Florida health officials on Tuesday filed a final order revoking the medical license of a Miami doctor who seriously injured four patients in 2015 during so-called Brazilian butt lift and liposuction surgeries performed at office clinics, according to state records.

The doctor, Osakatukei “Osak” Omulepu, could not be reached for comment. But his attorney, Monica Felder-Rodriguez, said she filed an appeal in state court on Tuesday challenging the Florida Board of Medicine’s order and requesting a delay in the revocation.

The medical board’s decision initially was announced on April 7 — more than two years after the state first deemed Omulepu an “immediate serious danger” to the public and moved to prevent him from performing liposuctions and fat transfers to the buttocks, a procedure known as a Brazilian butt lift.

Omulepu fought the state’s restriction and retained the privilege to continue performing the surgical procedures up until Tuesday, Rodriguez said.

The doctor, who is not board-certified in plastic surgery, had been working for a network of office surgery clinics in Miami-Dade and Broward counties where physicians, according to state records and interviews, have maimed patients repeatedly and discharged them to recover in hotels and even a horse stable, with no medical attention.

The clinics lure out-of-town patients, mostly women, with the promise of cheap plastic surgery. But the results have been gruesome, with at least four deaths in the past year and other patients rushed to local hospitals with debilitating injuries and infections.

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