When is it safe to start wearing high compression faja after BBL?

Thanks for your question. It's best to follow your surgeons specific advice post-operatively. I  have my patients wear a compression garment (faja) covering all treated 24/7 except to shower for 4 weeks post op.  This helps ontrol swelling as the compression on your tissues helps your body to reabsorb the edema fluid that accumulates in the tissues after any procedure. This can take quite some time to happen without help from the compression garments.  It also helps improve  contour.  Compression helps to keep the tissues adherent to the underlying structures while healing, this can help prevent the wrinkled skin appearance that can happen when the tissues heal in ways we don't want them to.

Hello MissDeLourdes,
It’s a pleasure to answer your questions! Every patient is unique and plastic surgeons have different post-operative protocols, customized for every patient, to achieve the best results. Based on my experience, wearing post-surgical specialized compression garments, immediately after the surgery, is an essential measure for speeding up patients’ recovery. I typically suggest my patients obtaining their specialized compression garments (2 of them) and one foam corset prior to the Brazilian Butt Lift surgery (BBL) so that they won’t have to worry about getting them after the procedure. I usually suggest them wearing the foam corset up to 8 weeks and the compression garments for 6 months, around the clock. These specially designed garments are fundamental in helping controlling swelling, bruising and also with contouring by preventing wrinkling of the skin and enhancing skin retraction. I recommend my patients switching to smaller/tighter garments as days go by and they get a smaller, beautifully sculpted figure after BBL. It’s always best to discuss with your plastic surgeon about the type of garment, size and wearing time that fits best your specific needs. Best wishes! Dr. De La Cruz.

The compression garment varies with the plastic surgeon. 
I do not recommend a garment or faja that is extremely tight over the buttocks. I typically ask patients to use adjustable garments with multiple bands so that tension can be adjusted and the areas of liposuction are less likely to get a fluid collection.   The garments typically do not cover the buttocks.  The key here is the size and the ability to tighten the garment, not the brand or make.  In my practice, the compression garments are provided as part of the BBL post op package.
Kenneth Hughes, MD, ABPS Board Certified Plastic Surgeon
Los Angeles, CA