Butt out garment after BBL? (Photo)

Question

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?

Ross Blagg, MD · Answer

Hello, This is a pretty standard garment for right after surgery. Typically after a BBL you want to have compression on the lipo spots and no compression on the buttock region so this seems appropriate. All the best!Dr. BlaggAustin, TX

Kenneth Hughes, MD · Answer

Follow up with your PS to resolve the confusion regarding which type compression garment is to be used initially and later on in your recovery.  Based on our experience in using various compression garments with our patients, different PSs prefer a variety of compression garments.  Only your PS can recommend the one best for you as he/she performed your surgery and is aware of how you are healing.Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA

Daniel Barrett, MD · Answer

Dear tmuneca,every plastic surgeon has his own postoperative protocol which he recommends to his patients. I would suggest you to discuss this with your plastic surgeon.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

Umeng David Thao, MD · Answer

Thanks for your question.  Every plastic surgeon has different products that he or she prefers.  Please consult with your plastic surgeon to discuss your concerns and what is best for you.  Best wishes!

Steven Wallach, MD · Answer

I prefer an open garment but have used both. Best to ask your surgeon what he prefers. Good luck....

Mel T. Ortega, MD · Answer

Thank you for your question.Each surgeon has their own Post-op protocols. Please follow up with your surgeon with your concerns.

John Sampson, MD (license obligations) · Answer

Hello, thank you for your question. I prefer the open garment as it keeps the pressure off the newly grafted fat. Circulation is the name of the game for the next 3 months for post-op BBL patients, as the new fat needs to establish it's oxygen supply (from blood) in it's new home. Be sure to move around every hour at first, sleep on your stomach or in a cot with a hole for the booty, and to avoid sitting unless using the BBL pillow or a rolled up towel. Good luck to you

James S. McAdoo, DO, FACOS (account suspended) · Answer

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

Butt out garment after BBL? (Photo)

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Answers (8)

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