Post op recommendations for the Brazilian Butt Lift (BBL)

The Brazilian Butt Lift or BBL is an increasingly popular procedure which involves the transfer of the patient’s own fat into their buttocks in order to augment the size and shape of the buttock instead of using implants. Typically, the fat is removed or harvested from the patient’s abdomen, flanks (sides), and lower/mid back. Once all of the fat is collected, it is carefully injected into the buttock until the desired result is achieved. The BBL has become one of my favorite procedures to perform because it is challenging, and I enjoy surprising my patients with a life changing result. This blog will attempt to list some common post op recommendations and hopefully better prepare patients for their future BBL.

1. Post op visits – Patients will usually be asked to return for post op visits at 2 weeks and 8 weeks after surgery. Sometimes we need to see our patients more frequently, but the majority will only require these two visits. 

1. Restrictions – We recommend that our patients not sit or lie directly on their buttocks for 3 weeks after surgery. During this time, they should sleep on their stomach, stand for all activities, and refrain from sitting as much as possible except for using the toilet. Patients will be allowed to sit normally after 8 weeks.

1. Time off work – Most patients will need anywhere from 1-2 weeks off from work. However, we prefer that patients plan on taking 2 weeks off if possible.

1. Compression – Patients are sent home with a compression garment specifically designed for patients having a BBL. I will usually recommend that my patients use this garment for the first 2 weeks. After that time, I will recommend they purchase a new compression garment that will be slightly smaller as the patient will usually have shrunk in size from liposuction. I recommend searching on Amazon for a “Colombian faja” for BBL. I’ve attached a link below to one of many examples on Amazon:

Amazon Colombian Faja for BBL

1. Massaging – We recommend that patients attempt massaging as soon as possible in order to achieve the best results from their procedure. The first few days will be difficult due to the pain, but the goal should be to massage at least 3 times a day for 30 minutes each. I usually recommend that my patients make an appointment with a massage therapist for at least one visit in order to see how a professional performs the massage. You can google a nearby therapist that offers lymphatic massages. Make sure you inform the therapist that you recently received a BBL with liposuction before booking the appointment. Most patients are able to perform their own massages or will have a friend or significant other that can help. Youtube is also great resource to help find lymphatic massage techniques and tips specifically for liposuction. I’ve attached a link to one of these videos below:

Youtube Lymphatic Massage

1. BBL pillow – We encourage our patients to purchase a BBL pillow to help them avoid excessive pressure on their butt during the first 8 weeks after surgery. These can be purchased on Amazon. I’ve attached a link below as an example:

BBL Pillow

1. BBL float/chair – For patients that normally sleep on their back, I will recommend that they purchase an Avocado float that will allow them to sleep on their back while also supporting the butt while avoiding excess pressure. Another option is to purchase an outdoor folding chair and cut out a hole for the butt to fit through so that there is no pressure when sitting. Lastly, there is also an inflatable chair that is specifically made for BBL patients. I will add Amazon links for all of these options below:

Amazon Avocado Float for BBL

Amazon DIY chair for BBL

Amazon Inflatable Chair for BBL

1. BBL forums – Lastly, there are many forums available online specifically meant for patients having a BBL procedure. These are great resources for patients to find additional information, support, and recommendations. We always encourage our patients to use this resource if they find it helpful, but we are also available to assist with any questions if needed.

I hope this information was helpful. Please call our office if you have any additional questions and to book a free consultation for your future BBL!

Noah Ehinger, MD

Cosmetic Gynecologist