Please Read This Before Having Brazilian Butt Lift Surgery in Miami

Tags:age 25-34

I have wanted a BBL for the longest time. I had been considering having and researching the surgery for over 2 years. In early 2017, I was considering going to either Dr. Oliver Chang, Dr. Mel Ortega or Dr. Rami Ghurani. As I was on the verge of picking Dr. Ghurani and proceeding with the surgery, I was watching the news one night and a story came across the TV of a woman in her 30s from Antigua who underwent liposuction with Dr. Ghurani and was killed by him. I immediately went on Google and started researching Dr. Ghurani. I found out what I saw on the news was indeed about him and I came across lots of other bad information about the other surgeons who worked at Spectrum Aesthetics. Dr. Mel Ortega and Dr. Osakatukei Omulepu both claimed to be plastic surgeons and neither one was. I believe Dr. Ortega is a general surgeon. In doing my research, I learned that if the doctor is not on the American Board of Plastic Surgery website, they are not a ‘board certified plastic surgeon.’ They were both complete frauds! Then I later learned that Dr. Omulepu had his license revoked for killing a patient. I was in disbelief that a practice could be so inept that they killed two patients. Two lives taken away because of complete incompetence. So sad and I’m glad Dr. Omulepu lost his license. How Dr. Ghurani is still operating is beyond me. At least he actually is a plastic surgeon and is somewhat trained to perform BBL surgery, unlike the other doctors.

Being that it is now 2018, I am again considering having BBL surgery. This time though, I want to make sure I’m going to a doctor who is both qualified to perform the procedure and has a perfect track record. Life is too valuable to take a risk like this. Any advice anybody can offer on this forum would be greatly appreciated. Thank you!


F, 30, Florida

hi Omepala,

Thank you for sharing this information with the forum. As you state, there have indeed been a number of deaths with the BBL, and many of them have occurred in Florida.  This has been so troubling to the ASPS and other professional societies that we have established a Gluteal Safety Task Force of 19 surgeons to study the issue.  I am a member of this Task Force and we have been meeting for many months. We are studying all aspects of the procedure to include autopsy reports.

As you state, one of the problems is that many doctors who are performing this procedure do not have the proper credentials or training. They are not Board Certified in Plastic Surgery. Some are not even surgeons!   This is perhaps the most important thing  you can research as a patient.  However, there are many more issues than just this. Pulmonary Fat Embolisms (PFE's) are occurring for many reasons.  What the Task Force has all agreed upon,  is that fat injections should NOT be performed in the deep layers of the muscles, and injections should remain subcutaneous.  The most dangerous area is where the inferior and superior gluteal veins emerge from the pelvis to the gluteal muscles. This area must be avoided.

A few months ago I wrote a blog post detailing the history of these tragedies , as well as my personal explanation of why fat embolisms are occurring , even among Board Certified Plastic Surgeons.  I have been in practice for over 25 years and have been performing the BBL safely for 15 years.  As a member and former President of IFATS, I have studied the properties of fat extensively.  My practice is involved with two FDA registered Clinical Trials involving adipose tissue.

My blog post explaining PFE's: Brazilian Butt Lift and the Risk of Pulmonary Fat Embolism 

I explain exactly what a PFE is, and why I believe they are occurring. When performed by a Board Certified Plastic Surgeon who adheres to certain surgical guidelines, I believe the BBL is a safe procedure. Again, thank you for taking the time to post your findings. I hope the information from my blog post helps your understanding even further.

Dr. Ricardo Rodriguez