Are there any doctors in the Atlanta area who preform implants to the hip area?

Question

I am looking for more of a hourglass shape. I have cut out my workout routines and have stated to build up fat in my lower back & flank area in the event lipo transfer is my last resort. I am just not 100% sold on transferring fat that may not last after a year. I love my butt I just need hips to match.

Ryan A. Stanton, MD · Answer

Unfortunately i have no one to recommend in Atlanta, however, i do have about one patient per month from Atlanta come to me for buttock and/or hip implants. Please read on for more surgical details:In short, a combination of sculpting your waistline with liposuction and augmenting your buttock with implants provides the best chance for a long lasting "hour-glass" figure. Please read on for more surgical details:

Regarding buttock/hip augmentation surgery, let me start off by saying that I currently see at least 2 - 3 patients, domestic and international,  per week that failed "brazilian buttock lift" (i.e. the fat melted away after 10 - 12+ months) and are now seeking a more reliable and permanent option (i.e. buttock and/or hip implants). Allow me to share with you some information that you may not hear elsewhere. There are only two proven safe and relatively effective methods for Buttock Augmentation and Hip Augmentation: 1) Autologous Fat Transfer (using your own fat, transferring from one area of the body to the other) and 2) Buttock/Hip Implants (semi-solid silicone rubber implants that cannot rupture &/or leak). Both are options but what it comes down to, like any surgery, is proper patient selection and long-term results. Indeed because at least 80+ % of the fat transferred will melt away within a year, most patients are not good candidates because they lack an adequate amount of fat to harvest. Another tip is that if you purposely gain weight (i.e. fat) for the procedure, the fat you lose first as you get back to your baseline weight is that very same fat that was transferred into your buttock...so don't fall victim to this recommendation. Even those patients that had adequate amounts of fat pre-operatively, still end up seeking buttock implants after a year or so because most of the fat transferred melted away leaving them with minimal result.

Although overall using your own fat is relatively safe, it not infrequently melts away unevenly leaving one butt cheek bigger than the other or with dimpling or hard fat cysts.  The one serious complication that can rarely (< 1%) happen is "fat embolism" in which some of the fat gets into the blood stream and travels up into the lungs, heart, and/or brain causing serious problems. This complication is more likely to happen with the larger amount of fat being transferred. This is even more likely to happen when using fillers like liquid silicone, PMMA, Sculptra, and hyaluronic acids. Also fillers, when injected in large quantities, have a relatively high infection rate, guaranteed tendency to migrate away from the original area they were injected, and almost always stimulate a lot of inflammation with a subsequent and disastrous amount of scar tissue/hardening.Thus buttock/hip implants become a very good, safe, and long term reliable option for most patients seeking buttock/hip augmentation (at least in my practice). I prefer to insert the buttock implants through a 1 1/2 inch long incision along the inner curve of each upper buttock cheek at the level of the tailbone, similar to two opposing parentheses ")(" (concealed within the crevice between the buttock cheeks) and the hip implants through a ~ 1 inch incision just below the beltline above the hip region. The buttock implant should always be placed under or within (muscle thickness permitting) the gluteus maximus muscle. In this position, the implant is much less palpable & visible (ie feeling and looking like an Olympic sprinter's butt), and does not sag or shift/migrate over time unlike implants placed on top of the muscle or "subfascial". On the other hand, hip implants are placed under just the fascia because no significant muscle exists in this region. However, because they are much smaller and lighter, their likelihood of migration is relatively low. Because all of this, it is extremely important to seek consultation with a board certified plastic surgeon who specializes in this procedure so that the implant placement is precise for both locations. And in this case too, at least in my surgical practice, the infection rate is minimized to

Shlomo Widder, MD · Answer

Dear Ali,    Back and side view pictures would have been helpful. Sorry that you had to stop your workout routine  in order to gain weight and enlarge your butt. Obviously, you gained weight in undesired areas , which is not good.   You are absolutely correct on not being 'sold' on fat transfer (BBL). This procedure is a total waste of time and money, since the fat disappears completely  or almost completely after few months or even sooner . I have seen it on many patients who came to my surgery center for butt implants surgery after their big disappointment from the fat injection surgery that was done by other surgeons.   I would suggest that you resume your workout routines (that you most likely  enjoy ) , lose your weight  and get  butt implants. You will need , though, large and wide implants that will be able to fill up your hip curves. That can be done only with the sub fascial technique, that allows for large implants (660 is my biggest so far ) and the implants should be oval round, which are wide and will create for you nice 'S' curve and nice hips curves.     Not all results are the same , because there are different techniques and different implants. Additionally, experience, skills and aesthetic eye are critical for good outcome. So do your due diligence carefully and choose wisely, even if it requires traveling outside Atlanta. Better results and avoidance of redo surgery justify such an effort.    Always, consult with experienced board certified plastic surgeons who operate in accredited surgery center for your safety. Most importantly, check the before and after pictures in the photo gallery, to make sure that they are numerous, consistent and attractive. Also, check the reviews on 'RealSelf' for ratings and positive experience reports.                                     Best of luck,                                                            Dr Widder

Barry L. Eppley, MD, DMD · Answer

Whether hip implants are a good solution for your concerns depends on where exactly you want the hip augmentation, its size, and whether the incisional scar from placing them would be a good aesthetic trade-off.

Arian Mowlavi, MD, FACS (license on probation) · Answer

In order to get the wider hips look that you are hoping for, I would suggest fat grafting for the lateral hips. If you feel like you do not fullness in the buttock region and do not need implants, then fat grafting would be ideal for lateral fullness. The fat grafting would give you the wider hips, or "bubble butt" appearance you are looking for. Fat grafting is a permanent solution so you don't have to worry that it won't last after a year. Studies have shown 60% of fat grafting is retained at 6 months and stable depending on weight changes. 40% of fat loss is due to swelling and the body losing all the dead fat. We often accommodate patients who travel to come to our centers. Please see examples below.

Are there any doctors in the Atlanta area who preform implants to the hip area?

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