I am so proud of you for looking ahead and considering your post op care and optimizing your outcome to best possible result. Many patients do not realize their result could be far better if they stay off the fat grafts after surgery for up to 2 months or more. This is one of the most common questions in the office. PREVENT DVT:Tummy tuck with muscle tightening is one of the most cosmetic procedures associated with increased risk of DVT formation and PE. Abdominoplasty with muscle repair will raise the pressure inside your abdomen and reduce the rate of blood flow from your thighs. Adding a garment can increase the effect and for that reason some surgeons do not use it. Also, if the garment is too tight it can limit the oxygen to the incision and cause openings in the incision with infection and drainage. But if the garment is fitted properly, it can limit the amount of inflammation and swelling after surgery and allow the drain to come out earlier. So with the increased intra-abdominal pressure form the tummy tuck muscle tightening, some surgeons try to match the pressure in the thighs with waist high compression stocking (10-20 lb.). This allows the pressure to be constant form toes to rib cage and keep blood moving uniformly. Use for approximately 2 months. Some surgeons consider using daily Lovenox 40mg subcutaneous injections after surgery for the first 3 days at minimum to reduce blood ability to form clots.Always remember to be mobile in walking or do calf raises will standing still to reduce the risk for DVT as much as possible. Remember the suggestions below may increase your risk of DVT due to compression the posterior thighs, so stand up and lay on your abdomen as much as possible.FAT GRAFT SURVIVAL:Experience with facial fat grafts and BBL fat grafts in practice and current literature supports the thought that the low oxygen state of the fat grafts send signals to stem cells for new cell growth and new blood vessel growth into the low oxygen area. Anything that would decrease oxygen supply to the area would delay growth and cause more reabsorption on the fat grafts. A few of the research supported factors that would delay oxygen supply to the grafts include:Decrease blood circulation due to blood pressure changes: body weight compression ( Sitting and lying) greater than systolic blood pressure (main cause of nursing home bed soars)decreased blood supply form generalized hypotension Vasoconstrictive agents which decrease the rate of oxygen flowing to the fat grafts:nicotine ( one inhalation of puff of a cigarette will constrict vessels for 16 hours) caffeine (watch your tea, 5 hour energy, decaf, chocolate) Reduced angiogenesis:A diet rich in green vegetables has been proven to reduce the ability for new blood vessel branches to grow into the low oxygen area SITTING:Many patients have given me feedback over the years with tips and tricks to stay off their buttocks and have a normal life style during recovery. The most recent and economical way I have seen to stay off the buttocks in the sitting position would be to use of two bath towels rolled up like a cinnamon roll and wraped with a little tape to hold their shape. Before sitting, place the towel bolster you just madeunder thighs just below your buttocks. The towel rolled bolster will touch the front edge of the seat and cause your buttocks to hover off the seat. Adjust the thickness of the towel roll mat as necessary so there is no contact of your buttocks with the seat. An additional rolled mat can be used behind the lower back just above your buttocks. The position of the back towel roll mat can be maintained with the carrying strap over the back or head rest of the seat.Full support of the thigh from back of knee to lower buttock crease with the foam mat will be the most comfortable position per patient feedback. LYING IN BED:Many patients have given me feedback over the years with tips and tricks to stay off their buttocks and have a normal life style during recovery. Past patients have had success in sleeping on their sides and back without their buttocks touching the mattress. They describe the easiest way is to elevate your back and legs on coach cushions placed over your original mattress. There should be no pressure on the buttocks when lying on back or sides. If there is still contact with buttocks, consider adding more thickness to coach cushions for more lift.Great question! Wish you well on your journey toward your tight abdomen and full buttocks.James McAdoo DO FACOSAOA dual board certified general and plastic reconstructive surgeon Microsurgery fellowship trained 20 years experience 33,000 operative cases10,000 BBL