When is sitting without a BBL pillow ok for a BBL (no restrictions to daily sitting)?

Thanks for your question. In a Brazilian butt lift, fat is transferred from various parts of the body to the buttocks to re-shape and augment the buttocks. After the procedure, it is crucial to minimize or avoid sitting for prolonged periods. The reason is that the fat has not integrated to your tissues so the buttocks may flatten or lose projection. Further, sitting causes trauma to the newly placed fat so the process of blood vessel ingrowth (which is necessary for fat survival) may be disrupted. So, I recommend that my patients minimize sitting for one month. If you have a sitting job, you can use a bbl pillow to minimize the trauma from sitting. But one should still minimize sitting if possible. After one month, I allow my patients to sit regularly although many continue to avoid it for several weeks. Please always consult with a board-certified plastic surgeon. Take Care, Dr. Moises Salama, Board Certified Plastic Surgeon

Dear Keeetz,
I instruct my patients not to sit for 2 solid weeks. We provide them a specialized pillow that our patients can sit on during that time. They can sleep on their stomachs or sides. I understand your concern. It is best that you consult your plastic surgeon regarding post operative care and management (i.e including massage techniques and timing) specific to your case. Your surgeon knows your condition well and has preferences on when and what to use for faster healing and recovery. Post operative care and management depends on the type of surgery performed and the technique used during surgery among other factors.It is best, however, that you follow your plastic surgeon's advice on post operative care management for a smooth and faster healing and recovery.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Hello @Keeetz, thank you for your question. It is always important to take into consideration the opinion of the specialist who performed the surgery. It depends a lot on the surgical technique and the technology used in this procedure. Best wishes! Alan Gonzalez MD, FACS. International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)

Every physician has their own post-operative instructions post BBL procedures. Generally, most surgeons require 4 weeks of non weight bearing (sitting) post BBL procedures. The longer you restrict sitting on your buttocks, the better the permanent blood supply forms and the less fat absorption occurs.

Each provider will have their own set of postoperative instructions, and these will vary from providers provider. If you haven’t chosen a provider, then I suggest putting in a significant effort in the selection process of choosing the best provider. During that process, postoperative instructions should be reviewed during the consultation. At that time you can ask first hand, the specific limitations and recommendations from each provider, and these were very.
It would be inappropriate for us to give you recommendations that are different, or contrary, to what your provider would recommend.
There’s a little scientific evidence, the changing postop of protocols has any impact on final results.Most providers will recommend patient engage in light activity as soon as possible after the procedure. Most plastic surgeons also recommend minimizing pressure for access mobility in areas treated with fat transfer. The extent of these restrictions vary substantially, depending on the belief and philosophy of each provider.
Patients should follow the protocols and recommendations of the provider they choose to do the procedure.
Delivering consistent quality, liposuction and fat transfer results is more difficult than most people realize. There is major variation in approach, skill, philosophy and competence among board-certified plastic surgeons for this procedure. Being board-certified and plastic surgery with years of experience does not mean somebody has mastered any one single procedure, especially when it comes to Liposuction and fat transfer. Doing these procedures, well is more difficult than most people recognize.
Poorly done, Liposuction, and fed transfer can be extremely difficult and often not possible to improve upon me. Because there’s so much variation in skill and experience with these procedures patient should be more selective than anything necessary when it comes to finding the right provider.
Suggest patient start the process, but having multiple in person consultations with local board-certified plastic surgeons, who seem to have a lot of experience with the procedure. During each consultation, ask each provider to open up your portfolio and show you their entire collection of before and after pictures of previous patients, who had similar body characteristics to your own. Being shown a handful of preselected images, representing the best results of the providers career is insufficient to get a clear understanding of an average results look like in the hands of each provider or how many procedures they’ve actually done. When it comes to reviewing the fed transfer results, make sure that after pictures were taken at least 3 to 6 months after the procedure. Early fat transfer results can look very impressive but do not represent final results.
For reference and experience plastic surgeon should have no difficulty showing in the before and after pictures of at least 50 previous patients. Look through pictures very carefully to make sure they are showing you representative pictures who have similar characteristics to your own body style. It helps to have pictures of your own body, taking the same way a plastic surgeon to take before and after pictures and bring those with you whenever reviewing before and after pictures. Look carefully to make sure they were skin contour irregularities in any of the treated areas. Make sure you know exactly what areas the surgeon is planning on treating and exactly what is included and what is not included with the Liposuction.
The interpretation of how a BBL should be done varies dramatically from provider to provider. Make sure that their interpretation of what the female figure should look like corresponds with what you find desirable. A shortage of before, and after pictures should be a major red flag.
There’s no correct number of consultations needed to find the best provider. The more consultation, someone schedules, the more likely they are to find the right provider. As a general statement, I recommend patients consider starting by having at least five in person consultations before scheduling surgery. When, in doubt, slow down and schedule more consultations.
Best,
Mats Hagstrom, MD