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 9

Butt out

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

Butt-Covered Compression Garment Best following Fat Graft

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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

Best Garment?

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Thank you for your question!  If you trust your plastic surgeon and admire his work then you should have no problem trusting in his choice of garment.  There is no specific choice in which garment is more effective.  Best of luck!

Dr Dhaval Patel
Double Board Certified
Plastic Surgeon
Hoffman Estates
Oak Brook

Dhaval M. Patel, MD
Hoffman Estates Plastic Surgeon
4.8 out of 5 stars 100 reviews

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Compression is key, discuss your concern with your surgeon...

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Post-operative garments for compression are frequently utilized following cosmetic surgery.These devices minimize swelling, decrease pain, decrease discomfort and help remodel tissue.
In brazilian butt lift patients extreme pressure can result in fat cell death.For this reason, some surgeon have utilized “butt out” compression garments.This hopefully avoids pressure in areas that have undergone fat grafting while simultaneously compressing donor sites that have undergone liposuction.
The vast majority of plastic surgeons utilize “butt in” compression garments.In this situation the goal is to remodel the tissue, not compress and remove swelling. When these devices are used, they should fit snugly, but not tightly because this could result in damage to the grafted fat cells.
It’s important to realize that no two patients are ever exactly the same.For this reason, it’s important that treatment be individualized.If you have questions regarding this topic, a discussion with your surgeon is appropriate.

Specialized compression garments after fat grafting

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This is one of our most popular surgeries here in our Miami practice. We strongly feel that the right compression garment is essential to creating a beautiful result after the surgery. For this reason, we have designed a specific compression garment and have it tailor-made here in Miami. This garment allows compression to the areas where the patient has received liposuction and does not compress the areas of fat grafting. Patients appreciate the comfort and support the garment provides and how the garment will mitigate the swelling and help them quickly achieve their results.

Were you happy with the before and after photos you saw before surgery?

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Plastic Surgeons all have different ways of doing things. If you saw before and after photos of patients of the Plastic Surgeon you chose, and you were happy with the results that you saw, then I would trust your surgeons recommendations. Obviously, his techniques work for him.

Brazilian Butt enhancement

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Follow the instructions of your surgeon...................................................................................

Samir Shureih, MD
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Butt in or out during brazilain butt lift

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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
4.9 out of 5 stars 86 reviews


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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.

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.