Botched Surgeries: Brazilian Butt Lift
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Who is Professor Mark Ashton and what are his qualifications for discussing BBL safety?
A listener production.
I'm Bec Chard. And I'm Jess Roberts. And we're done with the smoke and mirrors. Fainish shares honest stories about what it takes to look amazing because we did not wake up like this.
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Hi guys, it's Bec Jard and Jess Roberts and welcome to Vainish. Welcome to Vainish. So today we have got Professor Mark Ashton and we've actually had him on before. He is the body guy,
isn't he? Yeah, yeah, yeah, yeah. He's so well known in Australia as being one of the most experienced plastic surgeons for tummy tucks, also known as abdominoplasty. That's what he came on. Yes, and talked about. And it was awesome. We had such great feedback. So what we're going to do on Vainish is you guys always love when we talk about different kind of surgeries and risks and what can go wrong. So we thought we would introduce our first botched case. episode. And we thought, who better than
to
get Professor Mark Ashton on, given his experience and also given how many botched jobs he's had to fix himself. So welcome back to Vainish, Professor Mark Ashton.
Thank you very much for having me.
We're so excited to have you, especially for this episode. Yeah. But before we get into it, what is your qualifications?
So I'm a professor of anatomy and a professor of surgery, both at the University of Melbourne. I'm a past president of the Australian Society of Plastic Surgeons. I was head of Royal Melbourne Plastic Surgery Unit and Royal Women's Plastic Surgery Unit for over 20 years and now work in private practice at Epworth Hospital.
It's amazing.
You're smart. Smart cookie. Very, very smart. How long did you train for all
up? I'm old. So I'm 62. I started training at 17, went into Uni of Melbourne Med School and came out when 17 years later. 17
years. So how did you make money during that time? Like what was your part-time job?
I worked as a barman and as a waiter and I worked at Country Road selling clothes. Oh,
that's
so iconic.
Oh, my God. They should use you for one of their shoots. They
should.
Yeah.
Like, we're all uni students, right? Yeah. So, we all had to make money because…
Especially when you're at uni for bloody 17 years. Yeah. I mean, you become a junior doctor in that, within
that 17
years, right? So, you take a wage from that.
Yeah. So, after six years at medicine, then you go on what they call an intern or a junior resident doctor and then you start earning money.
Mm-hmm.
In those days, it was long hours, you know, going to work on Friday, come out on Monday night. Was it
like Grey's Anatomy?
It was.
Wow.
It
was full on. That is
so good.
I love it. That's my next life. I know, right? Oh my God, that's amazing. It's such a delight to have you in for our first botched episode. We're starting it with something that's very kind of on trend on social media. You see it in celebs overseas. It is the BBL or the Brazilian butt lift. For people who might not know much about it, can you explain what a Brazilian butt lift is, its history and what the procedure involves?
So in simple terms, a Brazilian butt lift is where we take fat from somewhere in the body, we distill it or decant it, and then we re-inject it back into someone's butt. So it originated in liposuction and then in fat grafting, which we'll talk about later on. And then people said, well, we've got all this fat, which we're discarding. Why don't we put it somewhere else? And as you know, in Brazil and South America, the butt is particularly... protected and has an iconic status. And so they used the fat which was otherwise going to be discarded. and injected it back into that same patient's.
Right. Okay.
And it evolved from there, which we can talk
about.
Yeah.
Okay. So side quest question. You know how you said with liposuction, they've taken all this fat out and it's sitting there and they used to discard it and then they've thought, let's use this.
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Chapters
8 chapters
1
Who is Professor Mark Ashton and what are his qualifications for discussing BBL safety?
0:02–4:41
2
What is a Brazilian Butt Lift, how is it performed, and why did it originate?
4:41–10:39
3
Why is the Brazilian Butt Lift considered a high‑risk procedure compared to other cosmetic surgeries?
10:39–15:34
4
How does fat embolism occur during a BBL and what are the signs of a pulmonary embolus?
15:34–20:24
5
What techniques (ultrasound guidance, special cannulas) are used to make BBL surgery safer?
20:24–27:09
6
What are common botched BBL scenarios (over‑harvesting, uneven injection, fat necrosis) and how are they corrected?
27:09–33:04
7
What does the recovery process look like after a BBL and how are revision surgeries handled?
33:04–39:38
8
How should patients choose a qualified surgeon and what recent guideline changes affect BBL safety?
39:38–44:19