Want hour glass/snatched waist and round hips - how realistic are my goals? (photos)

At 5'4 and 205 lbs, your BMI is 35 which puts you at a high risk for complications. I recommend you begin a low fat diet, core exercises such as sit-ups, planks, pilates and start wearing an abdominal binder. Liposuction can be done to remove 10 lbs safely and can help you with your weight loss. Once, you get your BMI down to 32 or lower then I would begin with your breasts using The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. At the same time or later, a tummy tuck can be performed. If you are not planning future pregnancies, I recommend abdominoplasty with mesh reinforcement. The mesh creates a more hourglass figure by compressing the abdominal wall resulting in early satiety and helps maintain a reduced weight.

Best Wishes,

Gary Horndeski, M.D.

You can absolutely have an Abdominoplasty, liposuction of the abdomen, back, and flanks, with breast lift. You could also choose to have fat transferred to your breasts or Hips and buttocks. We also offer gluteal and breast implants if you want to plump the buttocks, hips, and breasts. Feel free to reach out to my office for a consultation. Smith Plastic Surgery 702-838-2455

Based on these photos, you seem to be good candidate to achieve this ambitious goal. First, you will have to loose 20 plus lbs. in the process. Series of surgeries starting with liposuction and fat transfer (BBL), followed with abdominoplasty, breast lift and augmentation with implants should be considered.. In person consultation with a board certified plastic surgeon is recommended. Good luck.

Dear summertorres,
based on your photos, you look like a good candidate for a TT. Full tummy tuck should tighten your abdominal muscles and remove the excess skin. Flanks liposuction would give you a better shape. I would suggest you to consult a board-certified plastic surgeon because only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thank you for sharing your question and photographs. Once you reach your goal and stable weight you will most likely benefit from circumferential liposuction of your trunk with subsequent fat transfer to your buttocks followed in a second stage by a breast augmentation (possible lift) and a full or extended tummy tuck procedure. Hope this helps.

I think you would look good with a tummy tuck, minimal scar donut Benelli breast lift with implants, and liposuction of your upper abs, lower abs, waist, and back bra rolls. You may want a fat transfer to your hips and butt later. I would recommend adding cardio to help lose the deep abdominal visceral fat to optimize the result. Tummy tuck and liposuction will not reduce the visceral fat, only diet and exercise will. Good luck!

First, you want to be at your goal weight or a weight that you are happy with even if you like being thick. You want to be at this goal weight for at least six months and be done with having children before having any procedures. You will likely benefit from a lipo-abdominoplasty and a breast mastopexy with implants or autogenous fat transfer. Adding Renuvion/J-Plasma, especially to the back area may greatly improve you contour and provide soft tissue contraction/tightening. It is best to seek consultation with a board certified plastic surgeon to properly address your concerns.

From your photos and provided information you would have much better results if you first lost about 25 pounds. This would bring your BMI lower. Having a BMI above 30 may increase your risk of complications such as poor wound healing, seroma, and infection. I think you could consider a tummy tuck including muscle repair with liposuction of hips, flanks, and back. A breast augmentation with implants would add fullness to the breasts. Determining if a lift is recommended would require an exam or photo of you with your arms at your sides. Best wishes!

For best result, you really will need to drop 20-30 lbs. That would also give you a better idea on whether an abdominoplasty or a circumferential body lift (LBL) would be suggested. If you went to surgery right now, I'd suggest a LBL as you would not get a very good result from the flank liposuction and would have a "muffin top" deformity almost certainly. With some weight down you might see that the flank areas are less problematic and steer you more towards an abdominoplasty and posterior trunk liposuction. Generally speaking, LBL style surgery gives a much more defined waist then liposuction does for most patients (a lesson you learn operating on weight loss patients over & over)

You can also see a great deal of pressure internally from your weight making your abdomen distend that won't be fixed just by running the muscle with a suture. Absent significant weight loss, you would still be more rounded looking on your trunk

Hello! Thank you for your question and photos. In my opinion, I think you would get a great result from a tummy tuck with some liposuction. My advice would be to wait until you have reached your personal weight goal before having the surgery so that you can get the best result. A breast lift with some modest-sized implants would give you the fullness and lift you are looking for. An in-person consultation appointment with a PS would benefit you so that you can be properly evaluated. Good luck!