My Butt Keeps Shrinking After Bbl What Can I Do to Avoid Further Shrinking?

Im 3 weeks post-op and my butt is getting smaller and smaller every day. I have been following my Surgeons instructions, no sitting, massages, 30 min of light cardio for circulation and compression garment. What am I doing wrong or what can I do to stop further shrinkage??

Doctor Answers 9

A shrinking buttocks after Brazilian butt lift

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There are two stages of shrinking of the buttocks right after the fat grafting to the buttocks.

Right after surgery not only has the fat been added, but there's a great deal of soft tissue swelling.  Much of this soft tissue swelling will resolve in about 3 to 6 weeks, that's only the beginning.

The second phase of shrinkage occurs as the body decides how much of the fat that has been injected will take on a new blood supply be maintained. Fat that does not take on blood supply from the surrounding tissues will ultimately be absorbed by your body, and this can take 6 to 12 months.

Do not be discouraged yet, what you're going through is  a part of the normal healing process.  Areas where the fat has been removed will also be shrinking as well and this can help to accentuated the areas where the fat has been placed.

Because a certain percentage of the fat is reabsorbed after surgery most surgeons will overcorrect from the get go.  If , after a year, you feel that you need more enhancement, additional fat grafting can likely be performed.

Best wishes


How do I Protect my Brazilian Butt Lift?

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

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

The second important part of the Brazilian Butt Lift is the compression garment as you are asking. I do think it is important that you have a specialized garment after your procedure. I have tried various garments, with and without material over the buttock area. From a patient comfort standpoint I have found that the garments with a very soft mesh over the buttock has been best. However this is personal decision between you and your surgeon.

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

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

My Butt Keeps Shrinking After Bbl What Can I Do to Avoid Further Shrinking?

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The shrinking will stabilize at 3 months. Please follow up with your doctor as these issues require the attention of a plastic surgeon.

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This is normal...

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It’s not unusual for patients to experience a decrease in the size of their buttocks immediately following brazilian butt lift surgery.This occurs for a variety of reasons, including resolution of swelling and loss of fat cells because of inadequate blood supply.
Patient’s undergoing this procedure will inevitably develop swelling following surgery.During the procedure, the liposuction cannula is passed through the subcutaneous tissue.This causes disruption of lymphatic channels and cellular injury, which causes swelling.
Significant improvement in swelling can be seen in the first three weeks following surgery, with the majority gone in about three months.Small amounts of swelling may persist up to a year following surgery.
In addition, patients typically lose 20-40% of their grafted fat cells because of inadequate blood supply.For this reason, most surgeons over correct the original deformity with additional volume.
What you’re currently experiencing is normal. It’s important to follow your surgeon’s instructions and be patient.Make sure all your questions are answered.This will ultimately lower your anxiety levels.

Butt shrinking after BBL

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Thanks for sharing your question. It sounds like you are doing everything right and it is excellent that you are following your surgeons postoperative instructions.  That is the best way to maximise your result!

Likely, the loss of volume that you are experiencing is due to two reasons. The first is that immediately after surgery you will have some swelling as a result of the healing process.  This swelling will come down over the first few weeks to months.  It has likely affected your buttocks, but also the areas where the fat was harvested from - so they should be shrinking too!  The second reason is that some of the fat is starting to resorb (melt away).  The fat that has been  transferred needs to find a blood supply to stay alive.  We know that when we transfer fat, a portion of what we transfer doesn't do this, and therefore that volume is lost.  That is called fat necrosis.  There is nothing that you can do to prevent this other than the interventions that you are already doing - avoiding pressure, light massage, light exercise etc.  Hopefully you are satisfied when everything resolves (usually 3-6 months) but if not, more fat can always be added. Talk to your surgeon about your concerns. Good luck!

Post Op Regimen for Brazilian Butt Lift....

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If your surgeon performs this procedure frequently and has shown you many patients with Great Long Term results, meaning at least 3 months post op, then I would trust him and follow his recommendations. 
I have to say, his post-op recommendations are extremely different from mine!  But, we all have different ways of doing things, and often each of us still comes up with great results.  I have been doing this procedure for over 14 years and have heard of many different recommendations throughout the years.  Mine have remained the same and my results are consistently good.  Hopefully your surgeons are too. It may still just be the swelling going away. 

Butt Shrinking after Brazilian Butt Lift

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Most likely, you are experiencing a resolution of the normal swelling. It takes a few months to see the final results. 

Buttocks Shrinking After Surgery?

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Thank you for your question!  It is normal for the first 3 months for the swelling to go down.  It sounds to me you like the look of it being big due to the swelling.  Talk to your doctor about the results you desire and maybe a second BBl is needed.  Best of luck!

Dr Dhaval Patel
Double Board Certified
Plastic Surgeon
Hoffman Estates
Oak Brook

My Butt Keeps Shrinking After Bbl What Can I Do to Avoid Further Shrinking

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Thank you for submitting your question and photo.  Your very early in the healing phase. A photo would be helpful. In general, it may take up to six months for the swelling to subside and the true result seen. If needed, a revision can be performed after 6 months. Discuss your concerns with your surgeon. I hope this helps. Best wishes

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.