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

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!