Post TT and BBL Dr. Ordered Me Overnight Recovery on my Back. Will This, or Back Surgery Coming Up, Ruin BBL Results?

I had a tummy tuck along with a BBL several weeks ago, however when I woke up in recovery they had me on my back (due to the tummy tuck). When I asked about laying on my side due to the BBL the nurse informed me that the doctor wanted me this way overnight due to the TT. I am worried sick that this damaged many/most of the transferred fat cells? Did it? And why would they force me to lay on my stomach rather than my side? Also, I will have back surgery 8 1/2 weeks after a brazilian butt lift. My recovery will be mostly on my back (for some time). How will this affect my BBL? Will fat cells Die? Will the shape change? Or is that long enough to wait?

Doctor Answers 4

Postop recovery after a Brazilian butt lift.

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The Brazilian butt lift is beautiful and effective way to contour your torso, create a flat tummy, a small waist, sculpted back, full hips, and round new bottom.
In my practice here Miami, we do perform the combination of a Brazilian butt lift and a tummy tuck at the same time. It sounds like you had some other factors that could affect your recovery and the best positioning for your case. Be sure that you discuss your concerns with a plastic surgeon, especially about the upcoming back surgery. For patients in our practice that have this combination we do have specific positioning requirements as well as padded materials and sponge furniture to help them recover comfortably without compromising their results.

The Oh So NOT Easy Recovery of combined Brazilian Butt Lift AND Tummy Tuck

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The Golden Rule is not only the foundation of most religions and civilized societies but also of good medical and surgical care. If we treated our patients the way we (the surgeons) would like to be treated we would have a lot more happier patients.

From common life experiences you know that if you had pain in the lower back, buttocks and abdomen which position could you take to feel comfortable? By having liposuction in multiple areas to harvest the fat, lift the tummy skin to the ribs, stitch the muscles together and the place the fat in multiple channels in the buttocks considerable pain and inflammation are created involving multiple areas of the body. Unless you are a Navy Seal who is trained to tolerate discomfort or like hanging upside down in a closet like Grandpa Munster recovery from this combination of procedures is not easy. I therefore prefer to do it in two stages. 

Although some surgeons combine the procedures, I do not. I cannot rationalize taking great efforts to isolate living fat cells and then ask a patient with limited mobility to sleep / sit on this very fat thereby potentially compromising its survival and ultimate result. By 2 months after surgery, the cells which died from lack of blood supply already did and sitting on your buttock at this point will not change matters.

Peter A. Aldea, MD
Memphis Plastic Surgeon

Position after BBL

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Although a theoretical and possibly a real concern, I have not found that this makes a great deal of difference.
Plastic Surgery has always been evolving and often there are many right answers and choices for patients and surgeons alike. Both separate and simultaneous surgeries are acceptable in the right patient. In my practice it is common for me to perform all of the procedures you mentioned at the same time. However, I use an assistant to save total operative time with the goal less than 6 hours of surgery (often far less than that) to minimize potential complications and for a speedier recovery. My patients following a TT with a BBL stay in a reclining chair the first week. A flat tempurpedic pillow beneath your back and upper thighs will offload pressure on your buttocks. The benefit is only one surgery, only one recovery (you heal from all procedures simultaneously) and that you can use the fat that would normally be discarded from the tummy tuck. Pros and cons of this decision should be part of your in depth consultation with your plastic surgeon including the increased risk of complications with long surgeries and how to prevent them. Your plastic surgeon will guide you into making the best decision in your individual case. The most important decision is picking the best plastic surgeon experienced in this technique. See link regarding finding the best surgeon for combined surgeries.

BBL recovery

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Typically, my recovery protocol for BBL/TT involves laying on your side.  To me that makes the most sense.  

In your case, you have back problems that necessitates surgery 2 months after your BBL.  This could have modifioed your recovery protocol.

Ricardo A. Meade, MD
Dallas Plastic Surgeon
4.9 out of 5 stars 125 reviews

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.