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One of the riskiest cosmetic operations available is the Brazilian butt lift (BBL), a technique that uses fat from other areas of the body to expand and contour the butt. But in addition to the dangers of infection, blood clots, and death, there is another disconcerting side effect that may cause individuals to reconsider: the infamous “BBL smell.”

Dr. Eric Anderson of Impressions Face + Body in Chicago told the Daily Mail, “The BBL smell is real.” Experts at South Shore Plastic Surgery said that people frequently describe this unanticipated adverse effect as sour or musty. It usually becomes apparent after prolonged sitting or perspiration.

However, it can also be brought on by much more significant problems. Fat necrosis, a disease in which the fat cells die off, can result from injecting too much fat during the treatment, according to Dr. Anderson.

“When there is more fat in an area than the blood supply allows, the fat will die through a smelly process called fat necrosis,” Anderson said. “It can cause infections that may require antibiotics, hospital stays, or even lead to sepsis.”

Another, more straightforward explanation for the stench is that patients may find it difficult to adequately clean their surgically enlarged posteriors. Any urine or feces residue that remains on the skin can quickly grow bacteria and produce an unpleasant odor.

After using the restroom, doctors advise BBL patients to properly clean using a bidet or mild, fragrance-free wet wipes.

Results from BBL frequently wane even in the absence of these issues. Scarlet Black, a woman on TikTok, disclosed that she had two BBLs because the first one “died.”

“A lot of the fat that’s re-injected into your butt actually dies — like 50% or sometimes more,” she said. “For this BBL we focused on lifting it up and adding volume.”

Black reportedly spent $36,000 on plastic surgery to have her ideal body, so she doesn’t seem to mind having to have the same procedure done again.

Although BBLs are still quite popular, specialists caution that patients should be ready for unpleasant and unexpected side effects in addition to the risks of the operating table.

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