A BBL, or Brazilian butt lift, was once one of the most sought-after surgical treatments. Everyone from bus drivers to strippers was interested in the concept of enhancing a flat butt or a large booty.

A New York plastic surgeon says patients are lining up for butt reductions. Dr. Ryan Neinstein told Page Six that women are coming to him to reverse surgeries they’ve had in other places, many in Florida and Columbia.

“These women can’t walk down the street comfortable in their own skin while looking like a cartoon character,” said Neinstein.“I commonly have to shrink and tighten the buttock along with sculpting adjacent areas to give a more proportionate and elegant look.”

While high-profile women are reversing the trend, like Kim Kardashian, the dangers of BBL surgeries are becoming more widely known. Women have died seeking procedures from unlicensed, inexperienced practitioners.

1 in 13,000 women die because of BBLs. Surgery complications can include fatal embolisms, as the fat displaced by it can travel through the gluteus maximus muscles to the heart. And if you do survive the BBL intact but change your mind about its size later, be prepared to have some money saved. Neinstein says he charges $25,000 for a “reconstructive reverse BBL.” – Steve Sijenyi