The Brazilian Butt Lift (BBL) has surged in popularity as a cosmetic procedure that enhances the shape and volume of the buttocks by transferring fat from other parts of the body. While many celebrate the aesthetic results, a less discussed topic is the potential for an unpleasant odor during recovery, often referred to as the “BBL smell.” This article explores the causes of this phenomenon, how to prevent it, and steps to manage it effectively, drawing on insights from medical professionals and patient experiences.
What Is a Brazilian Butt Lift?
A BBL is a surgical procedure where fat is harvested via liposuction from areas like the abdomen, hips, or thighs, purified, and then injected into the buttocks to create a fuller, curvier silhouette. The procedure has grown significantly, with the International Society of Aesthetic Plastic Surgery noting a 78% increase in BBLs performed globally from 2015 to 2021. However, like any surgery, it comes with risks and side effects, including the potential for odor during recovery.
Why Does a BBL Smell Occur?
The so-called “BBL smell” is often described as musty, sour, or even “rotten” in severe cases. Several factors contribute to this issue, ranging from normal healing processes to complications that require medical attention. Below are the primary causes:
1. Healing Incisions and Fluid Drainage
During a BBL, small incisions are made for liposuction and fat injection. As these heal, they may produce discharge, which is typically odorless. However, if not cleaned properly, this discharge can foster bacterial growth, leading to a noticeable smell. In some cases, fluid drainage from incisions may persist, especially if the body struggles to heal or rejects some of the transferred fat. This drainage can become foul-smelling if it includes necrotic (dead) tissue or becomes infected.
2. Hygiene Challenges
The increased size of the buttocks post-BBL can make personal hygiene more difficult, particularly after using the restroom. Residual stool or urine left on the skin can promote bacterial growth, resulting in odor. Patients often report that the larger surface area and altered anatomy require more thorough cleaning techniques, which can be challenging while wearing compression garments or during limited mobility.
3. Sweat and Bacterial Growth
Post-surgery, patients are less active and may spend more time sitting or lying down, leading to increased sweating in the treated area. Sweat, combined with bacteria in a moist, warm environment, can produce an unpleasant odor. Compression garments, worn 23/7 for up to six months, can trap moisture and exacerbate this issue if not changed or cleaned regularly.
4. Infections
Infections are a known risk of any surgical procedure, including BBLs. Symptoms of an infection include fever, redness, swelling, and a foul smell from the surgical site. If incisions do not heal properly or are exposed to contaminants, bacteria can proliferate, leading to odors that may indicate a serious issue. Persistent or worsening smells, especially when accompanied by other symptoms, warrant immediate medical attention.
5. Fat Necrosis
In some cases, not all transferred fat survives the procedure, leading to fat necrosis, where dead fat tissue breaks down. This can result in leakage of foul-smelling fluid from incisions, as reported by some patients. This issue is more common when the body rejects the fat transfer, leaving open wounds that drain continuously.
Real-Life Experiences
Social media platforms like TikTok have brought attention to the BBL smell, with users sharing personal stories. For instance, TikToker @kaymontana24 described how her BBL led to a persistent “rotten” odor due to leaking incisions, which strained her relationship and prompted her to surgically reverse the procedure. She emphasized that the smell stemmed from her body rejecting the fat transfer, not poor hygiene. Other women have echoed similar experiences, highlighting the emotional and physical toll of this side effect.
Medical professionals, such as Dr. Anthony Youn, have addressed these concerns, noting that while temporary drainage is normal within the first 1-3 weeks post-surgery, a putrid smell persisting beyond this period could signal an infection or other complication.
Prevention and Management Strategies
While the BBL smell can be distressing, it is often manageable with proper care. Here are practical steps to prevent and address it:
1. Maintain Rigorous Hygiene
Clean Thoroughly: Use fragrance-free wet wipes or a bidet for thorough cleansing after bowel movements or urination. Be diligent about reaching all areas, as the larger buttocks may require extra effort.
Shower Regularly: Take daily showers with lukewarm water and a surgeon-recommended, fragrance-free cleanser. Gently pat the area dry to avoid irritating incisions.
Change Garments: Regularly change compression garments and underwear to prevent moisture and bacterial buildup. Ensure garments are clean and dry before wearing.
2. Keep the Area Dry
After cleansing, pat the surgical area completely dry with a clean, soft towel to remove moisture that could foster bacterial growth.
Opt for loose, breathable cotton clothing to promote air circulation and reduce sweat accumulation.
3. Follow Post-Operative Instructions
Adhere to your surgeon’s guidelines for cleaning incision sites and changing dressings. Neglecting these can lead to bacterial buildup and odor.
Attend all follow-up appointments to monitor healing and address concerns promptly.
4. Use a Bidet
Investing in a bidet can simplify hygiene, providing a gentle, thorough cleanse without the need for excessive wiping, which may irritate incisions.
5. Monitor for Infection
Be vigilant for signs of infection, such as persistent or worsening odor, fever, swelling, redness, or unusual discharge. Contact your surgeon immediately if these occur.
If an infection is suspected, antibiotics may be prescribed, or in rare cases, surgical drainage of fluid or abscesses may be necessary.
6. Support Healing with Diet and Hydration
Stay hydrated and eat a balanced diet rich in vitamins and minerals to support your body’s healing process. Avoid sulfur-rich foods, which may influence body odor.
When to Seek Medical Attention
A mild odor during the initial weeks of recovery is often normal, but certain signs indicate a need for professional evaluation:
A strong, persistent, or worsening smell.
Accompanying symptoms like fever, chills, swelling, redness, or pus.
Severe or uncontrolled pain that does not improve with prescribed medication.
Continuous drainage from incisions beyond the expected healing period.
Prompt consultation with a board-certified plastic surgeon can address complications early, preventing further issues.
Debunking Myths
The notion that all BBLs inherently smell bad is a misconception. With proper aftercare, hygiene, and attention to healing, most patients do not experience significant odor. Stories of foul smells often stem from complications like infections, poor hygiene practices, or improper surgical techniques. Choosing a qualified, board-certified surgeon and following recovery protocols significantly reduces the risk of odor and other complications.
The Bigger Picture: Risks of BBLs
Beyond odor, BBLs carry notable risks, including a mortality rate higher than other cosmetic procedures, estimated at 1 in 3,000 to 4,000 cases due to complications like fat embolism. Infections, tissue necrosis, and asymmetrical results are also possible. These risks underscore the importance of thorough research, selecting an accredited facility, and weighing the procedure’s benefits against its potential drawbacks.
Conclusion
The “BBL smell” is a real but often manageable side effect of Brazilian Butt Lift surgery, rooted in the challenges of post-operative hygiene, healing processes, and potential complications. By maintaining excellent hygiene, following surgeon instructions, and monitoring for signs of infection, patients can minimize odor and enjoy a smoother recovery. For those considering a BBL, consulting with a board-certified plastic surgeon and understanding all aspects of recovery—including the less glamorous ones—ensures informed decision-making and a confident journey toward desired results.
If you’re considering a BBL or have questions about recovery, reach out to a us for personalized guidance. Your health and confidence are worth the extra care.
Sources:
Daily Mail, “Man details horrible odor coming from his date’s BBL”
South Shore Plastic Surgery, “Understanding BBL Smell: Causes, Solutions and How to Avoid It”
Essence, “Health Matters: BBLs May Come With An Unwanted Odor”
Latin Times, “Woman Forced to Remove Brazilian Butt Lift After ‘Stink’ From Procedure”
Cevrehastanesi.com.tr, “Understanding BBL Smell: Causes and Solutions”
Sandra Rose, “Surgeons Explain why Brazilian Butt Lifts (BBLs) May Release a Foul Odor”
TikTok posts discussing BBL odor experiences