Is a Butt-Out or Butt-Covered Compression Garment Better After Fat Graft to the Butt?

Hi, I am having fat graft to the butt following liposuction as well as a breast lift. Which type of compression garment is better, one with the butt out or one that covers the butt. Thank you for your response

Doctor Answers (7)

Compression

+3

You should use what your surgeon wants you to use. Your surgeon  has a way of doing things and the way that you wear compression garments should be in accord with him/her.

I use tight garments that do cover the buttocks because that helps to reduce the swelling, the shape and the recovery.


Beverly Hills Plastic Surgeon

Butt out

+2

In my experience butt out is better, the way the fat stays is tiny little blood vessels grow into the fat, allot of compression may hinder this and you may loose more.  I also recommend putting very little pressure on the buttocks for the first few weeks.

Michael Constantin Gartner, DO
Paramus Plastic Surgeon
4.0 out of 5 stars 35 reviews

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Butt-Covered Compression Garment Best following Fat Graft

+1

Compression Garment Instructions and Purpose after Brazilian Butt Lift
The short answer is that your butt needs to be inside the compression garment to minimize swelling.
Most important is to follow your surgeon's advise. He/She has specific reasons for their recommendations. In general this is what I recommend to my patients - wear their garments for a minimum of 3 weeks full time then for 12 hrs (day or night). if not a lot of redundant skin following liposuction to a maximum of 6 weeks. To be effective the garment needs to fit snug but not too tight as to cause pressure problems (inspect your skin if discomfort and when skin is exposed), or prevent you from sleeping. As the edema resolves it is common for patients to switch to a smaller garment that fits - A Spanx type garment would work rather than ordering one or paying more at your doctor;'s office.
Following Liposuction and Fat transfer procedures used in the Brazilian butt lift,  the compression garments are required for three main reasons:
It restricts the amount of edema that forms and hastens its resolution by mechanical pressure
It decreases the amount of bruising
It assists the loose skin in retracting or shrinking in the liposuction areas
The length of time that the garment is worn varies dependent on the amount of fat removed, the elastic nature of your skin, how much loose skin remains at the liposuction site or how much swelling from edema in the buttocks you have and other factors. Your surgeon would give you the best advise. However in general this is the routine for my patients.
The first garment should be fitted for you in the office prior to surgery and applied in the operating room. Often it will become loose as the edema is mobilized and then it will need to be replaced. Spanx is a reasonable compression  garment if it gives enough support and is the right size. I have my patents bring them in and confirm that it fits well.
Most important advise is to listen to your surgeon's advice as he best knows how much fat was removed in the donor sites and transferred into the buttocks, and other factors mentioned above

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 45 reviews

Butt in or out during brazilain butt lift

+1

Because I generally perform liposuciton in close proximity to the fat inected areas, I tend to use a compression garment to apply pressure to the liposuction treated areas which also happens to cover the buttocks,

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 44 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.