Question:Butt out garment after BBL? So I jut got a BBL 4 days ago and when I woke I was in a butt out garment. My Nurses said this was the type I use but t my consultation months ago I was told I would have a Butt in faja and I would go to a butt out about 6 months later. I need a second opinion. Am I in the right garment?Answer:You have a Great Question!Your plastic surgeon could have been referring to the amount of skin tension remaining after fat transfer onto your buttocks. If the skin becomes too tight, it can reduce its oxygen supply, turn black, and peel off , also the fat can be injected to tightly reduce its oxygen supply and turn into fat necrosis. Before your BBL procedure, I recommend to patients to look up on YouTube the ballerina stretch or the pigeon stretch and have that area over the gluteus maximus muscle relaxed enough to except more fat injection at the time of surgery. This has been a great help to my patients to increase the amount of fat volume injected at the time surgery. In Florida there is a medical board mandate that we can only take out 4 liters from your body with one liposuction surgery. With that mandate, a BMI of around 22-25 is the perfect fit. We can remove 4 Liters of fat from your body and make the waist as tight as possible with enough fat grafts available to inject your buttocks and make the size/shape you desire. After surgery , I recommend that there is no pressure on your skin over the fat graph areas in your buttocks. Do not sit on it, do not lay on it, do not put garments over it, do not wear tight clothing over it, and just let it expand and stretch. Make the skin stretch passively with edema and swelling by sleeping on a cot with your buttocks hanging threw a modified hole in the cot. Which allows passive edema and gravity to swell the buttock volume and stretch the self-contracting skin over your buttocks. Allowing your skin to stretch and makes more room for blood supply and growth of the native fat and muscle cells which are growth stimulated by the transferred fat grafts. I wish you well through your surgical journey toward your goals, James S.McAdoo DO FACOS, AOA board-certified plastic/reconstructive surgeon, AOA board certified general surgeon, micro surgery fellowship, BBL specialist