BBL sitting - will this put too much pressure on the butt? (Photo)

Question

Will sitting in a diy bbl zero gravity chair in a faja put too much pressure on the butt in the post op phase?

Semih Yildiz, MD, FEPOBRAS · Answer

The photo shows a side-view collage of buttock projection and the type of sitting concern you are asking about, but the actual pressure on the grafted fat cannot be measured from a picture. After a BBL, the safest approach is to avoid direct pressure on the buttocks until your operating surgeon clears you.

A zero-gravity chair may reduce some pressure, but it can still load the lower buttock or central buttock depending on your angle, body position, padding, and where the chair contacts you. A faja helps with compression and swelling control, but it does not protect the transferred fat from pressure. If the garment is too tight, folded, or pressing into one spot, it can also create localized pressure.

Follow your surgeon's specific sitting instructions, because timing varies by technique and postoperative course. Many surgeons advise avoiding direct sitting for the early recovery period and using a BBL pillow or support under the thighs so the buttock is offloaded when sitting is allowed. Keep sitting sessions short at first and change position often.

If the chair causes pain, numbness, skin color change, increased swelling, new asymmetry, or pressure on incision areas, stop using it and contact your treating surgeon. It is better to send your surgeon photos of the setup and ask whether it is acceptable for your exact stage of healing.

Moises Salama, MD · Answer

Thanks for your question. After a BBL procedure, it is crucial to minimize or avoid sitting for prolonged periods. The reason is that the fat has not integrated to your tissues and sitting may cause trauma to the newly placed fat so the process of blood vessel ingrowth, which is necessary for fat survival, may be disrupted. I recommend that my patients minimize sitting for one month and use a donut-shaped pillow (boppy pillow) or a bbl pillow to minimize the trauma from sitting. But one should still minimize sitting if possible. After one month, I allow my patients to sit regularly although many continue to avoid it for several weeks. I suggest you confirm with your plastic surgeon what he or she recommends. Please always consult with a board-certified plastic surgeon. Take care, Moises Salama M.D., Board Certified Plastic Surgeon

Daniel Barrett, MD · Answer

Dear Georgia Patient,
I instruct my patients not to sit for 2 solid weeks. We provide them a specialized pillow that our patients can sit on during that time. They can sleep on their stomachs or sides. Fat viability depends a lot of surgeon technique. The fat has to be placed back into the buttocks as soon as possible so that it has a greater chance of survival. It has to be placed carefully so that not too much fat is placed in only one area.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

BBL sitting - will this put too much pressure on the butt? (Photo)

Answers (3)

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