The Bargain BBL Business Is Booming, But Patients Are Paying the Ultimate Price

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Slick Instagram ads promised the perfect figure at a great price. But for these women, their Brazilian Butt Lift dreams turned into a life-threatening nightmare.

Thus, a Brooklyn pediatrician was legally able to open a practice that designated the most dangerous cosmetic procedure in the world “minor.” But Dr. Voskin's clinics also advertise a “Mega BBL,” described as removing “up to 10 liters of fat.” Goals posts BBL ads on Instagram targeting patients with higher BMIs, up to 45. According to Dr. Begovic, a patient’s BMI needs to be around 30 or below to ensure a safe procedure.

Felix had been self-conscious about her body for years, after gaining weight post-childbirth and working long hours. On her surgery date, July 16, 2019, she saw Goals contractor Maria LoTempio, M.D. After the procedure, she went back home to her family in Brooklyn. Edna now cares for Jaelah full-time. She says nighttime is the hardest, especially during the late hours when Felix used to get back from work. “Some nights I still wait up for her to come home.”

Negron, a liaison at Montefiore Medical Center, never wanted her daughter to get the surgery. “I was always against it, but at the end of the day, you’ve got to support them. They’re adults already.” She says Santana had always struggled with self-image. “If she had a pair of sneakers, and somebody was saying, ‘Those are ugly sneakers,’ she would never wear them again,” Negron says. “It was very challenging, her growing up and being that way because she was just not happy with herself.

The next day, Goals posted an Instagram story that read: “Goals is aware that one of our patients has passed away off of our premises.” Santana’s family says they never heard directly from Goals. They can’t be sure who her surgeon actually was; on Santana’s contract, where the surgeon is listed, it reads in parentheses “may be changed at Goals’ discretion.” The clinic has a history of withholding information on procedures and physicians from patients.

She never had a chance to show off her transformation. Mcintosh died the night of her surgery. She was 27 years old. It was a Goals billboard in Brooklyn that caught Amy Castro’s attention. Castro is a bar manager and former dancer who wears a piercing on her lower lip and thick winged eyeliner. She’s sharp-tongued, switching between English and Spanish when she’s angry, and she loves riding her motorcycle through Harlem, even on the coldest days.Castro had been researching BBLs when she saw the Goals ad.

Goals has brought litigation against women who infringed upon the clause. One patient, Jennifer Ramirez, was sued in New York’s supreme court for criticizing the practice on her Instagram account in 2018. In 2019, Isis Richardson, the owner of the popular blog Surgery411 and a former social media employee of Goals, was also sued for posting a photo on her Instagram account of Dr. Voskin with the caption: “Pediatrician makes millions posing as a NY plastic surgeon.

Interspersed with the transformation shots and influencer testimonials are discount codes and gimmicky advertisements, like the Tax Return BBL, which encourages women to use the money they get back from the IRS to pay for the procedure. No tragedy, scandal, or lawsuit seems to have lasting impact. Just a few years earlier, Dr. Voskin’s family faced eviction from their Mill Basin house; by 2019, they owned a $5.2 million condo at 200 Riverside Boulevard, formerly Trump Place, and two other apartments in Manhattan worth $3.6 million and $1.5 million.

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