How can I make sure to keep my fat After a BBL?

I am scheduled to have a Brazilian butt lift in the next few months and I want to make sure that I do everything correctly to keep my fat. Is there a top ten things list that I can follow? It would be nice to get some recommendations from doctors about these options as well. A lot of these lists are super general and its pretty hard to relate them to a specific person.


F, 39, Maryland

Thank you for your questions. First of all, I am sure that your surgeon will give you a list of instructions and I would recommend that you follow them to the best of your ability. You should maintain your weight as any changes in weight will effect the transferred fat. If you gain weight, it will get larger and if you lose weight it will get smaller, but you may also see some changes in contour and irregularities with those changes. immediately after surgery I would recommend not to sit on your buttock for extended periods of time to prevent damage to fat cells. Otherwise make sure you eat a good diet and enough protein to help your body heal. Good luck.

Olga Bachilo, MD

Thank you for your question. In 2013 I did an analysis of my last 100 BBL's to find that the average amount of high density fat injected was 580cc per cheek. This amount alone can transform most bodies. However, some body frames do need more quantities. I have injected over 1000cc per cheek on some patients.

Keep in mind that the quantity of fat that I report for injection has been decanted and centrifuged to inject only the most viable fat cells. I believe that these viable cells have a better 'take' to make for longer lasting results.  In other words, not only is the amount of fat important, but also how the fat has been processed. This technique I use yields permanent results. I have been doing this procedure for 15 years.

Here is a blog post that I wrote 5 years ago: 

October 20, 2013: How much fat is injected with a BBL?

BTW, with this technique you should also be researching WHERE the surgeon injects the fat. This is important for safety. Make sure your surgeon is Board Certified by the American Board of Plastic Surgery and your BBL is performed in an accredited surgery center. 

Here is more info on the Safety factors for the BBL. I am part of the Safety Task Force Team.

Dec 19, 2017: BBL and the Risk of Pulmonary Fat Embolism

Good luck!

Ricardo L Rodriguez MD