Butt Aesthetics (FAQ)

1. What is the difference between buttock implants and BBL (Brazilian Butt Lift)?

  • Buttock implants are suitable for people who do not have enough fat tissue in their body.
  • BBL adds volume to the buttocks using the patient’s own fat tissue.
  • While buttock prosthesis provides a more pronounced projection with silicone implants, BBL creates a more natural fullness.
  • For BBL, the patient must have enough fat in the body, but there is no such requirement for buttock prosthesis.
  • In some patients, both techniques can be combined to achieve a fuller and more shaped buttock.

2. Who is buttock prosthesis suitable for?

  • It is suitable for patients with a body mass index (BMI) below 22.
  • It is preferred for patients who do not have enough body fat or do not have enough donor area for BBL.
  • It is the best option for patients who want a more pronounced projection.
  • It is suitable for individuals who want to maintain butt fullness on a long-term basis.
  • It is ideal for patients who have lost butt volume after excessive weight loss.

3. How is buttock prosthesis surgery performed?

  • The procedure is started by applying general anesthesia to the patient.
  • Small incisions are made in the hip area and a silicone implant is inserted.
  • The implant is usually placed under the muscle (submuscular) or intramuscularly (intramuscular).
  • After surgery, patients support the healing process by wearing special corsets.
  • The patient’s attention to sitting and lying positions is critical for the healing process.

4. How is BBL surgery performed?

  • With liposuction, fat is removed from the patient’s waist, back, abdomen or thighs.
  • The fat is purified and made suitable for injection.
  • The prepared fat is injected into the buttocks at strategic points to achieve a fuller and rounder appearance.
  • BBL provides a more natural and soft fullness to the buttocks.
  • The results may vary depending on the patient’s body structure and the rate of fat cell retention.

5. What is the recovery process after buttock implant surgery?

  • Patients can usually start light movements within 1 week.
  • No direct pressure should be applied to the buttock area for the first 4-6 weeks.
  • Specially designed BBL pillows or prone position should be preferred.
  • Full recovery may take 3-6 months.
  • The doctor’s recommendations should be followed to avoid risks of infection and slippage.

6. What is the retention rate of fat after BBL?

  • Usually 60-80% of the injected fat can be permanent.
  • Most of the fat is absorbed by the body within the first 3 months.
  • The fat graft retention rate depends on the patient’s metabolism and lifestyle.
  • A balanced diet and avoiding smoking can improve results.
  • Additional methods such as PRP (Platelet Rich Plasma) therapy can help fat cells to hold on better.

7. Can buttock prosthesis and BBL be combined?

  • Yes, prosthesis and fat injection can be combined in some patients.
  • This technique is used to provide both projection and fullness.
  • A more balanced result is achieved, especially in individuals with very flat buttocks.
  • The implant provides the central projection, while the fat injection fills the lateral areas.
  • This combination can offer the most natural and long-term results.

8. How should I sit and lie down after buttock prosthesis?

  • Direct sitting should be avoided for the first 4-6 weeks.
  • Weight should be shifted to the thighs when sitting by using BBL pillows.
  • During sleep, the patient should sleep in a prone or side position.
  • Sitting upright is only recommended after the 6th week with the doctor’s permission.
  • Incorrect sitting positions can cause the prosthesis to shift.

9. Is a buttock implant permanent?

  • Buttock implants are generally longer lasting than breast implants.
  • On average, they can be used for 15-20 years without any changes.
  • When the prosthesis needs to be replaced, it is usually due to complications or changes in shape.
  • The health of the prosthesis should be monitored with regular check-ups.
  • Implants placed under the muscle can maintain their natural appearance for longer.

10. What are the risks after buttock implants and BBL?

  • The risk of infection can increase with neglect of postoperative care.
  • There is a risk of fat embolism with BBL, so it is important that the procedure is performed by an experienced surgeon.
  • Slippage or rotation of the prosthesis can occur due to incorrect sitting habits.
  • Uneven distribution of fat after BBL may create an uneven appearance.
  • Appropriate patient selection and the surgeon’s experience are critical in minimizing the risks.

11. When can I start doing sports after buttock prosthesis?

  • Heavy sports and exercises should be avoided for the first 6 weeks.
  • Slow paced walks can be started after 2 weeks.
  • Wait at least 8 weeks for lower body weight training.
  • After full recovery, light-paced pilates and yoga can be practiced.
  • In the combination of BBL and prosthesis, the doctor’s approval should be obtained before starting sports.

12. Can the butt shrink after BBL?

  • Yes, some of the injected fat is absorbed by the body, so the butt may shrink a little in the first months.
  • Weight loss can cause fat cells to shrink.
  • Fat graft retention may be lower in individuals with a fast metabolism.
  • Eating a balanced diet and avoiding weight gain after BBL can preserve the results.
  • Wearing tight clothes should be avoided for the first 3 months, as this can affect circulation and increase fat loss.

13. How should the sitting process be after buttock prosthesis and BBL?

  • No direct pressure should be applied to the buttocks for the first 4-6 weeks.
  • The weight should be shifted to the thighs and the buttocks should be protected by using the BBL cushion.
  • Sitting time should be kept to a minimum for the first 3-4 weeks.
  • Lying on your side or face down prevents the prosthesis or fat from moving.
  • After healing is complete, a sitting position that distributes the weight evenly should be preferred.

14. What kind of clothes should be worn after buttock replacement surgery?

  • Special medical corsets should be used for the first 6 weeks.
  • Very tight and tight clothes should be avoided.
  • Clothes that increase blood circulation and allow comfortable movement should be preferred.
  • Cotton and breathable fabrics are recommended.
  • The use of a corset reduces postoperative edema and provides better results.

15. Is there a loss of sensation after buttock prosthesis surgery?

  • Yes, there may be a slight loss of sensation in the buttock area for the first few weeks after surgery.
  • There may be a temporary feeling of numbness due to the nerves being affected during surgery.
  • Usually within 3-6 months the nerves heal and the sensation returns.
  • Sometimes there may be a slight tingling sensation, but this decreases with time.
  • If the loss of sensation persists for a long time, a doctor’s check-up is necessary.

16. Will there be any scars after buttock replacement surgery?

  • Since the incisions are usually hidden in the natural folds of the buttocks, there are no obvious scars.
  • During the first 3-6 months, the scars may be pink or red in color.
  • Over time, the scars adapt to the skin color and become less visible.
  • It may take 12-18 months for the scars to fade completely.
  • Silicone-based scar creams or laser treatments can help reduce the appearance of scars.

17. How does weight gain after BBL affect the result?

  • The fat cells injected with BBL react to weight gain and loss like normal body fat.
  • Excessive weight gain can cause the buttock volume to grow even larger.
  • Losing weight can lead to losing some of the injected fat.
  • A balanced diet is recommended to maintain BBL results for a long time.
  • Since weight changes can affect the results, surgery is recommended after reaching the ideal weight.

18. How should sitting habits be changed after buttock prosthesis?

  • For the first 6 weeks, one should sit without direct pressure on the buttocks.
  • Weight should be shifted to the thighs using a BBL pillow.
  • Short periods of sitting are recommended, prolonged sitting should be avoided.
  • Sitting on hard surfaces should be avoided for the first 3 months.
  • Over time, sitting habits can return to normal, but the initial healing process is very important.

19. When can sexual intercourse be resumed after BBL and buttock prosthesis surgery?

  • Sexual intercourse should be avoided for the first 4 weeks after BBL.
  • For patients who have undergone buttock prosthesis surgery, this period is usually 6 weeks.
  • During the initial healing process, excessive pressure or friction should be avoided.
  • Hygiene rules should be observed to prevent the risk of infection.
  • After the full healing process is complete, the patient can return to normal life when they feel comfortable.

20. When are the full results seen after BBL?

  • During the first 3 months, some of the fat graft may dissolve, but the remaining fat is permanent.
  • Wait 6-12 months for full results to appear.
  • It may take 3-6 months for the edema to completely subside and the skin to settle.
  • The results can be maintained for longer with regular exercise and a healthy diet.
  • For maximum adhesion of the fat graft, the care instructions recommended by the doctor should be followed.

21. Is there pain in the legs after buttock prosthesis surgery?

  • Yes, especially in the first 1-2 weeks, mild to moderate pain may be felt due to muscle tension.
  • Implants placed intramuscularly or submuscularly may cause temporary pain by pressing on the surrounding tissues.
  • The pain can usually be controlled with painkillers and decreases over time.
  • It is recommended to avoid heavy activities for the first few weeks.
  • If the pain is severe and persists for a long time, a medical check-up is necessary.

22. Which exercises are recommended after BBL?

  • Heavy exercises should be avoided for the first 6 weeks.
  • Slow paced walks support recovery by increasing circulation.
  • Light resistance exercises can be started after 6-8 weeks.
  • Squats and hip lifts can help shape the buttock muscles.
  • Heavy cardio exercises should be avoided and fat loss should be kept to a minimum.

23. Is it possible for the prosthesis to slip after buttock implant surgery?

  • Yes, incorrect sitting habits or heavy activities in the early period can cause the prosthesis to slip.
  • The risk of slippage is lower with intramuscular or submuscular implants.
  • It is recommended to pay attention to sitting time and to use special BBL cushions.
  • If the movement restrictions recommended by the doctor are not followed, the position of the prosthesis may change.
  • If prosthesis slippage occurs, correction surgery may be required.

24. What should be done to increase the permanence of fat grafts after BBL?

  • Weight gain and loss should be avoided for the first 3 months.
  • Pay attention to the diet and increase the consumption of healthy fats and protein.
  • Smoking should be stopped because nicotine can affect blood circulation and reduce the adhesion of fat grafts.
  • Excessive sitting and pressure should be avoided.
  • Supportive treatments such as PRP and lymph drainage massage can support fat cells to stay alive.

25. What kind of nutrition plan should be followed after buttock prosthesis surgery?

  • Protein-rich foods should be consumed and muscle recovery should be supported.
  • Drink plenty of water, as a good fluid balance accelerates the healing process.
  • Salt consumption should be limited and salty foods should be avoided to prevent increased edema.
  • Foods containing balanced carbohydrates and healthy fats should be preferred.
  • Taking vitamin and mineral supplements can accelerate the body’s recovery.

26. What should be the sleeping position after BBL?

  • You should not sleep on your back for the first 4-6 weeks.
  • Prone or side sleeping positions are recommended.
  • Special BBL pillows can be used to avoid putting pressure on the buttocks.
  • Body supportive pillows may be recommended to avoid sleeping in the wrong position.
  • After the healing process is completed, the patient can sleep in any position they wish.

27. Is it necessary to use a drain after buttock prosthesis surgery?

  • Some surgeons may use drains to prevent fluid accumulation after surgery.
  • Drains are usually removed within 2-5 days.
  • They speed up the healing process by reducing edema and blood pooling.
  • The use of drains can help reduce the risk of infection.
  • The use of drains may vary depending on the surgeon’s preference.

28. Why is smoking not recommended after BBL?

  • Smoking reduces the adhesion of fat grafts by impairing blood circulation.
  • It slows down the healing process by reducing oxygen levels.
  • It may increase the risk of infection and cause postoperative complications.
  • It may reduce skin elasticity, leading to shorter-lasting surgical results.
  • Smoking should be avoided for at least 6 weeks after surgery.

29. What are the symptoms of infection after buttock implant surgery?

  • Severe redness and increased swelling.
  • Foul-smelling discharge from the wound site.
  • High fever and weakness.
  • Severe pain and increased sensitivity.
  • If any of these symptoms occur, a doctor should be consulted immediately.

30. What is the importance of a corset after buttock prosthesis or BBL?

  • It accelerates the healing process by reducing edema.
  • Supports the adaptation of the skin to the new shape.
  • Prevents the formation of blood clots by regulating circulation.
  • It provides a more balanced healing of the fat transfer area after BBL.
  • It is usually recommended to use it regularly for 6-8 weeks.

31. When is it safe to shower after buttock replacement or BBL?

  • Showering should be avoided for the first 48 hours after surgery.
  • Warm water should be used instead of hot water during the first week.
  • If a drain has been used, do not take a shower until the time specified by the doctor.
  • Stitches should be kept completely dry and antibiotic ointments should be applied.
  • Exposure to heavy water pressure should be avoided until complete healing is achieved.

32. Why do fat cells die after BBL and how are they preserved?

  • Fat cells can be absorbed by the body, dying due to poor blood circulation.
  • Smoking and poor diet reduce the oxygen uptake of fat cells.
  • Excessive pressure and tight clothing can block the blood flow of fat grafts.
  • Supportive treatments such as PRP and mesotherapy can increase the survival of fat cells.
  • During the first 3 months, blood circulation should be supported with a balanced diet and gentle movements.

33. In which position should one sit after buttock prosthesis and BBL?

  • There should be no direct pressure on the buttocks for the first 4-6 weeks.
  • Weight should be shifted to the thighs when sitting using the BBL pillow.
  • It is recommended to stand or lie face down as much as possible during the first few weeks.
  • A balanced sitting position can prevent the prosthesis from slipping or fat loss.
  • After the healing process is complete, you can return to a normal sitting position.

34. When are the stitches removed after buttock implant surgery?

  • In most cases, there is no need to remove stitches as dissolving stitches are used.
  • If there are stitches that need to be removed, they are usually removed after 10-14 days.
  • Stitches should be kept hygienic and dressed regularly.
  • Silicone-based creams can be used to reduce stitch marks.
  • After the full healing process is completed, the suture areas disappear completely.

35. How does the butt shape after BBL?

  • In the first few weeks, the butt may look bigger because edema is present.
  • In the first 3 months, some of the fat is absorbed by the body.
  • The remaining fat cells become permanent by adapting to the new place and gaining blood circulation.
  • A healthy diet and regular exercise help to maintain the shape of the buttocks.
  • Full results become evident in 6-12 months.

36. How many weeks should a corset be worn after buttock prosthesis and BBL surgery?

  • It is generally recommended to wear a corset regularly for 6-8 weeks.
  • The corset helps to reduce edema by shaping the body.
  • Regular use is important to prevent sagging skin after surgery.
  • It is recommended to use it for 24 hours in the first weeks and at least 12 hours a day afterwards.
  • The duration and type of corset may vary according to the doctor’s recommendations.

37. Which foods should be consumed after BBL?

  • Protein-rich foods (eggs, chicken, fish) should be consumed.
  • Omega-3 foods (walnuts, avocado, flaxseed) support fat cells.
  • Drinking plenty of water accelerates the body’s detox process and promotes healing.
  • Processed and sugary foods should be avoided.
  • Fruits and vegetables rich in vitamins and minerals should be consumed.

38. Which movements should be avoided after buttock prosthesis and BBL?

  • Heavy lifting and excessive exercises should be avoided for the first 6 weeks.
  • Movements that put excessive pressure on the buttocks should be avoided.
  • Sitting for long periods of time can make it difficult for fat cells to attach.
  • High-impact activities such as running can be harmful during the healing process.
  • Slow paced walks can increase circulation and accelerate healing.

39. Does skin sagging occur after buttock prosthesis?

  • Usually not, because the prosthesis supports the skin and provides a plump appearance.
  • However, excessive weight loss or improper placement of the implant can lead to sagging.
  • Regular use of a corset can help keep the skin tight.
  • Skin tightening laser or radio frequency treatments can be applied additionally.
  • The risk of sagging is lower with prostheses placed under the muscle.

40. What are the most common complications after buttock prosthesis or BBL?

  • Infection (may occur when hygiene rules are not followed).
  • Fat embolism (can occur as a result of incorrect injection of fat in the BBL).
  • Slippage or rotation of the prosthesis (may be caused by incorrect sitting habits).
  • Asymmetry (may occur due to uneven distribution of fat or improper placement of the prosthesis).
  • Subcutaneous fluid accumulation (may occur due to edema or seroma formation).

41. Is the loss of sensation after buttock implant surgery permanent?

  • In most patients, loss of sensation is temporary and resolves within a few months.
  • There may be short-term numbness due to the nerve endings being affected during surgery.
  • Full nerve healing usually occurs within 3-6 months.
  • Sometimes a slight tingling sensation may persist, but it is usually not a serious problem.
  • If the loss of sensation persists for a long time, it is recommended to consult a doctor.

42. For how many weeks after BBL should no pressure be applied to the buttocks?

  • No direct buttock pressure should be applied for the first 4-6 weeks.
  • During this time, sitting should be regulated using special BBL pillows.
  • Excessive pressure can cause fat cells to die and create an uneven appearance.
  • Long-term results can be maintained by developing a balanced sitting habit.
  • After complete healing, you can return to a normal sitting position.

43. Which lying position is recommended after buttock prosthesis surgery?

  • Prone or side sleeping is recommended for the first 6 weeks.
  • Sleeping on your back is not recommended as it may cause the prosthesis to slip.
  • Legs can be raised slightly to increase blood circulation.
  • Pillows that do not put pressure on the hips can be used while lying on the side.
  • After full recovery, the patient can sleep in the position they are comfortable with.

44. Can buttocks be massaged after BBL?

  • It is recommended not to massage for the first 4-6 weeks.
  • Lymph drainage massages can be performed after the doctor’s approval.
  • Excessive pressure or intense massages may cause damage to fat cells.
  • Massages with gentle hand movements can support healing by increasing circulation.
  • The surgeon should evaluate whether massage is appropriate.

45. Which exercises should be avoided after buttock replacement surgery?

  • Squats and hip exercises should be avoided for the first 6-8 weeks.
  • High-paced activities such as jogging can negatively affect the healing process.
  • Heavy weight-bearing exercises can cause the stitches to open.
  • Light walking can support the healing process, but should not be overdone.
  • After full recovery, appropriate exercises recommended by the doctor can be started.

46. When can I return to daily activities after buttock prosthesis?

  • Bed rest is recommended during the first week.
  • After 2 weeks, light daily activities can be done.
  • After 4 weeks, light brisk walks can be started.
  • Most normal activities can be resumed after 6-8 weeks.
  • The full healing process may require 3-6 months to complete.

47. What should be done to prevent buttock shrinkage after BBL?

  • Weight loss should be avoided for the first 3 months.
  • Balanced nutrition and consumption of healthy fats should be increased.
  • Excessive physical activity should be avoided and fat cells should be allowed to adhere.
  • Smoking and alcohol consumption should be minimized.
  • The care program recommended by the doctor should be followed regularly.

48. What complications can occur after buttock implant surgery?

  • Slippage or rotation of the prosthesis.
  • Development of infection.
  • Stitch dehiscence or fluid accumulation (seroma).
  • Long-term loss of sensation due to nerve damage.
  • Aesthetic or functional problems that may require corrective surgery.

49. Are laser treatments safe after BBL or buttock implants?

  • Laser treatments should be avoided for the first 3-6 months.
  • As skin sensitivity increases, incorrect applications may cause tissue damage.
  • Laser treatments can be used with the doctor’s permission to reduce surgical scars.
  • Radio frequency or ultrasound treatments may be safer to increase skin elasticity.
  • Wait at least 6 months for procedures such as laser hair removal.

50. What should be done to maintain long-term results after buttock prosthesis and BBL?

  • Healthy eating habits should be adopted.
  • Excessive weight gain and loss should be avoided.
  • Smoking and alcohol consumption should be limited.
  • Regular exercise and muscle strengthening movements should be done.
  • The results should be followed up by regular visits to the doctor.