Is it possible to have fat placed more so at the bottom of my butt than the top, for lower projection? (Photos)

Question

Hi, I’m looking to have surgery in the next few months, I’m very specific on what I want my BBL to look like, I do in a sense want it to look natural, I feel that I have a good foundation and the look that I want does look natural. I’ve included myself and my wish pics, I‘m wondering if I should be adamant that I don’t want my hips to be filled in, I would like to keep the dips or as much as I can. Also I don’t want a very large butt. Most of my wish pics, the women have more projection in their lower butt than the shelf part , I also want my waist to look very smaller and slim. Is that possible? Or will I have to get my hips filled in, I included pictures of myself. Also, do you think my surgeon will recommend me to gain more weight? I’m currently 160lbs and 5’5. I want my butt to have overall projections yes, but a bit more at the bottom almost like a curved slope? Or would it be the middle?

Manuel Diaz, MD · Answer

Hi. Looking at your photo alongside the reference photo, I think I understand perfectly what you're trying to achieve. You're aiming for a natural, athletic figure with a well-defined waist and moderate buttock projection, rather than excessive buttock augmentation or very rounded hips.
I wouldn't recommend overfilling the hips if you want to maintain the shape shown in your reference photo. In fact, preserving some side crease can help maintain that natural, athletic appearance.
For you, I would consider 360 liposuction combined with a moderate buttock augmentation. To achieve this look, defining the waist, flanks, and lower back would be essential. Fat transfer would be used strategically to enhance the projection and curve of the buttocks without making them appear excessively large.
Regarding your preference for greater projection in the lower body, I wouldn't consider it simply as "putting more fat in the lower area." The goal would be to create a smooth, natural slope from the lower back to the buttocks, with a balanced central projection, respecting the anatomy and safe areas for fat placement.
Based on your photo and current measurements, I wouldn't recommend gaining weight solely for surgery. It appears you already have enough potential donor fat to achieve the subtle result you're seeking, although this should be confirmed during an examination.
The photo you sent as a reference is very helpful because it demonstrates that shape and proportion are much more important to you than size. I believe it's a realistic direction for your anatomy, although no surgeon can replicate another person's exact shape, as your pelvis, muscle structure, and tissue distribution will ultimately determine the outcome.

Is it possible to have fat placed more so at the bottom of my butt than the top, for lower projection? (Photos)

Answers (1)

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