Are hip implants or butt implants better to get an hourglass shape?

Dear violetrayy,it is hard to tell for sure without an examination. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. 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

Allow me to answer your question as best i can without any photos.  Also, please keep in mind that an in-person consultation with physical exam is first necessary before any legitimate evaluation or final surgical recommendations are made.

Although I encourage every patient to workout and live a healthy lifestyle, curvaceous hips is most often the result of the right genetics for the skeletal framework and fat deposits in the hip area.Often buttock implants provide the added curve to the "hip-dips" that many patients are looking for.  However this is mostly when viewing from the back side. When viewing from the front side of the body, actual cosmetic hip implants can be placed either at the same time or instead of buttock implants. Unlike buttock implants, which should always be placed under/within the gluteus maximus muscle, 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. Typical sizes range from 120-250 ccs but any size can be custom made and utilized depending upon the patients anatomy.Unfortunately fat grafting to the hip area is frequently met with poor success because, again, there is no muscle there to place the fat into and thus is does not survive. Another thing is, if you are asked to purposely gain weight (i.e. fat) for the procedure, the fat you lose first as you get back to your baseline weight after surgery is that very same fat that was transferred into your buttock/hip...so don't fall victim to this recommendation.  Also, do not waste your money on the minuscule results of FDA approved temporary fillers or the disastrous consequences of non-approved permanent fillers such as PMMA or silicone.  Glad to be of help. 

I perform both of these procedures. Sometimes I do this at the same time or in stages. The buttock implants are good for projection but dont do too much for the hips.  The hip implants will give you a larger, curvier hip but no projection in the buttock. Personally, I love the buttock implants with liposuction of the midsection and fat transfer to the hips.  Its gives the most dramatic change and the most natural appearance.  Be sure to choose a board certified plastic surgeon who specializes in this procedure and is well known for it.