What are the must haves for after bbl? Having it done local so will be coming home after. Date is Oct 19th.

Doctor Answers 3

Brazilian Butt Lift - Recovery

Are you having this procedure under local anesthesia? We do not perform this procedure under local anesthesia due to the amount of liposuction required to achieve BBL results. 

My practice specializes in BBL and have the following advice: 

Brazillian butt lifts can be relatively long operative procedures. The processing and insertion of the fat requires a meticulous technique which is time consuming and depends on the amount of liposuction and fat transfer that is involved.  For this reason patients should have someone with them after surgery while they are recovering from the effects of anesthesia for at least 24-48 hours. During the first couple days there may be some leaking of fluid from the incision sites (as with any liposuction procedure). It helps to place plastic bags on the seats of the car on the way home from surgery and underneath the bed sheets to protect the mattress from leaking of fluid for the first couple days. The drainage is normal and for very large fat transfers a drain may be placed to siphon off the fluid. Generally it is good to keep oral intake fairly low for the first night after surgery to avoid nausea. The patient should walk around inside the house at least three times a day for the first few days to keep good circulation in the legs. Ambulation during the postoperative period is also good to avoid constipation that can occur from the pain medicine. Regular follow up with your Board Certified Plastic Surgeon is essential to a good result and avoiding any complications. 

1. Protection of the transferred fat cells during the early phase.

In order to protect the transferred fat cells during the period when they are trying to reestablish their blood supply patients should avoid sitting or laying on the buttocks for at least 2 weeks. Patients that must return to work earlier and that may require sitting can use a "cain chair" which I can provide as part of their surgery.

2. Compression of the donor sites.

The Brazillian Butt lift is an amazing procedure which not only shapes the buttocks, but just as importantly shapes the body. Compression of the abdomen and back (donor sites) should be maintained and gradually increased from recovery garment, to compression garment, to corset garment for optimal results. I instruct my patients to maintain compression for at least three months to achieve the most dramatic results. Liposuctioned areas may continue to shrink for up to 6 months after surgery. Compression is essential to minimizing wrinkling of tissue and other contour abnormalities after liposuction and is not bothersome the the vast majority of patients.

3. Exercise of the gluteal region.

Exercising the buttocks starting at three weeks postoperative (approved after examination) can greatly enhance the result. The injected fat cells flourish with the extra blood supply that is provided by exercise of the gluteal musculature. Healthy buttocks muscles help maintain volume and lift the buttocks further enhancing the result. In addition regular exercise keeps the patient in good overall shape and prevents recurrence of excess body fat around the waist and trunk. There are a number of Youtube videos which illustrate excellent butt exercises and squatting is also highly effective to increase overall buttocks muscle volume and tone. 

4. Avoid smoking.

As with any surgery (and in general) smoking is not recommended. The transplanted fat cells need to reestablish their blood supply and the nicotine and other poisons present in cigarette smoke are a hindrance to healing. 

When this procedure is performed properly by a Board Certified Plastic Surgeon and the patient adheres to principles outlined above the results can be amazing. Fat transfer has revolutionized our ability to sculpt patient's bodies as plastic surgeons.

#BBL #ShapedExtraJuicy #liposuction #fattransfer #BrazilianButtLift #DrSej #fatgrafting #fatsurvival #BBLrecovery 

Beverly Hills Plastic Surgeon
4.9 out of 5 stars 35 reviews

What are the must haves for after bbl? Having it done local so will be coming home after. Date is Oct 19th.

Hello dear, thanks for your question and provided information as well.. for a brazilian butt lift procedure the most needed item is a boopy pillow, you need it to protect the shape of your buttocks and also is used to prevent the volume to not change and get flat..

Tania Medina de Garcia, MD
Dominican Republic Plastic Surgeon
4.6 out of 5 stars 331 reviews


Thank you for your question.

It is important to consult with the surgeon you choose to perform the surgery about their post-operative instructions, as each surgeon has slightly different post-operative protocols. You need to have someone to supervise you and help you the first 24 hours and would be required to have a driver to take you to your follow up appointments during the first 3 weeks because you should refrain from sitting or putting direct pressure on the buttocks at this time. The first week I do not recommend any sitting or pressure on the buttocks, days 8-14 the patient may sit up to 5 minutes two times per day.  Days 15-21 the patient may sit up to 9 minutes five times a day only then days 22 and beyond sitting is fine as long as the patient is comfortable. If you must sit for longer periods of time, I definitely do recommend the BBL pillow and getting up every 10-15 minutes to walk around until you are at least three weeks post op. Be sure you have all of your medications filled and necessary post-operative garments. Best of luck.

James Fernau, MD, FACS
Board Certified ENT
Board Certified Plastic Surgery
Member of ASPS, ASAPS, ISAPS, The Rhinoplasty Society, AAFPRS, OTO/HNS, ASLMS, International Federation for Adipose Therapeutics & Science

James Fernau, MD, FACS
Pittsburgh Plastic Surgeon
4.9 out of 5 stars 64 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.