today's standards. So here you have
(19:30):
deadly procedure culture plus monetization. Youtake these young girls who can bypass school,
college, regular normal routes, andthen it creates the perfect storm.
(19:52):
So they must have the procedure,must they don't have the money to do
it at a super reputable guy,some guy that has well trained, well
educated, super pedigree, etc.There are pop up clinics left, right
(20:14):
and center where there are a tonof cosmetic surgeons, these sort of fly
by night procedural people O. B. G. Wayan's emergency medicine guys dermatologists
providing inexpensive, high volume procedures.Again inexpensive aka affordable to the average person
(20:40):
who must have the procedure right thisweekend. And I do a lot of
them, and I make money.So instead of doing a normal two three
cases a day, I'm doing eightcases a day at super low prices in
order to make the same as somebodyelse, and I just churnham and burn
him. So do you see howthis is a perfect storm for these deaths.
(21:06):
And the funny thing is that they'redoing it because of vanity and that
to say at the end they windup losing their lives and leaving their children,
orphan their husbands or it's catastrophic,it's but but but again, it's
like vaping they market to young adults, it's like prostitution to young women.
(21:30):
It's these things where we as asociety have to step in and help.
So we can, of course,naturally whose fault is it? I mean,
no one forced you to go andget the procedure done in a strip
mall right, But and the samenary that's where they're are, no well
core an office building. But Iknow you said that that that the it's
not good to do it there becausein an emergency you have to call nane
(21:53):
on one to go take them tothe hospital instead of having the hospital right
there. So when a legislature isput into effect, when laws are brought
into effect, we shouldn't be limitinghow many of these, we should be
limiting who's doing them. How manyalcoholic beverages are you having is directly correlated
(22:18):
to how drunk you are. Who'sdoing these procedures, how well they're trained,
what is their academic requirements? Inorder to do this procedure, you
need one thousand man hours and acertificate by the American Board, blah blah
blah, And then if a patientwants to get it done, they need
to show you the certificate. ThenI can say I am adequately trained by
(22:41):
a larger organization that says that ifyou've done a thousand hours, I'm making
up a number. I've done fiftyof these supervised. The likelihood that I'm
going to do some short cut,crappy ass surgery is much less. So
it frusts straits me because it's soso silly, these little these the stupid
(23:07):
requirements no more than three, Soinstead of killing seven people that day,
they're only gonna kill three. Don'tget me wrong, it's not that board
certified plastic surgeons aren't killing patients.As a matter of fact, if I'm
not mistaken, the guy that didseven in a day was a board certified
plastic surgeon. So by Joe NyGreedy, they're getting by no means what
I suggest that. It's all we'rethe best board certified surgeons, YadA,
(23:30):
YadA, YadA, and everybody else'sshit. No, there's a lot of
terrible board certified plastic surgeons. It'sjust statistically less. And when there's a
procedure that is as deadly as thisone, people should get extra training.
That's it, simple, just getextra training any rate. It's just it's
(23:51):
one of those pet peete frustration things. And then the irony of all this
Kim Kardashian and those individuals are reversingit. Yeah, that's it. Yeah,
yeah, Well you know, I'veheard things that it's not naturally being
reversed, but well you can't.What do you mean naturally be reversed?
(24:11):
I just stuck, you know,a thousand ccs a fact in my butt.
It doesn't just go away. Igotta suption it out. I gotta,
I gotta get it out. Well, so, but if they lose
weight, if they know, ifit doesn't matter if you lose weight,
right, No, no, no, no. In general, in general,
it's almost impossible to reverse without somedeformity. So I put a breast
(24:32):
implant in a woman. She getseight hundred ccs of implant. She then
calls and says, you know what, I'm over it. I'm out of
this stage. I don't like theway this looks. No problem, I
go and remove that breast implant.What are her breast skin look like?
It's snaking. So it's not thatsimple. Yes, remember in clothes and
(24:55):
spanks and and I mean garments,and you know, the Kardashians are well
known to have amazing undergarments, right, like what did she go to the
met Dala and she looked like whatwas that what's her name, Marilyn Monroe's
dress? Yeah, like like JessicaRabbit Like she was like had like almost
had like one rib. You know, you know it is what it is.
(25:18):
All I'm just saying is it's justsuch a mess. And I feel
so bad because this procedure and thisunderworld and this crossing between sexuality plastic surgery,
it's gotten really messy. And thecrosshairs are these poor people that are
dying. And you know, youcan do bbl's. I think it's a
(25:40):
great procedure. I think if it'sdone tastefully in the right patient and done
judiciously. Sure, why not,it's a procedure. It's just not it's
just being so the volume is crankedup. Instead of listening to the music
at six decibels, it's you're listeningto music at tend decibels. So any
rate, and people like the Kardashiansare an influence. Well, you know,
(26:07):
they're the nips with the sisters orwhether it be the bus. You
can't blame the Kardashians at some point. No, I'm saying, of course
everybody has. We're in a societythat we don't take responsibility for nothing.
But but I think that what I'mafraid too is that the influence of social
media and these celebrities have a greatinfluence on on these people and our society.
(26:30):
And unfortunately that's that's what they aspire. Well, let's see, this
is not a new phenomenon, right, Marilyn Monroe. Even at the nineteenth
century, anytime, somebody, youknow, I am certain that back in
the days in the seventeen hundreds,women aspired to be like the Queen,
right, right, because that wasthe only celebrity that was known. This
(26:52):
that's not new. What's new isthat instead of seeing a picture of Marilyn
monrona movie you seven four hundred andforty four manipulated, morphed photoshop images of
not real women, and then yourbrain is turned into mush and you think,
oh my god, I have tolook like this. I don't look
(27:12):
like that with men like this,you know, blah blah blah, and
all of a sudden you go andget this stun gun in them all any
rate, Just be careful. That'sjust the bottom line. I don't think
this particular and there I don't thinkthere's any legislation coming down the pipe that's
going to protect the patient. Justknow that at the end of the day,
(27:33):
which is said it should be,but there isn't and I don't see
it coming anytime soon, definitely.If this is any indication, this is
a joke. So it's going tobe a long time before you can rely
on big Brother to help you.And you need to be really careful.
And this is a really vulnerable areawhere people are getting harmed every day.
(27:55):
All right, Maria, that's it. That's all I could say about this
subject. But I want to tellyou wanting before we go, you know,
just like the subject with the bBL this podcast helps a lot of
people is some clarity and understanding ofprocedures. And just recently we had a
review on our podcast. We hada review yes trow Cynthia G seven thirty
(28:22):
and is it positive? Wait,of course five stars, and she says
one of my favorite Doctor Roband isamazing. I feel like he speaks in
such an approachable and honest way.I love all the topics where I'm interested
in doing that surgery or not.He provides valuable info, questions to ask,
and things to consider. I lovehow much info I get from this
(28:44):
podcast and constantly recommend you should listenbefore considering any type of any type of
procedure so you understand what to askand think about. And that's the whole
point of this podcast, right,it's amazing. Well my mom can write
I don't think it was your mom, But that's fine. No, I'm
so happy, as you know,we do this in order for people to
learn. You take time on yourweekends. I take time on my weekends.
(29:07):
We do this out of joy andpassion, and when I know that
it helps someone, then it's worthit because that's you know. We're here
to provide knowledge and information. Soshare this podcast with people you love and
know. If you enjoy it,jot down something nice and until next week
we sign off. We'll see younext week. On plastic surgery,
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