{"id":4665,"date":"2026-10-21T08:38:19","date_gmt":"2026-10-21T14:38:19","guid":{"rendered":"https:\/\/clinicaobesidadenvejecimiento.com\/?p=4665"},"modified":"2026-10-21T14:42:33","modified_gmt":"2026-10-21T20:42:33","slug":"gluteal-fat-transfer-safety","status":"publish","type":"post","link":"https:\/\/clinicaobesidadenvejecimiento.com\/en\/gluteal-fat-transfer-safety\/","title":{"rendered":"Gluteal fat transfer: safety and risks"},"content":{"rendered":"\n<div class=\"art\"><p class=\"rev\">Reviewed by <strong>clinicaobesidadenvejecimiento.com<\/strong> \u00b7 Last review: <time datetime=\"2026-10-21\">October 21, 2026<\/time><\/p><figure class=\"hero\"><img fetchpriority=\"high\" decoding=\"async\" src=\"https:\/\/clinicaobesidadenvejecimiento.com\/wp-content\/uploads\/2025\/04\/Cloe-Banner-Clinica-de-obesidad-y-envejecimiento-MX3.jpg\" alt=\"Treatment room at Cl\u00ednica Obesidad y Envejecimiento in Mexico City\" width=\"1600\" height=\"1000\"><\/figure><div class=\"resumen\" id=\"resumen\"><span class=\"label\">Summary<\/span><p>Gluteal fat transfer is safe when fat is injected only under the skin. A meta-analysis of 22,151 patients reported 3.58 % minor complications and 0.04 % pulmonary embolism. Since the 2017 recommendations, reported mortality dropped from 1 in 3,448 to 1 in 14,952 cases.<\/p><ul class=\"chips\"><li>22,151 patients<\/li><li>3.58 % minor<\/li><li>0.04 % embolism<\/li><li>Subcutaneous plane<\/li><\/ul><\/div><nav class=\"toc\"><b>In this article<\/b><ol><li><a href=\"#s1\">How safe is gluteal fat transfer?<\/a><\/li><li><a href=\"#s2\">What is fat embolism and why does it happen?<\/a><\/li><li><a href=\"#s3\">What changed with the 2017 recommendations?<\/a><\/li><li><a href=\"#s4\">What else lowers the risk?<\/a><\/li><li><a href=\"#s5\">Is it safer than injectable fillers?<\/a><\/li><li><a href=\"#faq\">Frequently asked questions<\/a><\/li><\/ol><\/nav><h2 id=\"s1\">How safe is gluteal fat transfer?<\/h2><p>It is safe when the plane under the skin is respected, and recent studies show it with figures.<\/p><p>A meta-analysis of 38 studies and 22,151 patients (<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41051287\/\" target=\"_blank\" rel=\"noopener\">Plast Reconstr Surg 2026<\/a>) found minor complications in 3.58 % of cases.<\/p><table><thead><tr><th>Complication<\/th><th>Rate<\/th><\/tr><\/thead><tbody><tr><td>Minor complications (total)<\/td><td>3.58 %<\/td><\/tr><tr><td>Seroma<\/td><td>2.03 %<\/td><\/tr><tr><td>Contour irregularities<\/td><td>2.29 %<\/td><\/tr><tr><td>Pulmonary embolism<\/td><td>0.04 %<\/td><\/tr><\/tbody><\/table><p>Source: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41051287\/\" target=\"_blank\" rel=\"noopener\">Plast Reconstr Surg 2026<\/a>.<\/p><h2 id=\"s2\">What is fat embolism and why does it happen?<\/h2><p>It is fat entering the bloodstream when it is injected into the muscle and large veins are injured.<\/p><p>The <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28369293\/\" target=\"_blank\" rel=\"noopener\">ASERF task force<\/a> analyzed 198,857 cases and concluded that deep muscle injection was the main risk factor.<\/p><h2 id=\"s3\">What changed with the 2017 recommendations?<\/h2><p>The technique changed: inject only under the skin, with suitable cannulas and without pointing the tip toward the muscle.<\/p><p>With these measures, reported mortality went from 1 in 3,448 in 2017 to 1 in 14,952 in 2019 (<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32306045\/\" target=\"_blank\" rel=\"noopener\">Aesthet Surg J 2020<\/a>).<\/p><h2 id=\"s4\">What else lowers the risk?<\/h2><p>Besides the right plane, image guidance and a complete assessment help.<\/p><ul><li>With ultrasound guidance, major complications were 0.02 % vs 0.08 % (<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41051287\/\" target=\"_blank\" rel=\"noopener\">2026 meta-analysis<\/a>).<\/li><li>Plastic surgeons experienced in the technique.<\/li><li>Assessment of general health and stable weight.<\/li><\/ul><h2 id=\"s5\">Is it safer than injectable fillers?<\/h2><p>Yes compared with modeling substances: fat is your own tissue, while biopolymers and oils are high risk according to <a href=\"https:\/\/www.gob.mx\/cofepris\/articulos\/sustancias-modelantes-utilizadas-en-procedimientos-esteticos-son-de-alto-riesgo-a-la-salud-cofepris\" target=\"_blank\" rel=\"noopener\">COFEPRIS<\/a>.<\/p><h2 id=\"mitos\">Myth and fact<\/h2><div class=\"myths\"><div class=\"myth\"><p class=\"m\">Myth: \u201cFat transfer is very dangerous.\u201d<\/p><p class=\"r\"><b>Fact:<\/b> With injection only under the skin, mortality dropped to 1 in 14,952 (<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32306045\/\" target=\"_blank\" rel=\"noopener\">Aesthet Surg J 2020<\/a>).<\/p><\/div><div class=\"myth\"><p class=\"m\">Myth: \u201cEvery complication is serious.\u201d<\/p><p class=\"r\"><b>Fact:<\/b> Most are minor, such as seroma or irregularities (<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41051287\/\" target=\"_blank\" rel=\"noopener\">Plast Reconstr Surg 2026<\/a>).<\/p><\/div><div class=\"myth\"><p class=\"m\">Myth: \u201cInjecting into the muscle gives a better result.\u201d<\/p><p class=\"r\"><b>Fact:<\/b> It raises the risk of embolism (<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28369293\/\" target=\"_blank\" rel=\"noopener\">ASERF 2017<\/a>).<\/p><\/div><\/div><div class=\"cta\"><h2>Want a procedure with the safe technique?<\/h2><p>In the assessment we explain the injection plane and how we protect your safety.<\/p><a class=\"btn\" href=\"https:\/\/api.whatsapp.com\/send?phone=525535223243&amp;text=Hello%2C%20I%20would%20like%20to%20book%20an%20assessment\" target=\"_blank\" rel=\"noopener\">Book an assessment<\/a><\/div><h2 id=\"faq\">Frequently asked questions<\/h2><details open><summary>What is the most common complication?<\/summary><p>Contour irregularities (2.29 %) and seroma (2.03 %) (<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41051287\/\" target=\"_blank\" rel=\"noopener\">Plast Reconstr Surg 2026<\/a>).<\/p><\/details><details><summary>How common is embolism?<\/summary><p>0.04 % in the meta-analysis of 22,151 patients.<\/p><\/details><details><summary>Why inject only under the skin?<\/summary><p>Because deep muscle has large veins; avoiding it reduces embolism (<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28369293\/\" target=\"_blank\" rel=\"noopener\">ASERF 2017<\/a>).<\/p><\/details><details><summary>Can the fat be reabsorbed?<\/summary><p>Yes, part of it is reabsorbed and the result settles over months.<\/p><\/details><h2>Keep reading<\/h2><div class=\"rel\"><a href=\"https:\/\/clinicaobesidadenvejecimiento.com\/en\/laser-buttock-lift\/\"><span>Treatment<\/span>Laser buttock lift<\/a><a href=\"https:\/\/clinicaobesidadenvejecimiento.com\/en\/buttock-lift-what-it-is-how-it-is-done\/\"><span>Article<\/span>Buttock lift: what it is, who it is for and how it is done<\/a><a href=\"https:\/\/clinicaobesidadenvejecimiento.com\/en\/sagging-buttocks-causes-options\/\"><span>Article<\/span>Sagging buttocks: causes and medical options<\/a><a href=\"https:\/\/clinicaobesidadenvejecimiento.com\/en\/buttock-lift-recovery\/\"><span>Article<\/span>Buttock lift recovery: week by week<\/a><\/div><div class=\"dl\"><p><strong>Downloadable quick guide.<\/strong> The safety figures of gluteal fat transfer in one image.<\/p><a class=\"btn\" href=\"https:\/\/clinicaobesidadenvejecimiento.com\/wp-content\/uploads\/2026\/10\/gluteal-fat-transfer-safety.png\" download>Download infographic (PNG)<\/a><\/div><h2>Sources<\/h2><ol class=\"src\"><li>Elsaftawy A, et al. Gluteal augmentation with fat grafting: systematic review and meta-analysis. Plast Reconstr Surg. 2026. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41051287\/\" target=\"_blank\" rel=\"noopener\">PubMed<\/a><\/li><li>Mofid MM, et al. Report on mortality from gluteal fat grafting. Aesthet Surg J. 2017;37(7):796-806. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28369293\/\" target=\"_blank\" rel=\"noopener\">PubMed<\/a><\/li><li>Rios L, Gupta V. Improvement in Brazilian Butt Lift safety. Aesthet Surg J. 2020;40(8):864-870. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32306045\/\" target=\"_blank\" rel=\"noopener\">PubMed<\/a><\/li><li>COFEPRIS. High-risk modeling substances. <a href=\"https:\/\/www.gob.mx\/cofepris\/articulos\/sustancias-modelantes-utilizadas-en-procedimientos-esteticos-son-de-alto-riesgo-a-la-salud-cofepris\" target=\"_blank\" rel=\"noopener\">gob.mx<\/a><\/li><\/ol><\/div><script type=\"application\/ld+json\" id=\"art-ld\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/clinicaobesidadenvejecimiento.com\/en\/gluteal-fat-transfer-safety\/#med-breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/clinicaobesidadenvejecimiento.com\/en\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Laser buttock lift\",\"item\":\"https:\/\/clinicaobesidadenvejecimiento.com\/en\/laser-buttock-lift\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Gluteal fat transfer: safety and risks\",\"item\":\"https:\/\/clinicaobesidadenvejecimiento.com\/en\/gluteal-fat-transfer-safety\/\"}]},{\"@type\":\"MedicalWebPage\",\"@id\":\"https:\/\/clinicaobesidadenvejecimiento.com\/en\/gluteal-fat-transfer-safety\/#webpage\",\"url\":\"https:\/\/clinicaobesidadenvejecimiento.com\/en\/gluteal-fat-transfer-safety\/\",\"name\":\"Gluteal fat transfer: safety and risks\",\"inLanguage\":\"en\",\"breadcrumb\":{\"@id\":\"https:\/\/clinicaobesidadenvejecimiento.com\/en\/gluteal-fat-transfer-safety\/#med-breadcrumb\"},\"about\":{\"@id\":\"https:\/\/clinicaobesidadenvejecimiento.com\/en\/laser-buttock-lift\/#procedure\"},\"mainEntity\":{\"@id\":\"https:\/\/clinicaobesidadenvejecimiento.com\/en\/gluteal-fat-transfer-safety\/#med-article\"},\"lastReviewed\":\"2026-10-21\",\"reviewedBy\":{\"@id\":\"https:\/\/clinicaobesidadenvejecimiento.com\/#organization\"},\"speakable\":{\"@type\":\"SpeakableSpecification\",\"cssSelector\":[\"#resumen\"]},\"primaryImageOfPage\":{\"@type\":\"ImageObject\",\"url\":\"https:\/\/clinicaobesidadenvejecimiento.com\/wp-content\/uploads\/2025\/04\/Cloe-Banner-Clinica-de-obesidad-y-envejecimiento-MX3.jpg\"},\"relatedLink\":[\"https:\/\/clinicaobesidadenvejecimiento.com\/en\/laser-buttock-lift\/\",\"https:\/\/clinicaobesidadenvejecimiento.com\/en\/buttock-lift-what-it-is-how-it-is-done\/\",\"https:\/\/clinicaobesidadenvejecimiento.com\/en\/sagging-buttocks-causes-options\/\",\"https:\/\/clinicaobesidadenvejecimiento.com\/en\/buttock-lift-recovery\/\"]},{\"@type\":\"Article\",\"@id\":\"https:\/\/clinicaobesidadenvejecimiento.com\/en\/gluteal-fat-transfer-safety\/#med-article\",\"headline\":\"Gluteal fat transfer: safety and risks\",\"description\":\"How safe gluteal fat transfer is according to studies: complications, fat embolism and the rule of injecting only under the skin. 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