My doctor says no garment is needed for BBL, and sitting and laying on back is ok. Should I worry?

Thanks for your question -We perform this procedure about twice a week.  It is a procedure that requires experience and technique to get good results.Our post-op protocol includes a compression garment.  Compression garments have very clearly been shown to improve liposuction results over a certain volume.  They help minimize swelling and may play a role in aiding in some skin tightening.Regarding pressure (sitting or lying) the concept of avoiding pressure makes sense.  Fat transfer is essentially a tissue transfer.  Until the fat transfer establishes a new blood supply the fat is vulnerable to stresses including pressure.We advise our patients to avoid sitting for more than 15 minutes at a time.Laying down actually is less harmful as your body weight is spread over a larger area minimizing direct pressure on your buttocks.I hope this helps.  Make sure you evaluate long term results of your plastic surgeon (over one year post-op) to really see what your doctor should be able to achieve.

Research is  everything before surgery, I'm  glad you asked this question its best to get multiple medical opinions •When performing a BBL procedure, I recommend to my patients to lay on their stomach for the first month while sleeping to keep pressure off of the gluteal area.  You cannot sit for the first 10 days post operatively for the same reason.  When you transfer fat from one area of the body to another, the fat needs the blood supply from the surrounding area to grow into it for it to survive.  Typically, you will keep 70-80% of the fat which is placed into the gluteal area.  If you sit or lay on your buttocks you will be compressing the area and in addition to all the swelling which is there post-operatively, there will be a decreased amount of fat which will survive.  This is also the reason why I do not combine tummy tucks and breast procedures with BBL's as you need to lay on your back post-op for these.  To get the best result you need to follow a specific post-op instruction to allow the fat to survive.

Thank you for your question.  Each surgeon will offer his or her own opinion regarding post-op care.  It is best that you follow the instruction given to you.  If it is negatively affecting your recovery, please voice your concern with the surgeon.All the best,Dr. ResultsMiami, FL

I recommend avoiding sitting or placing pressure on the buttocks for 6
weeks after the Brazilian buttlift. Most patients get an immense
benefit with maximal
liposuction of the
abdomen, sides, and back to obtain the smallest waist possible and then
maximal fat transfer to the buttocks and hips. Kenneth Hughes, MDLos Angeles, CA

Getting a nice result with a BBL means that a good majority of the fat transferred to your buttocks has survived.  Fat can only survive if it finds a permanent blood supply in the grafted area, and is not injured during the first 6-8 weeks.  This is the critical period where the fat is susceptible to damage, injury and fat cell death.  The single most preventable thing you can do to protect the fat is to keep pressure off your buttock for minimum 6 weeks.  This means sitting on a pillow balanced under your thighs so your buttocks are "floating".  Also, you should sleep on your stomach.  Hope this helps.