Abstract One complication of autologous fat transfer into the buttocks (cosmetic injection of fat into the gluteal region) is inadvertent fat embolization. In 2015, our office published a case of macro fat/adipose tissue embolization following fat transfer surgery. Between 2010 and 2018, we had six additional cases of macro/micro fat embolism that caused death. Professional associations and plastic surgeons have recommended ways to avoid fat embolism during fat transfer. In our experience, the risk of fat embolism has decreased in Los Angeles in recent years. Our office has had only one case since 2018 where an unlicensed individual performed the procedure. However, fat embolism is still possible in cases where professional recommendations are not followed. We recommend that the evaluation of possible fat embolus cases include full autopsy with gluteal dissection, microscopic examination of intravascular fat, review of medical and anesthesia records, including whether ultrasound was used during fat grafting, toxicological examination of specimens taken as close to the time of arrest as possible, and anesthesiology consultation.

Christopher Rogers

Denis Astarita

Lakshmanan Sathyavagiswaran

Patrick Pazmiño

Arturo Ramírez-Montañana

American Journal of Forensic Medicine & Pathology

Drawing on the expertise of leading forensic pathologists, lawyers, and criminologists, The American Journal of Forensic Medicine and Pathology presents up-to-date coverage of forensic medical practices worldwide. Each issue of the journal features original articles on new examination and documentation procedures.

While most articles are available as web based articles, PDF and in ePub reader format, some earlier articles do not have PDFs available. If you would like to view an article in the ePub format, you will need to download an ePub reader to view this file, a number of which are available for free online.

The American Journal of Forensic Medicine and Pathology draws on the expertise of leading forensic pathologists, lawyers, and criminologists to provide up-to-date coverage of forensic medical practices worldwide. Each issue features original articles on new examination and documentation procedures. While most articles are available online in web-based formats, PDF, and ePub, some earlier articles may not have PDF versions available. If you wish to view an article in ePub format, you will need to download an ePub reader, many of which are available for free online.

《美国法医学与病理学杂志》汇聚了顶尖法医病理学家、律师和犯罪学家的专业知识，提供全球法医学实践的最新动态。每期杂志都包含关于新的检查和文档程序的原创文章。虽然大多数文章可以在线访问，包括PDF和ePub格式，但一些早期文章可能没有PDF版本。如果您希望查看ePub格式的文章，您需要下载一个ePub阅读器，网上有许多免费的选择可供下载。

Category	Quartile
医学	4
医学, 医学法	4
医学, 病理学	4

Fat Embolism Fatalities Following Liposuction/Injection in Los Angeles County (2010–2018)

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