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SERGIO ALVAREZ, M.D. v. FLORIDA DEPARTMENT OF HEALTH, BOARD OF MEDICINE

Citation: Not availableDocket: 22-1050

Court: District Court of Appeal of Florida; August 10, 2022; Florida; State Appellate Court

Original Court Document: View Document

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Petitioners, comprising seven Board Certified plastic surgeons and the non-profit corporation Surgeons for Safety, Inc., challenge the Florida Department of Health, Board of Medicine's Emergency Rule 64B8ER22, enacted on June 14, 2022. This rule, effective for ninety days, restricts gluteal fat grafting procedures to three per day and mandates the use of ultrasound guidance during the procedure. Gluteal fat grafting, commonly known for procedures like the "Brazilian Butt Lift," has been associated with a higher mortality rate compared to other aesthetic surgeries, with ten verified deaths reported in the three years preceding the rule's adoption.

The rule aims to address these fatalities, which have been linked to accidental fat injection below the superficial gluteal fascia. The Board of Medicine based the rule on recommendations from national medical organizations specializing in cosmetic surgery, advocating the use of ultrasound to minimize risks, and limiting daily procedures to reduce surgeon fatigue, as each procedure and its preparation take substantial time.

Petitioners question the sufficiency of the mortality rate to justify the emergency rule, particularly due to the lack of data on the total number of gluteal fat grafting procedures performed. However, the court found it inappropriate to second-guess the Board's assessment of acceptable mortality in elective surgeries. The court concluded that the rule's requirements are plausible and rational, thus denying the petition challenging its validity.