The great thing about this surgery is that the transformation that occurs in a couple of hours in the operating room trumps any period of time in the gym. Having said that, lunges, squats, and other exercises that cause hypertrophy of the gluteus muscles will help the result. Squats and lunges after a BBL will only increase muscle bulk and definition which is probably a good thing in most women looking to achieve a more projected, lifted buttock. However, just make sure that the body fat percentage is held in check or you will lose some of the fat. And do not overdo it in the gym at first; gradually build up to what you were able to do before the BBL. Kenneth Hughes, MD, ABPS Board Certified Plastic Surgeon Los Angeles, CA