I am 5 weeks post op BBL, what can I do now? Sit, exercise, not wear my garments, I can't deal with the garments anymore.

Each plastic surgeon that performs BBLs has his or her own theories as to how to improve the blood supply to the new cells which, of course, increases the number of newly transplanted cells that survive.  If you were my patient, I would recommend the continued use of DMSO and ultrasound (the kind physical therapists use for sore muscles) to improve blood supply and decrease the inflammatory process that might destroy grafted fat cells.  At 5 weeks, sitting on one's butt is generally encouraged by most plastic surgeons.  Exercising, in my opinion, is a good idea because it improves overall tone, and as long as you are not dieting, it will unlikely lead to loss of transplanted cells.  In my personal practice, I also recommend Accolate by mouth for the first 90 days after a BBL to decrease the inflammatory process and increase the retention of new fat cells transplanted to the buttocks.  I personally see no necessity to wear buttock shaping garments after the first 5 weeks.  Of course, all the comments above are my opinion.  I recommend you call your personal plastic surgeon to get his or her take on what you should do at this juncture.

My recommendation is to use the pillow for six weeks, wear the compression garment for 4 weeks, and engage in no exercise for six weeks.  Best to ask the plastic surgeon who performed your BBL for guidance.Kenneth Hughes, MD, Board Certified PSLos Angeles, CA