JACKSON, Miss.Women across the U.S. are risking their lives for black market procedures to make their buttocks bigger, often involving home-improvement materials such as silicone injected by people with no medical training.
Some want to fill out a bikini or a pair of jeans. Others believe a bigger bottom will bring them work as music video models or adult entertainers. Whatever the reason, they are seeking cheaper alternatives to plastic surgery - sometimes with deadly or disfiguring results.
Deaths from black market buttocks injections have been reported in Alabama, Georgia, Florida, Pennsylvania, Nevada and New York. An interior decorator in Mississippi faces trial in the deaths of two women who were injected at her house.
Though there is little data on the procedures or injuries they cause, doctors and authorities say they are seeing them more often. Online forums used to set up the illegal procedures have attracted thousands of responses. Some men also seek out buttocks enhancements, but the procedures are much more popular among women.
"People are seeing unlicensed and unskilled professionals for quick fixes," said Dr. Lyle Leipziger, chief of the division of plastic and reconstructive surgery at North Shore University Hospital in Manhasset, New York. "It's basically egregious," he told CBSNews.com. "The injection of these illicit materials should not be performed."
Very big buttocks have been popular in hip-hop videos for years, celebrated by songs like the 1990s hit "Baby Got Back" by Sir Mix-a-Lot, with lyrics declaring, "I like big butts and I cannot lie."
But Dionne Stephens - an assistant professor of psychology at Florida International University who studies race, gender and sexuality in hip-hop culture - said celebrities such as Jennifer Lopez, Beyonce and Kim Kardashian have the shapely body part popular among an increasing number of women of all races and ethnicities.
The problem is that some of them toss caution aside when black market procedures are the only ones they can afford.
"It is very scary that this is happening," Stephens said.
For 46-year-old Apryl Michelle Brown, the path to a black-market injection started with people teasing her as a child about having a "pancake butt."
Years later, a woman walked in Brown's beauty salon in California and told her she could make her butt bigger with injections. It seemed like "divine intervention," Brown recalls.
"It was just something I felt inside of me, that I felt would make me better. I just didn't want the pancake booty anymore," she said.
The following week, she was at the woman's house getting injections and followed up later with more.
It wasn't long before the injection sites got hard and excruciatingly painful. Brown eventually began looking for doctors to remove the material, which she learned was an industrial silicone available at a home improvement store.
After surgery in 2011, a staph infection left her near death. Both hands and feet were amputated.
Today, Brown has a website and speaks on the topic, trying to convince others that they are beautiful the way they are.
"I would never want anybody else to go through this, not even lose one finger, much less all their limbs," she said.