Alton Ingram, MD, JD, FAACS
Ingram Cosmetic Surgery, Nashville, TN

Alton "Tup" Ingram MD JD FAACS is the owner of Ingram Cosmetic Surgery in Nashville, Tennessee, where he specializes in breast augmentation, breast lift, facelift, abdominoplasty, and BBL surgery. He is a graduate of Yale University, The University of Texas Southwestern's medical school and Plastic Surgery Residency, and Jeff Marvel's AACS fellowship in Nashville. Tup has been performing BBL surgery ever since completing a six-month fellowship with Ivo PItanguy in 1995 and has presented on this procedure frequently in the past. He is a member of the ABCS Board of Trustees and the chairman of the Board's Access to Safe Cosmetic Surgery State Advocacy Committee; a section editor of The American Journal of Cosmetic Surgery; and a member of the AACS's Patient Advocacy Committee.

Take Home Message

Buttock augmentation with autologous fat is one of the fastest growing plastic surgery procedures despite its relatively high mortality rate due to fat embolus syndrome. During the past six years, many international medical organizations have investigated the mechanism of injury which result in fat embolus, resulting in recommendations which appear to have cut the mortality rate of BBL in half. This talk will present an overview of the mechanisms of injury which are associated with macro and micro fat embolism syndrome, describe the ASERF Gluteal Task Force's current safety recommendations, and emphasize the importance of avoiding intramuscular fat injection in order to optimize patient safety in autologous fat injection.