Which procedure can help me improve the shape of my butt and minimize indentation on the sides? (photos)

Allow me to answer your question as best i can based upon your photos. However, please keep in mind that an in-person consultation with physical exam, or at least a virtual consultation, is first necessary before any legitimate evaluation or final surgical recommendations are made.

Buttock implants often provide the added feminine curves that many patients are looking for. However this is mostly only when viewing the postop result from the back side . When trying to achieve that “hour-glass” figure being viewed from the front side of the body, actual cosmetic hip implants need to be placed either at the same time or instead of buttock implants.

In general, cosmetic hip implants are the most reliable, predictable, and permanent option for filling in the hip dips and creating more of that feminine hourglass figure, whether slim or not. On the other hand, fat transfer to the hip area tends to survive quite poorly in most patients and thus produces only short term results (often less than 10-12 months). Injections/fillers such as Sculptra or hyaluronic acids are cost prohibitive (i.e. guaranteed to be the biggest waste of money of your entire lifetime), short lasting and possibly deadly with high volume injections. Others such as silicone/PMMA/hydrogels/etc are cheap but extremely dangerous and a personal commitment to a life of serious and sometimes deadly consequences. Typically hip implants are best custom designed and created for each individual patient’s anatomy. Because an extremely few number of board-certified plastic surgeons perform this procedure, make sure you seek consultation with a reputable and experienced cosmetic hip implant specialist. You may have to travel a long distance from home to find this particular surgeon. Glad to help.

Based on these photos, you are excellent candidate for liposuction and fat grafts. The purpose is to address only lateral buttock defficiency. In person consultation with a board certified plastic surgeon with significant experience in buttock and body contouring, is recommended. Good luck.

Him, thanks for your question and photos.
You are a candidate for Lipo and fat transfer to the buttocks or BBL. That can help you to eliminate fat deposits and shape your butt as you want. Consult a board-certified plastic surgeon in your area for a physical exam. Good luck!

Great posted photos! Recommend you consider lipo 360 with inner thighs and BBL. Fees from $6,000. Best to do virtual consult with....

You have a very nice shape now, but I would consider doing liposuction of your sides, lower back and possibly inner thighs with a fat transfer to your hip dips.
Best wishes.
Dr. Taranow

There is really only one good procedure for what you were trying to achieve. do you need Liposuction of your love handles all the way down to the top of your hip dip with fat grafting in the concavity or hip dip area.
If you take a printed copy of the picture of your body from the backside and just dry in a perfect female ask herb you’ll see exactly where volume needs to be reduced and where it needs to be added. The S-curve begins right below your armpit and finishes just above your knee. Liposuction alone can give you a partial improvement. adding fat transfer can give you an even better outcome.
This type of work is more difficult than most people believe and the number of plastic surgeons who can deliver consistent quality results is relatively limited.
Most plastic surgeons think they’re better at Liposuction than they actually are.
When it comes to fat transfer the learning curve is even higher and the procedure becomes more complex.
You are a very good candidate and should be able to get a very good outcome pretty much fixing the problem as you have described.
By far the most important variable is finding a surgeon that has the skill and experience to do the job correctly.
The variation in liposuction and fat transfer results between different surgeons is massive.
Liposuction results vary more based on who does the procedure than any other plastic surgery operation.
Being a board-certified plastic surgeon with overall good reputation and years of experience does not mean someone has mastered liposuction.
Delivering consistent quality results requires a total dedication to mastering this procedure and the number of surgeons who really do liposuction with fat transfer well is limited.
Finding the right provider is difficult.
Nobody shows anything but your best results and it is unfortunately a little too easy to manipulate outcomes especially when it comes to fat transfer.
This is my recommended approach.
For those who don’t have them I recommend people start by getting quality pictures of your own torso or body. you already have quality pictures so that is a plus. pictures should show your body from your shoulders to your knees standing in a neutral position showing your front, side and backside. Print pictures of your body and bring printed pictures of yourself to any in person consultation. It’s important to have pictures of yourself to use as a reference when reviewing before and after pictures.
Next make a list of local plastic surgeons who seem to be good at liposuction.
Begin reviewing lots of before and after pictures and start giving grades or rating outcomes.
This should include both Liposuction and Liposuction with fat transfer a.k.a. BBL. A BBL has many different forms and different plastic surgeons perform them in many different ways. it does not mean you’re going to end up with a giant booty. in your case the goal is simply to create a harmonized feminine S-curve that fills in the hip dip and reduces your love handles. To do this correctly will involve a little bit more work but it is basically a BBL that’s modified for your needs.
When it comes to choosing providers look at what plastic surgeons have the most number of quality before and after pictures on their websites.
You may want to consider corporate specialty clinics but recognize there are potential drawbacks when dealing with large companies.
In the end your goal is to find someone who has the skill and experience to deliver consistent results and can demonstrate this during an in person consultation.
To find the right provider requires having multiple in person consultations.
I don’t think it’s possible to get an accurate assessment and properly vet plastic surgeons with virtual consultations so I recommend patients avoid virtual consultations whenever possible.
The outcome will be with you for the rest of your life so it’s worth putting in the effort to make sure you find the right provider since this is the only variable that you have control over and really the only variable that actually matters.
In the end there are only two variables that determine the quality of a plastic surgery outcome. They are patient candidacy and skill of the surgeon.
All other variables are relatively minor compared to those two.
Identifying someone’s candidacy for a certain outcome requires skill and experience.
To do this correctly someone should examine you then find appropriate before and after pictures of previous patients who are very similar body characteristics to your own and show you numerous examples of what those results turned out like.
During each in person consultation ask each provider to open up their portfolio and show you their entire collection of before and after pictures.
Providers may be apprehensive to do this but it is in your interest to see as many before and after pictures as possible especially of patients who had similar body characteristics to your own.
There’s no point in seeing results of people who are different body characteristics than your own.
Ask providers to show you examples of excellent outcomes, average outcomes and outcomes that did not turn out as well as they had hoped.
Bring your own pictures with you and insist they only show you pictures of previous patients that had relatively similar body characteristics to your own.
You’re looking for patients who have similar BMI, similar overall body shape, similar amount of skin laxity, similar age etc. etc.
For reference and experience surgeon should have no difficulty showing you at least 50 set a before and after pictures of commonly performed procedures.
When it comes to liposuction I generally recommend treating the entire torso as a single anatomic unit in order to leave people with a natural even seeing the fat distribution. even if the problem area is just in the love handles it is important to maintain a consistent fat distribution throughout the entire torso.
Partially treating the torso will inevitably lead to transition zones between treated and untreated areas that don’t look natural.
My best analogy for this is painting a house.
If you’re painting a house you should probably paint all the walls at the same time.
A full torso includes upper abdomen, lower abdomen, love handles (all the way to the top of the hip dip), Waste, full back and under arm area (armpits) all the way to the side of the breast.
When looking at before and after pictures look very carefully at all treated areas to make sure there are no skin contour irregularities in any treated area. review the pictures with the surgeon asking them to point out exactly what areas were treated and what areas were not treated. Look very carefully a transition sentence between treated and untreated areas to make sure they look very natural. there should be no appearance if someone has had a surgical procedure. Quality Liposuction should not leave any signs of having had a surgical procedure with the exception of tiny tiny scars that should blend in like skin blemishes.
Take notes during each consultation regarding the quality and quantity of before and after pictures shown as well as the overall thoroughness of the consultation.
There’s no correct number of consultations needed to find the right surgeon.
Some of it is luck.
I recommend most patients start with at least five in person consultations and consider scheduling more unless you were very certain you found the most talented and experienced provider in your community.
If you have any doubts slow down and schedule more consultations.
You can also go back for a second consultation with the same provider if you’re left with questions or have concerns.
Liposuction results are permanent and if done poorly people are left disfigured for life. badly done liposuction cannot be corrected with revision of work.
I cannot emphasize enough the importance of choosing the right provider for this operation.
You are a very good candidate for body contouring using liposuction with fat transfer.
The next step is to find the right provider.
Despite the temptation of doing this online it requires having multiple in person consultations in my opinion.
Find the right plastic surgeon and everything falls into place.
Good luck,
Mats Hagstrom MD