Painful Fat Necrosis after BBL

Painful Fat Necrosis after BBL

Table of Contents

Many people undergo BBL to improve their backside’s shape, size, volume, and fullness. BBL is a popular cosmetic procedure that involves fat extraction from other body parts and transferring it to the buttocks. 

Although BBL is a practical, reliable, and safe procedure that produces excellent cosmetic results, people who fail to follow their health providers’ instructions experience a wide range of complications, including fat necrosis. The problem occurs when fat tissues in your butt do not receive enough blood and nutrients. 

As a result, fat cells die and cause hard, round lumps under the skin, making your skin appear uneven and dimpled. Sometimes, fat necrosis can lead to severe complications, such as cancer. Therefore, it is crucial to discuss the problem with your surgeon and seek treatment to mitigate further complications. Read on! 

Solutions for Painful Fat Necrosis after BBL?

Fat necrosis is a health condition characterized by fatty or adipose tissue deterioration or death. The situation occurs when fat tissues in your body do not receive oxygenated and nutrient-rich blood, making these cells starve and causing their death eventually. Cells death occurs due to severe inflammation in the treated area. 

Besides, this can cause unbearable discomfort and pain, affecting your day-to-day life. The physical symptom of fat necrosis is the appearance of a lump on your butt. The outside swelling does not cause severe pain, but if the lump develops under the skin, this is something patients need to worry about and meet their health providers. Here are a few solutions for painful fat necrosis after BBL. 

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1- Eat Nutrient-Rich Food 

Consuming nutrient-rich food, such as extra virgin olive oil, walnuts, almonds, salmon, chicken, meat, grass-fed butter, coconut oil, and avocados, is an excellent way to maintain your fat tissues’ health. These food items increase blood flow to your butt’s fatty tissues and maintain their metabolic and homeostatic processes. All this translates to a reduced risk of fat necrosis. 

2- Maintain a Proper Sleep Position 

Although many people find it challenging to sleep on their stomach during the night, keep in mind that you have limited options. So, sleeping on your stomach is an excellent way to prevent adipose or fatty tissues from getting damaged. In addition, you can also sleep on your side if you won’t end up on your back. Thus, maintaining a proper sleep position based on your health provider’s instructions is critical to BBL success. 

3- Avoid Smoking 

Smoking is injurious to health in any case, but it can lead to severe complications after BBL. Compounds in tobacco products restrict oxygen and nutrient flow to the treated area, affecting the body’s ability to heal itself. 

When a surgeon transfers fat tissues in your buttocks during BBL, the newly transferred blood cells with fat content reconstruct blood supply lines to ensure everything goes smoothly. However, health providers advise patients to avoid smoking. 

Otherwise, your body won’t develop and maintain new blood vessels. So, this can severely reduce the number of nutrients and amount of oxygen required for fat tissues healing and recovery. Remember, you must also avoid second-hand smoking. 

4- Keep Your Body Hydrated 

The human body is composed of almost 70% of water. Hydration plays a critical role in all cellular processes, including repair, recovery, and maintenance. Not only does water eliminate waste materials and toxins from your body, but it streamlines your blood by allowing it to move nutrients to the fatty tissues in your butt for improved and faster recovery. 

5- Start Exercising after Two Months 

You should avoid exercise for at least six to eight weeks if you want to achieve better results. However, you can resume a regular workout after two months to ensure proper blood and nutrient supply to your fat tissues. 

Although you can walk around in your room for a few minutes throughout the day to keep the blood flowing, any strenuous activity during the first eight weeks will burn off your fat cells and cause necrosis. Therefore, resuming a workout routine after two months is beneficial. 

Final Words 

Fat necrosis is one of the most painful conditions patients experience after BBL when they fail to follow their doctor’s guidelines. For instance, if you smoke, sit on your buttocks, sleep on your back, perform intense HIIT exercise, or consume unhealthy food, the chances of painful necrosis increase. 

Is There a Lower Risk of Fat Necrosis with Skinny BBL?

Fat necrosis, or the death of fat cells leading to painful lumps, can be a concern in Brazilian Butt Lift (BBL) procedures. However, the Skinny BBL, designed for slimmer patients, may present a lower risk. This is due to factors such as limited fat transfer, specialized techniques, and an individualized approach that takes into account the patient’s unique body type.


Skinny BBL in Miami. Retrieved from

Dr. John E. Nees, MD

Dr. John E. Nees, MD

Medically reviewed by
Dr. John E. Nees, MD specializes in aesthetic plastic surgery in Miami, FL


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