What Happens to the FAT after a BBL?

[@stopthemadness8469]

The GOD of Plastic Surgery Period!!!!!!!

[@QueenMuva]

Absolutely love this, I'm a few weeks out from fat transfer to my hips. I'm trying not to be so in love with my shape because I know some isn't going to survive. I really appreciate you taking the time to educate us

[@DrWilliamMiami]

I love educating patients, glad you enjoyed it!

[@sarahsalazar5254]

How are your hips looking now? Did the fat cells survive? I'm loving my results too but scared I will lose it. I'm 2 weeks post op

[@melcarmelle555]

Update? Are your hips still there ?!

[@jamaican1876]

I REALLY APPRECIATE THIS VIDEO DR WILLIAM 🙌 THANK YOU👏👏

[@DrWilliamMiami]

You are most welcome!

[@taylornicole5654]

Have you ever seen a case where 100% of the fat has died? I took all my measurements from before and everything died at 9 days post op. I had tight skin and a flat but so I knew a lot wouldn’t be there but didn’t expect it ALL to leave. The only thing that is noticeable is the lipo on stomach. Thanks so much

[@DrWilliamMiami]

Unfortunately I have. Not very often but every year I think I have one patient who loses all of their fat. It is very discouraging.

[@TheIsraelProphetess]

Um thinking it could be due to hormones

[@alexandratrost101]

Hi, do you think the surgent or you did something wrong, like not following the guidelines? This is very upsetting

[@rubyisx7853]

I had 2 BBL's because I was so flat. I had a nice butt for 2 years after my 2nd surgery. Now I lost some weight in last 6 months n my butt it so tiny ughhhhhh 😢

[@stellanorheim9342]

Am going to do a tummy tuck and bbl in September. Am happy to see this so i get ready. Thanks for this

[@Aliyah1290]

Does feeding the fat go to your stomach as well or just your butt? I’m worried about feeding the fat and then it goes to my stomach also

[@CWalthallBrand]

Do you have to worry about losing fat 6+ wks after a BBL? Can you sit regularly and not be affected since the fat has blood supply? I’m almost 3 months po and feel like my butt is getting smaller even though my measurements for the most part are the same from a few wks ago. Maybe because my butt isn’t stiff anymore it just gives the illusion that I lost volume. I hope the fluff fairy works her magic lol.

[@DrWilliamMiami]

You shouldn't really lose any fat after more than 6 weeks but there is a period where the fat cells are trying to establish themselves but then they usually will expand as they heal and return to their normal shape.

[@sannaardalan2029]

Hi! If it’s too much fat injected, should I sit more to kill more fatcells?😢

[@queenfree85]

I want to know this too!

[@rox3765]

Did you find an answer?

[@ppaul9779]

So how can a person prepare their body with a good blood supply pre op?

[@DrWilliamMiami]

You can't. Your blood supply is already good. It is the fat cells that need to establish their own blood supply and connect to your blood supply.

[@lilydelatorre5442]

Wonderful explanation… Doctor , is it possible one side survives and not the other ? I’m having surgery soon and I’m concern of this possibility.

[@DrWilliamMiami]

There is always a difference in fat survival from one side to the other creating minor, normal asymmetry but I have never seen a situation where one side all dies and one side all survives.

[@SophieJacobi-l9t]

Does Vaser damage fat cells?

[@darkvalkyrie5366]

As always great video ✨ Does the bbl/the transplanted fat that survives last forever/is it permanent? Some people claim it lasts 5-10 years, but I can't believe that, because why would it die after 5 or 10 years...

[@DrWilliamMiami]

Exactly, that makes no sense. You are correct, once it survives it is permanent.

[@alexandratrost101]

​@DrWilliamMiami Hi doctor, you seem to have a lot of knowledge. What happen to slop vs step bbl after years? Do one of them sag more than other and get ridiculous looking? I want a natural slop bbl

[@rubyisx7853]

I'm at 2 years after my 2nd bbl. For 2 years my butt was nice. I lost some weight n now my butt is so tiny

[@GemmaSteadman-be5pf]

I had to wait 4 days after my BBL to receive 2 blood transfusions as they couldn’t source my common blood type due to the recent earthquake. Could this of affected my results??

[@keeshahughes2538]

My question is, how many follow up surgeries would I need over the years if I decided to get a bbl?

[@DrWilliamMiami]

none

[@thaichillipepper]

You’re the best!

[@cynthiagenao85]

You are amazing God bless you 🙏

[@ajh5857]

what is the time frame for this to happen

[@sanjuanaguerrero9302]

Do you have a video of how to sleep on your back after a breast reduction/lift and bbl? I am struggling with sleep. Thanks

[@DrWilliamMiami]

Personally I do not combine those two operations together. I do a BBL (Brazilian Butt Lift), and a BA (Breast Augmentation) at the same time but I don't combine a BBL with other procedures because I don't want my patients to sleep on their chest after a breast reduction or breast lift because I worry about the blood supply to their nipples and areola.

[@lyla5381]

Hello doctor, i get a bbl 1200cc each side , its been 4 months but my butt still hurts when I seat or touch , I dont know why .

[@DrWilliamMiami]

I can't advise you specifically in your case, but I can say that in my patients it is not uncommon for some patients to still be experiencing pain in their buttock intermittently for the first 12 months. Most patients have no pain but there are certainly a group of patients who tell me this. The good news is the pain usually completely resolves.

[@samcam9321]

😮😮😮😮😮🤯🤯🤯🤯🤔👍🏾🇨🇦 Thank you Dr. Williams for yet another educational moment🫶🏾

[@DrWilliamMiami]

Thank you for watching!

[@mosunmolaadufe]

I have stretch marks all over my butt can it stop me from getting a bbl?

[@DrWilliamMiami]

not at all.

[@nikitalaveau1033]

Ur amazing I love ur videos 🥺

[@DrWilliamMiami]

wow! Thank you.

[@monic3982]

Wow Doctor William 🧠 so much knowledge 💫you are amazing 👏!!! How long do you recommend to sit 🍑 after bbl?

[@DrWilliamMiami]

No sitting for 2 weeks after a BBL and then using a BBL pillow for the next two weeks.

[@winniejepchumba]

Doctor is it possible to do bbl if you don't have money

[@iz4372]

Yeah he’ll do it for free

[@winniejepchumba]

@@iz4372 hey are you sure

[@mtg10312]

Hi Dr! I have my appt with you in January :) Do you think taking circulatory system supplements might help with the blood supply? Thank you in advance :)

[@DrWilliamMiami]

I am not aware of any supplements that help with blood supply but would love to hear about it. Please share.

[@alexandratrost101]

Did you do the research about it?

[@denissemedina4619]

Question: I have a very fast metabolism so it’s hard for me to gain weight. If I were to get a bbl and use the stubborn fat, would my fast metabolism born those fat cells?

[@princessmacas7530]

Yes. Informed your doctor to get a lot of fat put into the designated area that you would like to transfer.

[@Cruz-lt1lo]

How necessary are the massages after a surgery?

[@DrWilliamMiami]

Critical.

[@Presious91]

So you telling me if I have something squeezing my stomach hard enough , it will squish the fat cells and turn it into oil and then my body will absorb it🤷🏾‍♀️🤔

[@DrWilliamMiami]

No not exactly. What I am talking about in this video is fat that has been newly grafted that is trying to establish a blood supply and the pressure of sitting can inhibit the establishment of blood supply. Without a blood supply the fat cells dies and release their oil. As well, the direct pressure of sitting on the fat can also physically squeeze and kill the fat cells. But just putting pressure on you abdomen will not kill fat cells and is the reason for your emojis. However, there is a situation, in patients who are paralyzed and stay in one position and are insensate, in other words they don't feel the pain from sitting in one position for a long time, can do what you are saying and kill the fat. In fact, they can kill the skin, fat and end up with what we call a pressure sore.

[@angeliquelaster2116]

I’m getting scared now I don’t know if I want a bbl

[@DrWilliamMiami]

That's good. That means you are considering surgery seriously. It is a safe operation with great results and patients are happy, but it is surgery and needs to be carefully considered before just jumping in.

[@impeccableshoegame7029]

I have some scar tissue from a childhood accident, are you able to inject fat through scar tissue?

[@DrWilliamMiami]

That’s a great question. Fat is great at softening tissue but it can also be hard to inject into a scar because of the hardest of the scar tissue. I would see a plastic surgeon and get his opinion.

[@impeccableshoegame7029]

@@DrWilliamMiami I was planning on setting up a consultation with you and wanted to know if I'd even be able to get a bbl, if I have some scar tissue, where fat may need to be injected. Thank you for the reply.

[@lunallenalunallena]

@@DrWilliamMiami How long until you see results from chin lipo?? What if I don’t get massages ????😢😢

[@Ms.Lady619]

So how long do u suggest that its ok to sit without smashing the fat

[@DrWilliamMiami]

No sitting for two weeks and then sitting on a BBL pillow for the next two weeks and then sit normally after that is what I tell my patients.

[@lesajones6160]

👍🏽👍🏽👍🏽👍🏽👍🏽👍🏽needed to know this thanks

[@Katy-bs4qk]

Hi Dr. Willian, I had a BBL with you 4 weeks ago and I'm noticing my OG line is losing volume on le left side more than the right side. I will be in Miami the week 20 of June. Can I come to see you so we can talk about this? Thank you. 😊

[@DrWilliamMiami]

Always happy to see patients in follow up any time.

[@arnellewandji88]

Can I get a Bbl without adding fat to the hips?

[@DrWilliamMiami]

You can but for me I typically add the hips because it is part of the Ogee. kzbin.info/www/bejne/omm4ZYmLpZ2XhKM

[@MsLraya]

Magical doctor!!! Love your educational videos! Much appreciated ~ I lost my Soul Mutt ~ Gromi and I called him my OG! My husband calls me LG as a term of endearment … When I found you I knew I wanted you to be my BBL OG Doctor!!! YOUR BRILLIANT AND I LOVE YOUR WORK!!!

[@DrWilliamMiami]

Ogee fate!

[@touchbydestiny8490]

But right after surgery you’re on your butt

[@priscillankhabe4551]

True. They lay you on your back

[@DrWilliamMiami]

You have to be. It is not safe for you to be waking up from anesthesia and be face down on the stretcher before you are awake enough to ensure your airway is good and you are breathing well. Airway is the most important issue for anesthesia.

[@sweets22193]

What if you bent over or was in a doggy down position bc of pain in the 1st 2wks? Is that damaging?

[@DrWilliamMiami]

No that shouldn't harm the fat at all.

[@emilyrodriguez3920]

Is 200cc’s for hip transfer only a natural and small amount? I’m only 6 days out but it looks so unnatural

[@DrWilliamMiami]

200 cc is a small amount for a transfer in general but of course everyone is different.

[@emilyrodriguez3920]

@@DrWilliamMiami so if 200cc is small is it the swelling that makes it look dramatic and not the actual transfer of fat? Thanks!

[@DrWilliamMiami]

It's hard for me to really say without examining you but I would speak with your surgeon.

[@iv911]

Thank you for this information! When is it possible to sit on the butt again?

[@DrWilliamMiami]

This video will help you: kzbin.info/www/bejne/aZypZpmBZ76drq8

[@umadumawangempela6098]

Can someone get fats removal and not use it back into the body if one needs to loose the butt size?

[@DrWilliamMiami]

Of course. That's just liposuction. When fat is placed back into the gluteal area that is a BBL. But you can just have liposuction without placing the fat in the buttocks.

[@RobbiPressure23]

Does getting a cell saver help with the fat not dyeing ? I heard you say something about blood flow

[@DrWilliamMiami]

Not exactly but I do think that having a higher hemoglobin is beneficial to fat survival so in that regard the cell saver could be considered to help with fat survival--but indirectly.

[@amyrollins4301]

Do you think I’m losing the fat because I keep having diarrhea a lot

[@DrWilliamMiami]

Not usually related. I would see your primary physician to find the source.

[@africacampoy1912]

I should of had watch this before I got my Bbl 🤦🏻‍♀️ I have honestly been seating not a lot but I have been I have to for work and school 😢

[@Lifeofrhoda20]

Did you get the size you wanted or you lost it all

[@stellanorheim9342]

Am doing mran both bbl and Tummy tuck in September so i need this information

[@mariel1princessa]

When you get a tummy tuck and BBL together you have no choice. Don’t worry I still have my butt and I’m two months postop.

[@perspectiveme]

Thank you

[@DrWilliamMiami]

You're welcome.

[@Laclau629]

What if the fat moves from one area of the buttock that area goes flat and it goes to a different part of that buttock?

[@DrWilliamMiami]

The fat doesn't move around. It stays where it is placed.

[@MrsRuiz-bg9tm]

Many people say that the compression of the faja will do that. Is that true?

[@DrWilliamMiami]

Too much compression is a bad thing for fat survival. That's why the Ogee Faja does not have a lot of compression in the areas I place fat.

[@MrsRuiz-bg9tm]

@@DrWilliamMiami awesome. I will be purchasing the ogee faja. Wish I would have found you sooner. Love your videos. I have a question, since we are not supposed to sit because of the bbl, when on 4’s does the stretching in the buttocks kill the fat too

[@DrWilliamMiami]

No it doesn't harm the fat. It is just direct pressure from sitting that kills the fat.

[@congolesedoll7992]

Hello Dr, does feeding the Fat help the buttocks to grow bigger?

[@DrWilliamMiami]

It depends. I think there really is a fluff ferry and that eating unsaturated fats like plant-based oils and fish rather than meat and processed foods that contain saturated fats is much better.

[@mariadolorez7109]

I am almost 3 weeks post op and my butt has become smaller than the first couple of days post op but I am so scared of it getting smaller.

[@DrWilliamMiami]

Most of the decrease in size happens in the first few weeks and then it stops.

[@shaym578]

Is there a way to condense the fat before injecting it into the butt so that more cells can be injected in the same amount of space possibly increasing the amount that survive?

[@DrWilliamMiami]

We do that already.

[@jasminrodriguez5773]

I just had my bbl because I wanted hips. The second day of surgery I noticed my hips looked uneven. On the left side I can see a little bit of my hip dip . Is it possible for the fat to die that fast ? Or did my dr didn’t do a good job ? Now it’s been two weeks and I can see a bigger dent. 😭

[@thelemusfamily9]

Oh no

[@Ms504babygirl]

Macrophage

[@kiranholt3296]

I do not understand why women do this to themselves!!!

[@Quonetta125]

Low self confidence

[@alexandratrost101]

For some of us God gave a total flat butt. As a woman, for me it feels like have no nose

[@JQueen-ul5eh]

Working out is so much better than putting your body thru this trauma.

[@clarafrancis2838]

Yes, I’m working out and you can see it from the back and the front now. Excercise and gaining weight is key 🔑

[@pusztaifanni3770]

but if u don’t have the genetics u will never have a butt like a BBL by working out.

[@aliciabenson8784]

​@@pusztaifanni3770 exactly some people aren't as fortunate with their body contour.

[@annainna767]

Oh shoosh. I guarantee I workout more than you, but I got a BBL to fix a residual deformity following pregnancies and weight loss.

[@amyfreeze9772]

🤢 but very helpful in understanding !

[@LittleOlMo]

I thought the fat regenerates … I see peoples Bbls getting bigger

[@DrWilliamMiami]

Fat does not regenerate. The only thing in the human body capable of regeneration is the liver. That's why a parent can remove half of their liver to donate to their child and their liver will grow back to near normal size. Fat cells can get larger and smaller but never regenerate.

[@LittleOlMo]

@@DrWilliamMiami okay thank, why do bbls look like a diaper booty after a few years ?

[@DrWilliamMiami]

They don't. I have patients who are 10 years out from a BBL and they still look great.

[@alexandratrost101]

​@@DrWilliamMiamii wonder about the "bubble-diaper " boots as well (like the kardashians) as I do not want them. Is that shape was preplanned or is it some kind of mistake? I want a natural slope bbl

[@shortyroc1508]

On the 23 of this month I’ll be two months post op and my butt was a size 1X pants first beginning of my surgery I’m now back to a size large sweat pants my butt went back to normal size😢why did this happen and will it get bigger or none of my fat cells survived

[@thelemusfamily9]

My fat died in my hips I just want injections now

[@moniecemorgan0322]

Who done your surgery and when did you start losing fat

[@thelemusfamily9]

@@moniecemorgan0322 dr Salas did mine and I think mine started dying after 2 years. However, it could Be from having an poor appetite

[@hikikomori5]

🤢

[@veronicakaur23]

Ewwww

[@taehyung_twtx2221]

Hey Doctor, when can we lay on our bum to sleep after the bbl? Love your videos 🩷💕🫶🏼

[@DrWilliamMiami]

I have my patients do that at 4 weeks after surgery.

[@Vixxieart]

Ok but then why do they make us sit on our butt right after surgery? Doesn’t that kill the fat?

[@DrWilliamMiami]

You have to sit on your butt immediately after surgery to make sure you are breathing on your own, you are alert enough to protect your own airway, and your airway is open and all is safe. After that has been met then it is safe to roll on your tummy.

[@rozzelynnenkum1256]

@@DrWilliamMiamiso doc does mean some fat is lost right after the surgery by lying or sitting on the back?