What your surgeon prescribes, and why a BBL is different.
A BBL asks more of your medication plan than most procedures — you can't sit normally, you're moving less, and the grafted fat needs a clean, low-pressure environment to survive. Here's what surgeons typically prescribe, when each piece starts, and how to have all of it waiting for you instead of filled while you're in recovery.
Most BBL recovery plans include five things: an antibiotic to prevent infection around the grafted fat, an anti-nausea medication for the hours after anesthesia, aggressive constipation prevention with a stool softener and laxative, a short course of prescription pain medication alongside non-narcotic options, and silicone-based scar care once the incisions have closed. An antiseptic wash is usually started the night before surgery.
Your surgeon writes the actual list. What follows is what those categories do, why the BBL version differs from other procedures, and where patients most often get caught out.
Lowering skin bacteria at the donor and injection sites before incision. Usually the night before and the morning of surgery.
Fat grafting creates a large area of transferred tissue with a fragile early blood supply. The full course matters even once you feel fine.
Beyond anesthesia recovery: vomiting means abdominal straining, which is exactly what you're avoiding after liposuction of the flanks and abdomen.
The one patients underestimate. Opioids slow the gut, you're walking less, and straining puts pressure through the exact area that needs to be left alone. Start day one.
The donor sites — abdomen, flanks, back — usually hurt more than the grafted area. Most surgeons taper the prescription portion within the first week.
For the small liposuction access incisions. Started only after incisions are fully closed and cleared by your surgeon, then continued for months.
Added by some surgeons for bruising and swelling. Take these only if your surgeon has approved them — several supplements affect bleeding.
An injectable anticoagulant some surgeons prescribe after longer procedures to lower clot risk. See our self-injection guide →
Medical disclaimer. The medications listed above are common examples for educational purposes only and are not medical advice or a prescription. Brand names are the property of their respective owners. Your exact medications, doses and schedule are determined by your surgeon based on your procedure and health history. Never start, stop or combine medications or supplements without checking with your surgeon or pharmacist.
Straining raises intra-abdominal pressure right after the abdomen and flanks have been suctioned.
Reduced mobility for the first two weeks slows gut recovery and compounds the constipation risk.
The grafted fat needs to establish blood supply, which is why surgeons are strict about a few things.
A typical sequence. Your surgeon's timeline always takes precedence over this one.
Send us your surgeon's prescriptions as soon as you have them — the office can e-prescribe directly, or you can send photos by WhatsApp. A pharmacist reviews the whole list against your procedure and anything else you take, sources what's short elsewhere, checks your insurance or quotes you a cash price, and has it ready days before your date.
On surgery day or discharge day we deliver it, unbranded and free, to wherever you're recovering — a recovery house, a hotel or your home, anywhere in Miami-Dade. Then we call on day 3 and day 7 to check the antibiotic is going down easily, that nausea and constipation are actually controlled, and that you know when to start the silicone.
Written and reviewed by Dr. Janet Matheu-Prieto, PharmD — Lead Pharmacist, D&D Pharmacy · Licensed by the Florida Board of Pharmacy · About our pharmacist · Last reviewed August 30, 2026
Send us your surgeon's prescription list and your surgery date — we'll prepare your medications, coordinate with their office, and deliver everything to your recovery house, hotel, or home before you wake up.
