Is it normal and safe to not wear faja after BBL surgery?

Hello and great question. I appreciate the time you are spending researching this procedure. My name is Dr. Matthew J. Nykiel. I am a Board Certified Plastic Surgeon, a Fellowship Trained Cosmetic Surgeon, and a Butt Augmentation Specialist.
It is very important to wear your Faja all the time to minimize swelling during your healing process.⁠ We recommend it 24/7 for the first 6 weeks removing only to shower. 
I would definitely recommend doing an in person consultation with a board certified plastic surgeon who specializes in this procedure and who can suggest what is needed. I hope that helps! Best of luck!

Hello! Thank you for your question. Each surgeon has their own specific pre operative and post operative instructions they follow. Therefor, it may differ among the surgeons you choose to consult with. I provide patients with an abdominal binder after surgery which they are instructed to wear for a few days post op. I then provide a referral for a Faja specialist if they choose they want to wear one but it is optional. I also offer massages included in the post op package as I believe it is important and necessary for smooth results. Be sure to consult with a board certified plastic surgeon. 

The PS you have selected to perform your BBL should provide you with post operative instructions, one of which will be the type of compression garment and length of wear.  Based upon his/her experience not all PSs recommend a compression garment as each patient is unique. 
Our office provides our BBL patients with an adjustable compression garment manufactured by Clear Point.  The  patients like the support it provides to the back and to the abdomen.  The only complaint I have heard is related to the "itchiness" of the fabric which can be remedied by wearing a soft t-shirt under the garment.
The patients who tend to have healing issues with larger volume liposuction procedures tend to be the ones who do not wear the compression garments at all, wear them very inconsistently, or do not wear them snugly covering all areas of liposuction. I prefer adjustable garments with multiple bands so that tension can be adjusted. The key here is the size and the ability to tighten the garment, not the brand or make.
I do not recommend lymphatic massages for my patients after liposuction and BBL. 

Dear azen7179,
some plastic surgeons recommend compression garments, others don't. But every plastic surgeon has his own postoperative protocol, which he recommends to his patients. I would suggest you to discuss this with your plastic surgeon. 
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Hello dear!!
Thanks for the question and provided information as well.
Every doctor has their preferences in regards to compression garments. I suggest my patients use a full body compression garment (that closes with clips), 24/7 for the first 3 months, and after that, for 12 hours a day for 3 more months, to get the best results.
It is important for the compression garment to be very tight, for it to help with the swelling, after surgery, and to use it with a cotton t-shirt underneath to avoid garment burns.
Please, follow up close with your plastic surgeon.
Good luck :)

Keep in mind this is from a surgeon's perspective. I have never had a BBL, but I have operated on a lot of patients who have--and this is what I have learned from them.⁠ First off yes you need to wear a Faja. It is imperative because you will leak a lot of fluid for the first 24 hours, and because blood is like food coloring you can mistake it for bleeding. You are not bleeding; it is the fluid that is put in during surgery along with your own lymphatic fluid that comes out after a BBL. Just make sure to wear your Faja all the time to keep compression.⁠ We recommend it 24/7 for the first 6 weeks removing only to shower.
What does the Faja do? At first it will keep compression to help limit fluid accumulation and prevent any bleeding and help the skin stick down to the underlying fat and prevents seromas. The Faja is going to be your best friend as it provides comfort.⁠
Get your Faja tailored as you begin to shrink. This is simple and most tailors can adjust your Faja. You don't need phase 1 and two and all of that--it is simple--as your Faja gets loose then take it in to get tailored. Tailor it to your body. If you are shrinking a lot then you may need to buy a smaller Faja. Fajas are meant to be snug, but not too tight.⁠
Exercise as soon as you feel like you can. I think it helps to increase blood flow and reduce swelling. Begin slow with walking and then you can ramp it up to the treadmill as soon as you feel like you can do it. ⁠
⁠Massage. Massage. Massage. Get a minimum of ten lymphatic massages starting the day after your surgery. I am not sure why someone would advise against this as it is an important part of your recovery. Massages hurt. You need to endure the discomfort because the results are much better with good massages, and the early ones are the most important.⁠ 
Touch. Touch. Touch. This is different than massage--it is super important to help with the nerves. It is commonly overlooked. Just use your hands on top of the Faja at first and then directly on your skin when the Faja is open to shower or get a massage. Start on the day of surgery.⁠ This will be incredibly helpful to your recovery as it will prevent the nerves from getting too sensitive.
⁠Finally, get some type of roller to help smooth and soften your skin and you will continue to do this for 6 months. 6 months?!! Yes, 6 months, it takes a long time to heal.⁠
No sitting on your butt or hips for 2 weeks. Then when you start to sit use a BBL pillow for the next 4 weeks. Sit normally after 6 weeks.

There is no scientific evidence that compression garments have any benefits after liposuction.
Likewise there’s no scientific evidence that massage has any benefit after body contouring as well.
In my practice I use a compression garment for two weeks but do not recommend massage for my patients.
These secondary measures have no Influence on the results of the surgical procedure which by itself is the sole determinants of the outcome. Different providers will have different postoperative protocols. Compression garments are used by most providers to reduce postoperative swelling. In my opinion this has no impact on the final results but may be of some use. I’ve had patients not use compression garments in my experience the results of been the same.   For providers who use high energy devices like ultrasound assistant Liposuction where fluid buildup‘s may be a more common probably after procedures massage to drain fluid may be appropriate.From a patient’s perspective the only variable that is going to have any significant impact is the choice of providers based on their skill and experience.You’re far better off choosing the most talented and experienced provider regardless of their postoperative protocol.this is purely a skill-based procedure. Equipment used during or after the procedure and have minimal impact in comparison to how the procedure itself is performed.top notch board-certified plastic surgeons will have the equipment and supplies needed including postoperative protocols to deliver high-quality results.
Best, 
Mats Hagstrom MD