Big Butts No Lies Plastic Surgery Podcast
Jul 9, 2026 · 24 min · 7 segments
What actually happens to your body when a cosmetic procedure goes wrong? Welcome to Part 2 of **Before You Go Under the Knife**, an explicit, investigative audio series hosted by 18-year plastic…
Mavi RodriguezHost
The BBL, the Brazilian butt lift, let's get into it because I think there's a lot of information out there and a lot of misinformation.

And I want to give you the clearest, most honest version of what this procedure involves and why it carries the risks that it does.

Mechanically, liposuction is used to remove fat from your abdomen, your flanks, your back, your arms, your inner thigh, wherever it is that you're getting your donor fat from.

That fat is then purified and reinjected into your buttocks to create the shape and volume that you're looking for.

And when it's done correctly by a properly trained surgeon in a properly equipped facility, it can be a transformative result.

Beautiful results! Here's the risk that the American Society of Plastic Surgeons has identified as the reason the BBL carries a higher mortality rate of up to 1 in 3,000.

For context, that's higher than virtually any other elective cosmetic procedure.

For BBLs, how do people die during a BBL? That's the question, right? The mechanism of death is this.

If fat is injected too deeply into the gluteal muscles rather than the subcutaneous layer, which is that fat layer just beneath the skin, it can enter the venous system, the veins.

and cause what's called a pulmonary fat embolism the fat blocks the blood flow to the lungs and heart death can happen within minutes This is not a freak occurrence.

They have issued specific guidelines to prevent it, inject superficially, use ultrasound guidance, never penetrate that deep muscle layer, and yet it still keeps happening.

I want to tell you about three cases, all anonymous, because together they show you something important.

He uses ultrasound guidance during procedure, which is a safety tool specifically designed to help a surgeon avoid injecting into the deep muscle layer.

The BBL, the Brazilian butt lift, let's get into it because I think there's a lot of information out there and a lot of misinformation.

And I want to give you the clearest, most honest version of what this procedure involves and why it carries the risks that it does.

Mechanically, liposuction is used to remove fat from your abdomen, your flanks, your back, your arms, your inner thigh, wherever it is that you're getting your donor fat from.

That fat is then purified and reinjected into your buttocks to create the shape and volume that you're looking for.

And when it's done correctly by a properly trained surgeon in a properly equipped facility, it can be a transformative result.

Beautiful results! Here's the risk that the American Society of Plastic Surgeons has identified as the reason the BBL carries a higher mortality rate of up to 1 in 3,000.

For context, that's higher than virtually any other elective cosmetic procedure.

For BBLs, how do people die during a BBL? That's the question, right? The mechanism of death is this.

If fat is injected too deeply into the gluteal muscles rather than the subcutaneous layer, which is that fat layer just beneath the skin, it can enter the venous system, the veins.

and cause what's called a pulmonary fat embolism the fat blocks the blood flow to the lungs and heart death can happen within minutes This is not a freak occurrence.

They have issued specific guidelines to prevent it, inject superficially, use ultrasound guidance, never penetrate that deep muscle layer, and yet it still keeps happening.

I want to tell you about three cases, all anonymous, because together they show you something important.

He uses ultrasound guidance during procedure, which is a safety tool specifically designed to help a surgeon avoid injecting into the deep muscle layer.
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