Se faire un Brazilian Butt Lift (BBL) vs ne pas s'en faire
Si vous agissez
Se faire un BBL
14%
Si vous n’agissez pas
Ne pas se faire un BBL
8,0%
Pourcentage de personnes qui regrettent ensuite chaque choix. Les barres et le registre complet s’affichent ci-dessous.
Santé
Dernière révision 2026-05-10
Qualité des preuves 3.38/5
Score d’évaluation en huit dimensions selon la
grille de qualité
. Chaque dimension notée de 1 à 5.
D1 Vérification des sources
4/5
D2 Autorité et indépendance des sources
4/5
D3 Précision du taux de regret
1/5
D4 Comparabilité des sources
2/5
D5 Motif de Gilovich
3/5
D6 Qualité de la prose
5/5
D7 Complétude des réserves
5/5
D8 Qualité de l’échantillon
3/5
Moyenne3.38/5
Données de substitution — aucune enquête directe sur les regrets n'existe pour cette décision. Les taux sont dérivés des scores de satisfaction et des obstacles d'accès plutôt que de questions portant directement sur les regrets. Voir les mises en garde ci-dessous.
Regret d'action
Se faire un BBL
14%
~14% (proxy de satisfaction inverse — aucune enquête de regret direct n'existe)
Patients BBL, cohorte rétrospective ; regret inféré de l'insatisfaction
rétrospective, suivi 2018-2022
Regret d'inaction
Ne pas se faire un BBL
8,0%
~8% (estimation proxy — aucune enquête de regret d'inaction direct n'existe)
Adultes envisageant mais ne poursuivant pas l'augmentation glutéale ; proxy d'insatisfaction corporelle
rétrospective, pas de calendrier fixe
% regrettent ce choix
Se faire un BBLNe pas se faire un BBL
14%8,0%
balanced — À peu près équilibré — les deux choix entraînent un regret similaire.
Décisions associées
Décisions sémantiquement similaires — même terrain, compromis différents.
Recourir à la chirurgie esthétique pour se conformer aux normes d'apparence coréennesRefuser la chirurgie esthétique et résister à la pression sur l'apparence
The Brazilian Butt Lift occupies an unusual position in elective cosmetic
surgery: it carries the highest reported mortality rate of any aesthetic
procedure while simultaneously producing high patient satisfaction among
survivors. A 2024 retrospective cohort of 3,000 BBL patients (Güzey &
Ergan Şahin, Aesthetic Plastic Surgery) reported 86% satisfaction, implying
roughly 14% not satisfied. Crucially, no peer-reviewed study has applied a
validated decision-regret instrument specifically to BBL patients, so the
14% action-regret estimate is a satisfaction inverse — a proxy with an
inherent upward bias on the regret direction, since dissatisfaction and
regret are related but distinct constructs.
The mortality data provides essential context for why regret data is
structurally incomplete. Before the ASERF Multi-Society Task Force published
guidelines in 2018, the estimated BBL mortality rate was approximately
1:3,000 procedures — the highest ever recorded for elective cosmetic
surgery, driven by fat embolism when injected material entered the gluteal
venous plexus. Following adoption of subcutaneous-only injection techniques,
the 2019 follow-up survey reported a rate of approximately 1:14,952. The
implication is that any satisfaction or regret figure drawn from survivor
cohorts is subject to survivorship bias: patients who died or suffered
severe complications cannot report their preferences. Studies conducted
almost entirely at accredited facilities by board-certified surgeons further
select against the highest-risk surgical settings, where outcomes and
potential regret would almost certainly differ.
On the inaction side, no survey exists that directly measures regret among
people who considered but did not get a BBL. The same 2018 Ipsos survey
reports that 8% of respondents “always feel dissatisfied with how they
look,” regardless of setting — the most chronic, cross-situational tier of
body dissatisfaction it measures, distinct from the 37% who feel this way
specifically in front of a mirror. This entry uses that directly-reported 8%
as the inaction-side proxy, on the reasoning that persistent,
situation-independent dissatisfaction is a closer analogue to durable regret
than transient, situational dissatisfaction — though it remains a general
body-dissatisfaction measure, not a rate specific to foregoing this
procedure. Both the 8% inaction estimate and the 14% action estimate should
be treated as proxy constructs rather than directly measured regret rates.
The delta (0.06) and the “balanced” Gilovich pattern label reflect this
uncertainty: it is possible that, once properly measured with a validated
regret instrument, the pattern would shift in either direction. This entry’s
primary purpose is to surface the mortality risk context and the absence of
rigorous regret literature for one of the most socially prominent elective
procedures of the 2010s and 2020s.
Sources : action
Registre des sources
Chaque chiffre ci-dessous correspond à ce que la source a rapporté, avec la citation textuelle sur laquelle nous nous sommes appuyés et la méthode de calcul. Cliquez sur un lien pour vérifier directement.
[1]Aesthetic Plastic Surgery (Springer) — Brazilian Butt Lift: An Experience Over 3000 Patients
Revue par les pairs
86% of patients satisfied with outcomes; ~14% not satisfied
Extrait
“"[Paraphrase from abstract -- full text paywalled] Of 3000 patients who underwent BBL between 2018 and 2022, 86% expressed satisfaction with their outcomes. The study concluded that BBL is a safe and satisfactory surgery when performed by experienced surgeons who adhere to fundamental principles, with 70% of transferred fat surviving in the buttocks."
”
Données source de
2024-04-01
Consulté le
2026-05-10
Calcul
Güzey and Ergan Şahin (2024) retrospective cohort of 3000 BBL patients. 86% satisfaction rate used as the inverse proxy for regret: 100% - 86% = 14%. This is NOT a direct regret-framed question; it measures general satisfaction. Dissatisfied patients are not necessarily regretful (they may intend revision surgery), and satisfied patients may still report some regret. The 14% is used as an upper-bound proxy for action regret, likely overstating true decision regret. No peer-reviewed study has applied a validated Decision Regret Scale specifically to BBL patients.
[2]Aesthetic Surgery Journal / ASERF — Report on Mortality from Gluteal Fat Grafting: Recommendations from the ASERF Task Force
Revue par les pairs
BBL career mortality rate estimated between 1:6,214 and 1:2,351; total fatal-or-nonfatal pulmonary fat embolism rate 1:1,473 over a career
Extrait
“"The calculated total rate of having either a fatal or a nonfatal PFE over a career is therefore 1:1473. ... The Task Force stresses that none of these estimates be construed as the actual rate." The survey, autopsy, and AAAASF-facility methodologies yielded death-rate estimates of 1:6214, ~1:4000, and 1:2351 respectively.
”
Données source de
2018-03-01
Consulté le
2026-05-10
Calcul
ASERF task force anonymous survey of 4,843 plastic surgeons worldwide. Establishes baseline mortality context (not the regret rate). Post- guideline data (2019 ASERF follow-up published in Aesthetic Surgery Journal) showed the rate fell to approximately 1:14,952 after adoption of subcutaneous-only injection technique. Mortality is cited here as context for why complications drive regret, not as the regret rate itself. Cited to establish why action regret may be underreported: patients who died cannot report regret, and survivors with complications may not be captured in satisfaction surveys.
Sources : inaction
Registre des sources
Chaque chiffre ci-dessous correspond à ce que la source a rapporté, avec la citation textuelle sur laquelle nous nous sommes appuyés et la méthode de calcul. Cliquez sur un lien pour vérifier directement.
[1]Ipsos — Most Americans Experience Feeling Dissatisfied with How Their Body Looks from Time to Time↗ 2 other entries
Étude primaire
8% of Americans always feel dissatisfied with their body regardless of location/situation; 37% feel dissatisfied specifically when looking in a mirror; 79% experience dissatisfaction at times (vs 21% never)
Extrait
“"Most Americans experience feeling dissatisfied with how their body looks from time to time, including nearly two in five who feel this way whenever they look in the mirror." ... "For another 8% of those surveyed, it doesn't matter where they are - they always feel dissatisfied with how they look."
”
Données source de
2018-01-10
Consulté le
2026-07-07
Calcul
Ipsos survey of 1,004 US adults (RiverMend Health, Jan 3-5, 2018). The survey directly reports that 8% of respondents "always feel dissatisfied with how they look" regardless of setting -- the most chronic, cross-situational tier of dissatisfaction the survey measures, distinct from the 37% who are dissatisfied specifically when looking in a mirror and the 79% who are dissatisfied in at least one surveyed situation (vs 21% never). This entry uses that directly-reported "always, regardless of location" 8% figure as the inaction-side proxy, reasoning that persistent, situation- independent dissatisfaction is a closer analogue to durable inaction regret than the broader mirror-specific or at-least-sometimes figures -- though it remains a general body-dissatisfaction measure, not a rate specific to foregoing this procedure. No survey asks people who considered but did not get a BBL whether they regret that inaction; BBLs are a niche procedure, and the true share of the population whose lasting regret concerns specifically foregoing this surgery is unknown and could sit anywhere in the general body-dissatisfaction range (8%-37%) or outside it.
[2]International Society of Aesthetic Plastic Surgeons (ISAPS) — ISAPS Global Survey 2024: Full Report
Source de référence
Body and extremities procedures (the category that includes gluteal augmentation) totalled ~6 million worldwide in 2024, the largest surgical category, though volume fell 14.8% year-on-year
Extrait
“"There were 3.9 million breast procedures (-14.1%) and 6 million body and extremities procedures (-14.8%)."
”
Données source de
2024-12-01
Consulté le
2026-05-10
Calcul
ISAPS annual global survey of member plastic surgeons. The body-and- extremities category (which includes gluteal augmentation) was the largest surgical category at ~6 million procedures worldwide in 2024, confirming that demand for body-contouring surgery is real and substantial and that a plausible pool of people consider but do not proceed. Note the category declined 14.8% year-on-year in the 2024 survey, so this is a demand-level (not a growth) claim; earlier reports do NOT place gluteal fat grafting in the global top-10 surgical procedures. Volume data does not translate to inaction-regret data. Cited to establish demand context, not as a regret measure.
Réserves
Les chiffres d'action et d'inaction pour cette entrée sont des constructions proxy, pas des taux de regret mesurés. Aucune étude évaluée par les pairs n'a appliqué un instrument de regret décisionnel validé spécifiquement aux patients BBL. Les 14% côté action sont l'inverse de 86% de satisfaction dans une cohorte turque de 3 000 patients (Güzey & Ergan Şahin, 2024) — la satisfaction et le regret mesurent des constructions liées mais distinctes, et cette conversion surestime le vrai regret décisionnel sous l'interprétation la plus généreuse. Les 8% côté inaction n'ont aucune base probante directe ; c'est un proxy spéculatif issu de données générales d'insatisfaction corporelle. Le delta (0,06) et l'étiquette gilovich_pattern (« équilibré ») doivent être traités comme des estimations éditoriales, pas comme des conclusions empiriques. Une complication secondaire est le biais de survie : le BBL a le taux de mortalité rapporté le plus élevé de toute procédure cosmétique élective (1:3 000 dans l'ère pré-2018 ; environ 1:14 952 post-directives). Les patients ayant subi des complications fatales ou graves ne peuvent pas rapporter leur regret, supprimant systématiquement le taux de regret d'action mesuré dans les cohortes survivantes. De plus, les résultats BBL varient considérablement selon le contexte chirurgical et l'expérience du chirurgien : les procédures effectuées hors des établissements accrédités par des chirurgiens non certifiés par le conseil comportent des taux de complications et de mortalité substantiellement plus élevés que les chiffres des centres académiques rapportés dans les études évaluées par les pairs. La littérature sur la satisfaction capture presque exclusivement les résultats des contextes chirurgicaux réglementés. La demande pilotée par les réseaux sociaux — particulièrement chez les jeunes femmes exposées aux esthétiques « corps BBL » — introduit des effets de sélection qui compliquent davantage toute tentative de généraliser les taux de regret à travers la population de patients BBL.
