DOI: https://doi.org/10.36347/sjmcr.2025.v13i11.053

Pages: 2879-2881

Introduction: The association of abdominoplasty with gluteal fat grafting (Brazilian Butt Lift – BBL) aims to restore overall body harmony by simultaneously improving the abdominal contour and gluteal projection. However, questions persist regarding safety and postoperative morbidity. Objective: To evaluate the aesthetic and functional outcomes and complication rates of this combined procedure in a Moroccan university hospital. Material and Methods: A retrospective study was conducted on 80 female patients operated on between May 2024 and May 2025. Demographic, intraoperative, and postoperative data were analyzed. Outcome assessment relied on clinical examination, photographic comparison, and the Body-Q questionnaire. Results: Mean age was 44 years (range 21–67). Mean BMI was 26.5 kg/m². Average operative time was 150 ± 30 min. The mean aspirated fat volume was 2000 ml, with an average of 500 ml injected per buttock. Overall complication rate was 8.75% (seroma 2.5%, partial skin necrosis 1.25%, hematoma 1.25%, infection 1.25%, delayed wound healing 1.25%). No cases of fat embolism were recorded. Global satisfaction (Body-Q) was high in 87.5% of patients. Conclusion: The combination of abdominoplasty and gluteal fat grafting provides harmonious and long-lasting aesthetic results with a low complication rate, provided that strict safety principles are followed and patient selection is appropriate.