Pressure and Fat

Why does Dr. Jejurikar tell me not to sit or lay on my butt right after surgery?

Dr. Jejurikar recommends that all of his Brazilian Butt Lift patients not sit or lay directly on their butt for the first 10 days following surgery. Many patients questions this, wondering if it’s truly necessary and what his rationale is for this recommendation.

Putting pressure on your butt by sitting down or laying on it during the recovery period can compress the soft tissue surrounding the newly transplanted fat cells. In a high pressure environment, blood flow through small, low pressure capillaries is impaired, and in extreme cases, stops altogether. Small capillaries are essential to keeping newly transplanted fat cells alive. When they grow into fat cells, they provide the cells with a constant source of nutrients, eventually allowing the fat cell to resume its normal characteristics. If new blood vessels do not grow into the transplanted fat cells, the fat can eventually shrivel up and die. Patients who blatantly disregard the postoperative sitting restriction can present to the office postoperatively with a flattened appearance to the lower pole of their buttocks, which is the area under highest pressure when sitting. This flatness likely is the result of fat cell death and usually does not improve without additional surgical procedures.

Another reason to avoid sitting right after surgery is that prolonged sitting has actually been demonstrated to stiffen and deform fat cells. Dr. Jejurikar injects the fat into the buttocks to increase projection and the shape of your butt; it’s his hope that the butt will soften and become supple in the ensuing months thereafter. Knowing that sitting can stiffen the butt obviously is contrary to the softness we want the postoperative buttocks to have.

You will be sent home in a compression garment following Brazilian Butt Lift procedure, which is very helpful during recovery. This garment is worn for a minimum of four weeks and has strategically placed holes in the buttocks to avoid compression. This specialized compression garment is designed to avoid external pressure on the buttock. Dr. Jejurikar stresses to his patients not to wear a standard liposuction garment or shape wear to put pressure on the buttocks. Those garments can limit blood flow to the transplanted fat cells and can compromise the final postoperative result. In addition, you should refrain from wearing tight clothing around your buttocks and instead wear loose, comfortable clothing for at least six weeks following a Brazilian Butt Lift.

Finally, after 10 days have passed from your surgery, Dr. Jejurikar does give you permission to sit in a modified position. This does not mean that pressure still cannot have disastrous consequences! This modified position is accomplished by placing a bolster or rolled-up towel under the back of the thighs while sitting down. This maneuver suspends the buttock off a chair, effectively offloading it so as to avoid significant pressure. The use of bolster is important until at least six weeks have passed from your surgery.

The bottom line is this: it’s an absolute necessity to avoid significant pressure on your buttocks after Brazilian Butt Lift. Failure to do so will almost certainly compromise your final results.

Dallas Office:

Dallas Office

Dallas Plastic Surgery Institute
9101 N. Central Expwy.
Suite 600, Dallas, TX 75231
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Tel: 214.827.2814

Plano Office:

Dallas Office

Legacy Plastic Surgery Institute
5425 West Spring Creek Pkwy
Suite 120, Plano, TX 75024
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Tel: 214.827.2814

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