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From labiaplasty and labia puffing, to pubic hair transplants, penile implants, and monsplasty, it seems there’s nothing we won’t do to our nether regions.

But there’s one procedure that many plastic surgeons would never get done themselves: a BBL.

In a recent Reddit thread, cosmetic practitioners were summoned to share the body altering surgery they’d avoid and why — and out of more than 2,000 responses, the Brazilian Butt Lift was by far the most common.

‘BBL is the only aesthetic procedure that has its own autopsy technique,’ wrote one, while another added: ‘It carries a surprisingly high mortality rate and the recovery is brutal.’

What is a BBL and why is it so risky?

Plastic surgeon Dan Marsh, co-founder of The Plastic Surgery Group, tells Metro that a BBL involves liposuction to remove fat from the abdomen waist flanks – what we might know as ‘love handles’.

This fat is then collected in a canister before being injected into the buttocks to change their shape and size.

‘You can inject up to two litres of fat per buttock either between the skin and muscle or into the muscle itself,’ he explains. ‘The risk is if you inject it into the muscle you could accidentally inject it into one of the big veins in the muscle which can be fatal, because fat will lodge in the patient’s lungs.’

The method is primarily used in South America and the US but is less common here in the UK.

Practices that do perform fat transfer buttock augmentation here typically use an ultrasound while injecting between the skin and muscle, in an effort to decrease the risk.

However, the BBL still has the highest mortality rate of all cosmetic procedures, and regulatory body BAAPS recommends its members refrain from offering it altogether, claiming the results can be ‘disturbing’.

Just last September, 33-year-old mum-of-five Alice Webb died from complications of a ‘liquid BBL’ using dermal filler.

This saw Save Face campaign for ‘Alice’s law’ to make it illegal for anyone other than a registered plastic surgeon on the GMC specialist register to perform the treatment.

Dan himself stopped performing BBLs once reports of serious complications began to rise.

‘I decided it was too risky,’ he says.

This was echoed by a nurse on the Reddit thread who wrote: ‘From blood clots to sepsis, it’s just not worth it. If the fat travels into the bloodstream, it’s over. Not worth the risks.’

Is the BBL falling out of favour?

Despite the risks, in 2023 a blinding 771,333 BBLs were performed, making it the eighth most popular surgical procedure across the globe, according to the International Society of Aesthetic Plastic Surgery.

There’s a death for every 4,000 of the procedures performed according to the inquest of Alice Webb, and it seems people are gradually realising its not worth the dangers.

Nearly 50,000 fewer BBLs were performed in 2023 than 2022 – and according to Dan, it’s becoming less and less popular.

Geordie Shore’s Chloe Ferry even had her BBL reversed in February, announcing on TikTok: ‘I’m really happy. It just looks so much better, I look more in proportion and more like me.

‘The surgeon couldn’t get all the fat out he wanted to because the previous surgeon might have put the fat too close to the muscle, which is really dangerous, so he took out as much as he could.’

While of course there are those who still want that coveted Kim K aesthetic, the £7,000 price tag of the procedure along with more widespread news of potential complications could finally be turning us off.

What other procedures would plastic surgeons avoid getting?

The BBL wasn’t the only procedure copping heat from surgeons on Reddit – rib removal was also widely criticised.

Dan says the treatment – known as the ‘Barbie waist’ in the plastic surgery world – is ‘coming back into fashion’ in recent years.

‘It’s pushed by South American surgeons a lot in tandem with a BBL so you get a small waist and big bum,’ he explains.

‘You don’t actually have a rib removed, they break the lowest rib and put a tight waist trainer on, so when the rib heals it looks much narrower.’

Dan would never do rib removal, as the ‘excessive’ complications include the broken rib puncturing the liver, spleen and lungs and in some cases even causing pneumothorax (collapsed lung).

‘Plastic surgery should be safe and never put you at high risk,’ he adds. ‘First, do no harm is the rule of a doctor.’

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Get in touch by emailing MetroLifestyleTeam@Metro.co.uk.

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Metro journalists select and curate the products that feature on our site. If you make a purchase via links on this page we will earn commission – learn more

Gymshark is my all-time favourite retailer to shop athleisure and loungewear – same, same really, right?

The brand prides itself on high quality, supportive and comfortable fabrics, that hug the body in the right places, provide a secure fit, but also look chic without costing the earth. I adore the range of t-shirts, purely because I prefer a loose fit tee to layer over a sports bra and leggings for coverage. The sports bras are ultra comfortable, as are the shorts, layering items, and, of course, the leggings. 

I have tried and tested a variety of leggings over the years, including some from Gymshark, which I have worn to lounge around the home, run errands, work from home in, as well as wear to workout in – and still going strong. So I was pleased to hear Gymshark was expanding its range of leggings, which I consider more affordable than other rival brands. 

Gymshark’s latest addition to its ever-expanding and bestselling Vital collection is the Vital Sculpt Leggings. 

The Vital Sculpt Leggings are a refined version of the iconic Vital leggings, which are known for providing support and comfort no matter the activity. Suffice to say the Vital Sculpt line has big boots to fill, but we believe in Gymshark. 

The new Vital Sculpt leggings have been designed from a new ultra-soft second-skin fabric, which has an improved stretch and snap-back technology. This means the design will fit your body perfectly, stay in place, even after hundreds of wear. The new creation also features a secure waistband to sculpt and support the body, without digging in or slipping down during your class. 

The Vital Sculpt range includes the classic fitted leggings, in both regular and slim fit, as well as a flared design, shorts and sports bras.

The new Vital Sculpt Leggings come in solid black and red, which you can mix or match with the Vital Seamless tops. 

Whether you are heading to a Pilates class, completing a HIIT session at the gym, a cross-country run, or maybe you’re aiming for the recommended 10k steps, these may just be the best pair of leggings to see you through all activities, seasons and years to come. 

Vital Sculpt Seamless Legging

A classic pair of leggings to see you through all occasions.The new design has been crafted from a blend of nylon and elastane fabric, which claims to be softer and stretchier than the original version, plus it’s breathable and sweat-wicking too. The design features glute scrunch, as well as contouring detail around the glutes and thighs to accentuate your assets. The waistband is elasticated and cinches in your frame, while also ensuring it doesn’t slide down mid-squat. The seamless design offers more comfort as it prevents any seams chafing. This high waisted design offers a regular fit, comes in sizes XXS to XXL, as well as four colourways, including the new black and red options.

BUY NOW FOR £50

Vital Sculpt Seamless Legging

While the title sounds the same as the former, Gymshark has created a slim fit of the new Vital Sculpt Seamless Leggings for a snug fit. Crafted from the same nylon and elastane fabric blend, these leggings offer the same scrunch glute detail, high waist band to hug the body, and contour panels around the glutes and thighs for a sculpted finish like the regular fit design. The seamless design is also breathable and moisture wicking, so you can wear in the summer months and still feel comfortable. Available in four colours, including red, black, blue and grey, all of which come in sizes XXS to XXL.

BUY NOW FOR £50

Vital Sculpt Seamless Flared Leggings

Typically we see Pilates girlies sporting flared leggings, but they are suitable for off-duty everyday wear, as well as other activities. The main difference is, of course, the flared hem instead of the figure hugging style.The Vital Sculpt Seamless Flared Leggings have been crafted from the same nylon and elastane blend, which is seamless, ultra-soft, and supportive. Available in three colours, grey, black and red, as well as sizes XXS to XXL.

BUY NOW FOR £50

Vital Sculpt Seamless Short

If you’re on the hunt for comfortable and supportive shorts, Gymshark has launched exactly that. Made using the same nylon and elastane fabric blend as the Vital Sculpt Seamless Leggings, which offer the necessary stretch, support and coverage. It boasts a high waist, glute scrunch, contour panels on the glutes and thighs, as well as a thick waistband to support the wearer, and prevent any movement when workout out.Available in four colours, grey marl, blue, black and red, all of which come in sizes XXS to XXL. Perfect for all sports, and ideal for summer months too.

BUY NOW FOR £38

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