Does fluffing after BBL surgery really occur? Is fluffing after BBL surgery fact or fiction?

Question

Hello Doctors, I have my BBL 5 weeks ago. I had 860cc in each cheek & 100cc in each hip. The doctor used PRP. My hip measurement is still at 47 inches. I found different opinions from different doctors on fluffing after BBL surgery. Some doctors say fluffing is a myth. Other doctors say fluffing is real. They say fat cells shrink when trying to survive, but after having blood supply & nutrients the fat cells become plump & the stem cells in the fat cause growth of more fat cells. Is this true?

Dhaval M. Patel, MD · Answer

Thank you for your question.  Usually after 6 weeks your muscle relaxes and pushes the fat out slightly more.  Best of luck!Dhaval Patel
Double Board Certified 
Plastic Surgeon
Chicago 
Hoffman Estates 
Orland Park
Oakbrook

Kenneth Hughes, MD · Answer

Admittedly,  this may or may not mean anything.   I have noticed that the muscle can be in spasm and the buttock swollen for several weeks.  When the muscle is relaxed and not under tension, the buttock will appear rounder and shapelier.Kenneth Hughes, MD, ABPS Board Certified Plastic SurgeonLos Angeles, CA

Daniel Zeichner, MD · Answer

Hi and welcome to our forum!The use of PRP to augment the "take" of fat grafting procedures has become popular over recent years with anecdotal reports of improvement, but to date there are no objective studies proving the efficacy of this technique.In general, after BBL, a fraction of the transplanted fat will not survive. That fraction may vary widely from 20-50%. Fat cells usually are not stimulated to multiply under these conditions.Thus, the size immediately after surgery will exceed the final result significantly.  15% of cosmetic surgeries may require a secondary touchup. The skin and soft tissues of the buttocks must redrape to accommodate the added volume of transplanted fatty tissue. Thus the buttocks may "shape up" over 3 months or so after the procedure.Continue followup with your plastic surgeon.Best wishes...

Does fluffing after BBL surgery really occur? Is fluffing after BBL surgery fact or fiction?

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Does fluffing after BBL surgery really occur? Is fluffing after BBL surgery fact or fiction?

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Our mission is to create a world where every investment in modern beauty is Worth It.