How soon can I sit on Brazilian Butt Lift?

A Brazilian Butt Lift consists of harvesting fat from one area of the body, processing and purifying it, and then injecting it back into the buttocks area to increase volume and enhance shape. When the fat is first injected it has been pulled out of its usual ‘home’ environment, stripped of its blood supply and placed into a new region where it has to re-establish a blood supply from the surrounding tissue. A that time it is very delicate and needs to be treated gently. During the first 10-14 days it begins to ‘grow into’ the new environment. Blood vessels hook up to bring it nutrition and get rid of waste (just like plumbing in your house). Once the new ‘supply lines’ have been established, the fat cells become more durable and tolerant, and eventually become ‘one’ with surrounding tissue. At that point they are no longer vulnerable and can handle normal wear and tear! If those fat cells encounter adverse conditions during the early healing period, they may never develop attachments to their new home, and proceed to die. One of the worst conditions for these transplanted cells is pressure. It can squish them enough to burst, push them into places we don’t want them, and result in poor shape and unsatisfactory results. I would recommend in your situation to plan to take at least 7-10 days off of work completely, and then plan to get up frequently and shift your weight often (every 10-15 minutes or so). Also consider bringing a cushion to sit on for the first week back. Take the precautions necessary to get the best result you can from your surgery. If you follow the rules early, you get a result you can enjoy forever!

The Brazilian Butt Lift utilizes your own natural fat forthe augmentation. One of the keys of thefat transfer is that it is incorporated and becomes your fat just in a betterplace!



The key is how do we maximize the amount of fat that isgoing “take” or survive for the augmentation. One of the things that can help increase the amount of fat that staysafter the transfer is preventing any trauma to the buttock area, that includessitting. The pressure of sitting can be harmful to the fat for the first coupleof weeks after the transfer.



I typically have patients avoid sitting for two weeks afterthe surgery. They can walk and sleep ontheir belly, just no sitting. After thefirst two weeks they can sit for an hour with a 10 minute break in betweensitting sessions. After six weeks theycan return to all of their normal routines.

There are special pillows that patients can purchase that avoids any pressureon the buttock in the post-operative period so that they can sit at work and stillprotect their fat transfer procedure.



I hope this helps, be sure to discuss this with your boardcertified plastic surgeon.

After a Brazilian Butt Lift (BBL), it's generally recommended that you avoid sitting directly on your buttocks for at least 2 weeks to allow the fat cells to establish a proper blood supply. Sitting too soon or placing pressure on the area can interfere with the fat grafts and negatively affect the results.
During the recovery period, it's crucial to follow your surgeon's post-operative instructions. If you must sit, you can use a specialized cushion or a "BBL pillow" that helps distribute your weight away from the buttocks. This will help prevent pressure from damaging the transplanted fat cells. After around 2 weeks, you may gradually begin to sit for short periods, but it’s best to continue minimizing pressure for as long as possible.
To get the best results, be sure to consult with your surgeon about your specific recovery plan and follow their advice closely.
Krishna Vyas, MD, PhD, MHSHarvard, Hopkins, & Mayo Clinic Trained Aesthetic Plastic SurgeonNew York, New York

Thank you for your question, I always recommend to my patient to sit after two weeks with a butt pillow. I would I suggest you is keep following your PS post op advise.Respectfully,Dr. Emmanuel Mallol Cotes.-

Thanks for your question...Every surgeon varies. I advise my patients that they can put some pressure on their buttocks after 3 weeks post op, but the longer they wait the better.You can learn more on our social media (Instagram and Snapchat): @realdrsix.

Regards,

Hello Christy Sin,
It’s a pleasure to answer your questions! Based on my experience, after performing Brazilian Butt Lift (BBL) surgery you must avoid sitting or sleeping on your back at least the first 8 weeks or else the desired outcome will be negatively affected. Putting pressure on your buttocks by sitting down or laying on it, especially for long periods of time, can stiffen, deform and even cause the resorption of the newly transplanted fat cells. In the case you can’t absolutely elude sitting, I would recommend you doing it in a modified position, placing a bolster or rolled-up towel under the back of the thighs while sitting down, as to avoid significant pressure. Also, there is a variety of post BBL surgery support cushions available on the market. Hope this is helpful! Dr. De La Cruz.  

I would not recommend sitting or applying any compression to fat grafted areas for at least two weeks postoperatively. If you cannot avoid doing this due to work, you may want to find a way to adjust how you sit at work. This can mean using a specialized postoperative pillow to sit on to avoid killing grafted fat or getting a standing desk, or, if you are able, to take time out of work. You would not want to invest time and money into surgery to not be able to have the best results possible. You could potentially affect your results, by having asymmetry or as you said, flattening of some portions if you do not follow your surgeon’s postoperative instructions.

Thanks for your question.There is no scientific evidence that sitting on a BBL will affect the results. However, it makes intuitive sense not to traumatize the areas where fat was placed and is currently healing. That said, I recommend sitting with a small pillow underneath the thighs (keeping the buttocks elevated) for at least six weeks. Please always consult with a board certified plastic surgeon.
Take care,
Moises Salama M.D., Board Certified Plastic Surgeon

Thank you for your question. Typically, I tell my patients they can sit from day one due to my technique. Each surgeon is different when it comes to their protocol so I would suggest listening to your doctor. Hope this helps,Dr. German Newall 

I allow my BBL patients to sit or lay on their buttocks right away, provided they lift up or turn every 1 hour. Pillows under the thighs so buttocks are airborn are helpful too. Also no driving or strenuous activity to cause rubbing, swelling, etc.Follow your plastic surgeon's instructions for best results.

BBL outcomes are entirely dependent upon graft viability and survival. The greater the survival, the more successful the outcome. These grafts are very pressure sensitive as pressure decreases local blood flow which then potentially compromises the graft take.
The recommendations for prolonged sitting/unrelieved pressure will vary from one physician to another. I generally recommend avoiding prolonged sitting for a month or so. Occasional rest periods for sitting using a specialized pillow with escalating frequency and length are progressively integrated as a patient heals.
With reference to your specific question, a traditional desk job should be avoided for at least a few weeks (2 weeks minimum). A specialized pressure relief pillow is an absolute. I recommend patients work towards 1 hour total of seated resting per day by the 4 week mark.
As always, discuss your concerns with your board certified plastic surgeon.