Hello blacdiamond, It’s a pleasure to answer your questions! Plastic surgeons have different post-operative protocols, customized for every patient, to achieve the best results. Based on my experience, lymphatic drainage massages are very important after Brazilian Butt Lift (BBL) surgery. Plastic surgeons should advise their patients that, without lymphatic drainage massages, there is a risk that the swelling and inflammation could turn into fibrosis, which is a permanent hardening of the area. At least ten lymphatic drainage massage sessions are required, starting 24 hours after the procedure, to eliminate excess lymph fluid, alleviate swelling and discomfort, and also prevent complications such as seromas (fluid collection) and contour irregularities (indentations, and/or fibrosis). In my experience, manual lymphatic massages have proven successful, in the majority of cases, in achieving uniform removal of swelling and ensuring smooth contours. Since every case is different, it is always best to consult with your plastic surgeon about your specific needs and concerns. Best regards! Dr. De La Cruz.