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info@esteaura.com Terrace Fulya, İstanbul
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+90 530 442 60 99
BBL (Brazilian Butt Lift) is a popular aesthetic procedure in which fat taken from the body is injected into the buttocks using special techniques. This procedure provides a natural curve and a fuller buttock contour while also creating a slimming effect on the waist and abdominal area. However, the postoperative care process is just as important as the surgery itself for achieving successful results. Without a careful aftercare protocol, the survival rate of fat cells may decrease, leading to complications such as asymmetry or volume loss.
The first 48 hours following BBL surgery are the most critical phase of healing. During this period, fat grafts begin to integrate with new tissues. The most important rule is to avoid applying direct pressure to the buttocks. Patients are advised to rest in a prone (face-down) or side-lying position. Antibiotics and painkillers prescribed by the surgeon should be used regularly, and body temperature and incision sites should be monitored frequently.
Mild soreness, swelling, and bruising within the first 24 hours are normal. However, excessive pain, fever, or foul-smelling discharge requires immediate medical attention. Smoking and alcohol consumption are strictly prohibited during this period, as both can impair blood circulation and reduce fat cell survival. The primary goals of the first 48 hours are comfortable rest, hygiene, and maintaining proper circulation.
One of the most common mistakes after BBL is sitting directly on the buttocks too soon. Applying pressure to the injection area can cause fat cells to die, reducing the longevity of the results. Therefore, sitting should be avoided for the first 2–3 weeks. When sitting is necessary, a special “BBL pillow” should be used to transfer the body’s weight to the thighs, preventing pressure on the buttocks.
Sleeping position is also crucial during recovery. The best sleeping positions for the first 3–4 weeks are face-down or on the side. Placing a pillow between the knees helps distribute pressure evenly and keeps the grafts stable. Keeping the head in a neutral position prevents neck strain when lying face-down. Lying on the back should be completely avoided, as it places direct pressure on the buttocks.
BBL is often combined with liposuction. To prevent fluid accumulation in the liposuction areas, a drain may be used and is typically removed within 2–3 days. Keeping the drain area dry and changing dressings in a sterile environment minimizes infection risks. Showering is usually allowed after the third day, but warm water should be used instead of hot water.
For hygiene, soaps or cosmetic products should not come into contact with the surgical area. Cleaning should be done with antiseptic solutions recommended by the doctor. Clothing should be loose, cotton-based, and breathable. Sweat, moisture, and friction can negatively affect graft retention, so synthetic fabrics should be avoided.
Wearing a compression garment is one of the most essential elements of post-BBL care. It helps the skin adhere properly to the muscle tissue in liposuctioned areas. However, compression should not be applied to the buttocks. Therefore, special BBL garments with open buttock areas are preferred. At Esteaura, each patient’s compression garment is custom-fitted to their body measurements.
The garment should be worn 24 hours a day for the first three weeks and only removed for showering. After the fourth week, the duration can be gradually reduced. Choosing the correct size is vital, as overly tight garments can restrict blood flow. If pressure marks or skin discoloration appear, the garment should be replaced immediately.
Swelling (edema) and bruising are normal healing responses after BBL and typically subside within 2–3 weeks. Pain medication prescribed by the doctor should be taken as directed, and excessive salt intake should be avoided, as high sodium levels can increase swelling. Drinking 2–2.5 liters of water daily helps flush out toxins and supports circulation.
Cold compresses can be used to reduce swelling but should never be applied directly to the buttocks. They can be applied briefly and intermittently to the liposuction areas only. Light walking promotes blood circulation and aids healing. Natural remedies such as arnica gel can also help bruises fade more quickly.
Nutrition plays a key role in post-BBL recovery. To help fat cells survive, patients must consume sufficient calories and protein. The daily protein requirement is typically calculated as 1.5 grams per kilogram of body weight. Chicken, fish, eggs, and legumes are excellent protein sources that support healing. Fruits and vegetables rich in vitamin C enhance collagen production and improve skin elasticity.
Drinking plenty of water speeds up circulation and reduces swelling. Alcohol, caffeine, and carbonated beverages should be avoided as they can disrupt fluid balance. Zinc and omega-3 supplements may help accelerate wound healing, but they should only be taken under medical supervision. A low-carb, balanced, and fiber-rich diet is recommended throughout recovery.
The first week after BBL should be dedicated entirely to rest. From the second week onward, short and light walks can be introduced to promote circulation and prevent blood clots. However, strenuous activities such as running, squats, cycling, and heavy workouts should be avoided for at least six weeks. Once graft stability is confirmed, exercise can gradually resume under medical supervision.
Even in daily household activities, caution is essential. Bending, squatting, or standing for long periods can create unwanted pressure on the buttocks. Returning to work usually takes 10–14 days, though for office jobs involving sitting, this period may be extended. During this time, a BBL pillow remains indispensable.
Lymphatic drainage massage after BBL helps reduce swelling and smooth out the skin surface. However, it should only be performed by trained professionals and with medical approval. This type of massage typically starts 10–14 days after surgery. Gentle circular motions applied to liposuctioned areas improve circulation and aid toxin elimination.
Skin-tightening creams, hyaluronic acid serums, and mild vibration devices can support recovery, but direct massage to the grafted area should be avoided. Applying pressure to the buttocks can damage fat cells. Maintaining skin elasticity through proper hydration, sufficient sleep, and sun protection also contributes to better results.
Although rare, complications can occur after BBL surgery, such as infection, fat embolism, asymmetry, or graft resorption. Early detection prevents these issues from becoming permanent. Patients should immediately contact their doctor if they experience a fever over 38°C, foul-smelling discharge, increasing pain, or excessive bruising. Sudden discoloration or numbness in the buttocks may indicate circulation problems.
Fat embolism, while very rare, is the most serious potential complication. Shortness of breath, chest pain, or dizziness may indicate this condition and require emergency medical attention. Esteaura’s experienced surgical team takes meticulous precautions to minimize these risks before and after surgery.
The longevity of BBL results depends largely on the patient’s lifestyle. The first 3–6 months are when fat cells stabilize and become permanent. Weight fluctuations should be avoided during this period, as they can affect the size and distribution of fat cells. Regular exercise, a balanced diet, and adequate hydration help maintain the desired shape in the long run.
Light exercises that strengthen the gluteal muscles (such as Pilates, swimming, or yoga) promote a more sculpted appearance. Avoiding smoking and alcohol preserves blood circulation and prolongs results. Esteaura aims to provide not just aesthetic improvement but also a sustainable approach to beauty. Attending follow-up appointments ensures that the healing process is monitored and the final results remain optimal.