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Plastic surgery

Americans kidnapped in Mexico went for a BBL? There's a bigger question about this procedure

When two Americans ended up dead, and two others kidnapped, amid a shootout just south of the U.S.-Mexico border, the initial questions were myriad: What happened? Who killed them? And what was the group of four people from South Carolina doing in a minivan in Matamoros? 

On the last point, an explanation from relatives quickly emerged. One woman in the group, Latavia McGee, was going to Mexico for cosmetic surgery, and the other friends had joined her for a road trip.

That surgery was first described as a tummy tuck. Later, relatives and friends said the procedure was a "gluteal augmentation." 

And even though more than a million Americans annually seek medical care on the other side of the border, getting a "gluteal augmentation" – in a place where the State Department warns Americans not to travel at all – certainly struck a lot of people as strange. 

If you know, though, you know.

First, let us call this whole popular-empowering-controversial-notorious procedure what people call it in real life: the Brazilian butt lift, or BBL. 

Next, let me tell you the same thing I told some of my colleagues this week. Whether or not you like this, whether or not you understand this, people do this, and especially, a lot of Black people do it.

If you are a woman, and especially if you're Black, and if you are on, say, Instagram, I'm going to go out on a limb not very far at all and guess that you've had this targeted at you in your social media feed. Especially if you follow beauty and pop culture influencers. You don't have to scroll too long to see it; it simply becomes a part of your algorithm.

The BBL is a thing.

It's also very expensive. And that's the next thing you learn if you are having this idea pushed at you in your social feeds week after week: It's a whole lot less expensive in Mexico.

A member of the Mexican security forces stands next to a white minivan with North Carolina plates and several bullet holes, at the crime scene where gunmen kidnapped four U.S. citizens who crossed into Mexico from Texas, Friday, March 3, 2023. Mexican President Andres Manuel Lopez Obrador said the four Americans were going to buy medicine and were caught in the crossfire between two armed groups after they had entered Matamoros, across from Brownsville, Texas, on Friday.

So the idea that someone – it could be anyone, but for sake of discussion, let's say it's a Black woman and her Black friends from Lake City, South Carolina – would drive across six states to the tip of Texas to have this surgery? If true, it is not shocking. At all.

But that doesn't address the underlying question bandied about on social media: Is it worth it?

More:With 2 Americans dead in Matamoros, a cartel-scarred Mexican border town wonders what's next

More:Mexican cartel apologizes for kidnapping, killing Americans, turns over 5 it says responsible

What is this surgery?

A BBL involves harvesting fat from other areas of the body and injecting it into the buttocks and hips. (Often, that fat is removed from the belly in the process through liposuction. So those early reports that the group went to Matamoros for a tummy tuck may also be essentially correct.)

Results often mean a tiny, or snatched waist, and a curvier, fuller behind. It's the extreme hourglass aesthetic. Slim-thick.

Usually, it requires general anesthesia. Initial recovery can take weeks. 

I've watched for years on social media as these clinics target Black women in ads that show before and after pictures, while touting prices that are usually half of what the cost would be in America – around $10,000-$15,000 and not covered by insurance.

It's called medical tourism. Popular destinations for a discounted procedure include Turkey, South America and Mexico. So-called recovery houses also offer patients post-op care and a place to heal. 

The New York Times reported this week about the Matamoros clinic that had been expecting McGee. The clinic "reaches out to potential American clients with targeted ads on Instagram," according to an employee who spoke to a reporter, and posts before-and-after pictures of clients online. She said about half the clinic's patients are American. 

So whether or not we fully understand the story of how Latavia McGee and three friends came to be in a white minivan in Matamoros in a hail of gunfire, we can accept that the idea of such a trip makes sense in a world where people travel the world – in sometimes questionable locales – for affordable cosmetic surgery. 

It turned out there was a fifth person on the trip, Cheryl Orange, who later told police she had forgotten her travel documents and couldn't cross the border that day. She had stayed behind in Brownsville, Texas, when the rest of the group left on Friday morning to cross into Matamoros.  

The group had planned to return in time to check out of the motel Saturday, according to the police report, though I wonder how McGee could have made such a quick turnaround after an invasive procedure. Instead, one came back wounded and two are dead. 

“She simply went for a cosmetic surgery, and that’s it," Orange told the Associated Press. "That’s all, and this happened to them.” 

Whatever truly happened to McGee and her friends that day, let us agree that any broader discussion about the risks or problems with BBLs is not so much about possible cartel violence.

But let's also be clear: There is a discussion. 

More:Retracing the steps of a violent kidnapping after 2 Americans found dead in Mexico

So how should we feel about this surgery? 

Even if you think you don't know anything about BBLs, you have seen BBLs. 

I know, I'm out on a limb there, but not very far. The look has become increasingly popular among celebrities. Think the Kardashians (though they have denied undergoing the procedure), or Nicki Minaj.  

So yes, Black women do it, white women do it, Kardashian women (maybe) do it. 

Whoever they are, more women are doing it. According to a 2021 survey by the International Society of Aesthetic Plastic Surgery, the number of buttock augmentations performed globally increased by 41% from 2017 to 2021, and buttock lifts increased by 46%.

A quick search for "BBL" on TikTok will tell you a lot about what's going on.

Some women will chronicle their journeys to bigger, perkier butts, explaining the process, recovery time, cost and what doctors they would recommend. 

It's a mainstream conversation if you know where to look.

Rapper Cardi B. is another one of those women you've seen with a BBL. But she has since warned women of the dangers and had most of her augmentation – she also had silicone injected in her buttocks – removed.

What's "dangerous" may be up to each person to decide. A 2017 report, published in the Aesthetic Surgery Journal, noted that BBLs have the highest mortality rate compared to any other cosmetic surgery.

These kinds of surgeries also raise all kinds of risks, including at clinics in Florida investigated by our newsroom several years ago. 

So the procedure is widely discussed and widely debated on Instagram.

Some women defend their decision or desire to make a change. ("Treat yourself, sis! Get a snatched waist and a fat booty.") Others condemn the trend as dangerous and a slap to body positivity. ("Fake curves aren't worth the time, money or endangering your life. Love the body God blessed you with.")

This discussion goes on particularly in Black corners of the platform. 

But let me be clear one more time: women of all races and ethnicities are seeking this surgery. So some of this discourse is about non-Black women culturally appropriating the often-natural body shape of Black women with curves and larger derrières. Bootylicious.

These are Black women, like Beyoncé, who were once shunned when "thin" was in. Now, people will pay money to take on the same physique that was once part of Black women's identity. (By the way, the "Brazilian" part isn't about Brazilian culture, just the doctor who first did the procedure.)

Then there's the long-term question. Any trend comes an end. Many on social media have already declared that the BBL craze is dead after speculating that the Kardashians have, ahem, downsized. 

That means women may have put themselves at risk to take on a shape they only thought they wanted. 

I don't profess to know what McGee wanted. And we still don't know everything about how she came to be on that street in Mexico. More than anything, I'm saddened that McGee was in harm's way if it was for a BBL. I'm saddened to think that she now knows two of her friends are dead.

Authorities say they're still investigating in Matamoros. Yes, perhaps the group would never have been there if not for a BBL. No, it also may not be fair to blame anything on that. 

But put aside what happened in Mexico.

Whoever you are, if you are white or Black – but maybe especially if you are a Black woman, scrolling through your social media feed and seeing BBL posts yet again – there are plenty of other reasons to ask. Is it worth it? 

Suzette Hackney is a national columnist. Reach her on Twitter: @suzyscribe.

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