Why is it that doctors in the Dominican republic have you wear a faja for months and the doctors in America do not?

Hello and thanks for your question. As a plastic surgeon who performed all of his residency training in the United States, I also require that my patients wear their garments for a prolonged period of time. I have found that at minimum, 6 weeks of the garment worn 24/7 followed by an additional 6 weeks of nighttime use helps improve the results of high-volume liposuction and fat transfer. I would argue that my patient's who have had the best results have been those who have worn their garments for a total of 6 months for 12 hours a day or night. The garment helps mold the shape of your body and provides you with the hour-glass figure that is highly attractive.All the best,Dr. Z, Plastic Surgery 

I ask my patients to wear a compression garment for the first 4 to 6 weeks to help reduce the risk of fluid collection.

Dear lifesfantasticinplastic,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, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

Hello dear!!

Thanks for the question and provided information as well. 
Based on my experience, using a compression garment for few weeks will optimize your results, also it will help you with the sore and inflammation. Good
luck :)

Hello
The inflammation process can last from 6 months to 1 year, each patient has an individual recovery process. The faja is recommended to help with the healing process and to provide a better result depending on your goals with the surgery.
Regards,
Dr. Israel Mañon
Certified Plastic Surgeon

Not all surgeons use garments.  I like patients to wear it for comfort and compression.  There is not strong evidence in the literature that supports its efficacy.

The main reason for prolonged faja use , is to keep swelling compressed until it subsides. Usually liposuction swelling takes form 12-16 weeks to disappear. Using the garment improves the shape outcome. Best ,