The Brazilian Butt Lift BBL

We know, the Brazilian butt lift (BBL) is a highly sought-after surgical procedure that everyone seems to be talking about these days. Those who have spent any time online lately have likely seen documentation of the efforts of many to return home post-op (be it by flight or car). What makes the journey so notorious (and social media-worthy) is the precarious sitting positions required to travel safely without causing damage to the treated areas. However, post-BBL, it appears that all areas are, shall we say, sensitive. And comfort and some semblance of normality are days, if not weeks or months, away.

If you're considering a BBL, there is a lot of research to be done. We've already covered the importance of finding a reputable and qualified provider to give you those hourglass curves. And, now, it's time to discuss the realities of the BBL recovery process and what to expect once you've been nipped and tucked. Spoiler: there's a lot.

The First Few Days After a BBL

In some ways, the beginning stages of the BBL recovery mirrors other cosmetic surgeries. “Like any surgery, the first week usually entails the most intense pain, swelling, decreased mobility, and some degree of bruising," explains Ryan Stanton, MD, a board certified plastic and reconstructive surgeon in Beverly Hills. Additionally, he notes that, despite minimal incisions (fat is harvested via liposuction from a donor site and then injected into the buttocks), recovery entails a bit of cleanup. “Often, there is also fluid leakage from the areas of the very small liposuction cannula incisions," he shares. “This is very normal for the first 12 to 24 hours."

What makes BBL recovery unique is not just the lack of mobility or the discomfort, but rather the cocktail of considerations. “Patients are expected to change dressings as needed, take prescription pain medication as ordered, and wear provided compression garments," says Kurtis Martin, MD, a board certified plastic and reconstructive surgeon in Cincinnati, Ohio. Your surgeon and/or surgical team will likely check in before then, but “patients should have their first follow-up visit one week following their procedure," he adds.

While the exact recovery protocol will depend on your surgeon, here are a few things to keep in mind about the healing process:

1. SITTING & STANDING

You probably already know this, but “sitting or laying on the buttock is prohibited for anywhere from two to 12 weeks," Dr. Stanton shares. Most commonly, the restrictions will last three to six weeks, but clearance will vary by surgeon and patient.

You may not be able to sit on your butt for any real length of time, but that doesn't mean you can or should be totally comatose. In fact, Dr. Stanton recommends mindful movement. “Standing and walking within the home is actually encouraged to help fluid and blood circulation and thus minimize the risk of blood clots," he explains. Dr. Martin also suggests light physical activity – such as standing up or taking short walks within a secure space.

What can't be on the agenda? Squatting, exercise, sex, and strenuous activities that raise blood pressure. Sitting will also be monitored and limited to under 10 minutes in the first few weeks. In the month following, you can usually bump up to 15-minute intervals. Alternate sitting, standing, and walking with laying face down to prevent blood clots and maintain strength.

2. PAIN MANAGEMENT

For pain management, providers usually prescribe specific medication, however, that is not the only factor to consider as it relates to physical discomfort. “I think most surgeons would agree that a caregiver is necessary for the first 48 hours postoperatively or, at the very least, the first night while the patient is still recovering from anesthesia and may be unstable on their feet/ambulating," Dr. Stanton says.

We often note that a caregiver is necessary for leaving the OR after anesthesia, but, once you've made it to the comfort of your bed, an aide will prove vital. From providing the medication to helping with bandages, a companion (be it a partner, friend, or professional) can ease stress and give the patient that much less to worry about.

3. HYGIENE

While bandaged up, limited in movement, and feeling sore from head to toe, showers and bathroom visits will be difficult. To prepare for this, Dr. Martin recommends over-the-counter stool softeners, staying hydrated, and eating a balanced diet with fiber and protein to keep you regular and avoid strain on your digestive system. When you can safely bathe again will be indicated by your surgeon.