6 week post op, how am I supposed to look at this point with swelling in abdomen and butt decrease after BBL? (Photos)

Thanks for sharing your concerns with us. Is totally normal to have swelling at this time of your post op. I usually recommend the use of the garment. I recommend you to keep in touch with your surgeon and follow his advices. Kind regards 

Thank you for your question. Your results look great. With Brazilian butt lift we transfer fat from one area of the body to the other. These fat cells are transferred in microinjections throughout multiple planes in the buttock tissue so that they can gain new blood supply and live in their new home, providing increased volume and shape to the buttocks. After surgery there is a predictable swelling process that mostly resolves over three months, when the final result really settles in. Around 70% of fat that is grafted is typically expected to survive long term. We also put a little extra to account for loss of fat post operative, which is reabsorbed gradually by the body. 

The results immediately following BBL surgery will be the largest due to swelling and lack of fat resorption.  The buttocks will continue to decrease in size for the first few weeks.   I have observed that between 4 and 6 weeks the buttocks tend to stabilize in volume.  Usually by 3 months, the swelling is minimal and totally resolved by 6 months.  Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA