Cairo Nakhate-Chirwa booked her procedure on Instagram and has no idea if the practitioner was qualified.
Cairo, 26, had a Brazilian butt-lift just one day after finding a practitioner on InstagramShe's happy with the results - but says that she now regrets it after finding out the procedure was unregulated and potentially risky.
A non-surgical BBL most often involves filler being injected into the buttock to make it bigger, more rounded or lifted, and is not regulated in the UK. Experts have called the lack of rules in the UK the “wild west” while NHS England has warned against the procedure entirely. The Department of Health and Social Care says it is currently exploring regulatory options of the non-surgical cosmetics sector and says it will provide an update in due course. Cairo used Instagram to find someone to give her a liquid BBL - another name for for a non-surgical BBL - in late June.Twenty-four hours later, she arrived at a London flat for her appointment.“When they’re advertising themselves, you just assume they are ," Cairo said.Two people have been arrested on suspicion of manslaughter after Alice Webb, 33, died on TuesdayCairo said the only drawback, aside from the “pain” of the procedure, was some leaking from the site of the injections two weeks later. She said she looked into the risks for the first time after hearing about Alice Webb’s death – and that while her experience “wasn’t all negative”, she regretted it and wished she had done more research.Non-surgical BBLs can be done using local anaesthetic and generally take place in a clinic room - rather than a sterile operating theatre.don’t know what is injected into their bodies.Surgical BBLs meanwhile often involve transferring fat from one part of the body into the buttock. This most often happens under general anaesthetic in an operating theatre, and can involve extensive liposuction, with large volumes of fat being transferred. In 2018, because of concerns around high death rates linked to surgical BBLs, the British Association of Aesthetic Plastic Surgeons asked for a four-year pause on its members carrying out the procedure. In 2022 it published new guidelines, encouraging surgeons to use a different technique - called superficial gluteal lipofilling . While it uses fat collected from the body, this is only injected below the skin whereas BBLs insert fat deep into the muscles. It also recommends surgeons should only carry out SGLs while simultaneously using ultrasound scans so they can see where the cannulas are going.Mr Marc Pacifico of the British Association of Aesthetic Plastic Surgeons said the lack of regulation meant the UK was “known as the wild west”. In the UK, the filler injected during non-surgical procedures is not classed as a medicine, and so it does not need to be prescribed. Instead, it’s classed as a device.“And that’s why anyone and everyone could have access to get hold of them."Dr Sophie Shotter, who runs her own private clinics and is a trustee of the British College of Aesthetic Medicine, said “a lot of people don’t have a clue” about the risks before signing up for a liquid BBL. She says she does not offer non-surgical BBLs because of the potential risks – and although Cairo was OK, this isn’t the case for everyone. A serious concern is that the injection can cause a blockage in a blood vessel that can in turn lead to a blood clot travelling to the lungs – what is known as a pulmonary embolism.Infections, scarring, significant deformities and reactions to local anaesthetic, including toxicity, are also risks. There is no data on the death rate of liquid BBLs, but the British Association of Aesthetic Plastic Surgeons said the procedure was associated with a higher complication rate than other non-surgical procedures. Dr Shotter said regulatory action had been slow "because the people in power don't take it seriously". "I think it's because of a little bit of inherent misogyny," she said, since the procedures are more popular with women. She said she wanted to see regulation of who can administer fillers and where this is allowed to take place."Alice's case is absolutely tragic – but many of us feel like we’ve been expecting it for a while.""There is no guarantee that the right safety measures are being taken,” the NHS’s National Medical Director Prof Sir Stephen Powis said. Referring to all cosmetic procedures, a Department of Health and Social Care spokesperson said: "The safety of patients is paramount, and we would urge anyone considering a cosmetic procedure to consider the possible health impacts and find a reputable, insured, and qualified practitioner."Cairo, who performs as rapper Lavida Loca, said she wanted a BBL because of pressure to look a certain way: “In the hip hop world... women are meant to be curvy.” “I fell into the pressure. I tried to do it naturally and it wasn’t working, and I didn’t have enough fat on my body for a surgical BBL.”Prof Elizabeth Daniels says we shouldn't judge people who choose to have procedures like a liquid BBL According to Prof Elizabeth Daniels, director of the Centre for Appearance Research at the University of West England, people who have cosmetic procedures often feel dissatisfied with their body image. But she stressed that relationships and societal factors, like laws and mental health resources, also come into play. “It’s important not to pathologise people or make assumptions about their motivations and instead think about – this is a big social issue and how can we make the situation better?”Katie Piper to hike mountain with burns survivorsCaroline Flack bench to give 'power' to those in needOur sheets and pillows are where we spend a third of our daily lives, and all that contact creates the perfect environment for all sorts of unwanted guests.
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