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Burn associated with BBL

Burns from BBL usually come from the energy source used to help break down fat before it's suctioned out. Laser-assisted and ultrasonic (Vaser) liposuction devices generate heat, and if that energy is held too long in one spot, or too close to the skin, it can cause a thermal injury ranging from a superficial burn to a deeper full-thickness one. Friction burns can also occur from the cannula itself if there isn't enough tumescent fluid cushioning the tissue as it moves back and forth.

This is an uncommon complication when the procedure is done by someone experienced with the specific device being used, since technique and energy settings matter as much as the equipment. If you're noticing a burn after BBL, don't wait it out, have it evaluated so wound care can start early and scarring is minimized. A board-certified plastic surgeon can also tell you whether traditional tumescent liposuction without added energy is a better fit for your case going forward.

Clinical Context

Burns after energy-assisted liposuction are uncommon and usually reported as individual cases rather than in large studies. When they occur, it's typically because energy lingered too long in one spot or the cannula moved without enough fluid cushioning the tissue. This can happen with any device—laser, ultrasonic, or standard cannula—so a surgeon's experience with that specific technology matters more than which brand is used. Any new skin discoloration, blistering, or pain after liposuction should be checked right away.

Answered By

Dr. Steven Williams

President Emeritus of ASPS

Dr. Steven Williams is a board-certified plastic and reconstructive surgeon, a diplomate of the American Board of Plastic Surgery, the Past President of the prestigious American Society of Plastic Surgeons, and a charitable person who dedicates his life to those in need of his unique expertise.

We are leaders in cosmetic surgery, facial aesthetics, and medically supervised weight loss, serving the entire San Francisco Bay area. Whether you live in the Bay Area or are coming in from out of town, we’re happy to answer any questions you may have on your path to your new self. Book your cosmetic surgery intro call or Med Spa consultation today and take the first step towards realizing the look you’ve always wanted for yourself.

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