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

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. 

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

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.

By definition as well as your own description hip implants are the best approach to getting an hourglass figure. An hourglass figure is typically viewed from the front or back in which the hips primarily control that body shape.

Dear Violet,Hello and thank you for your excellent question. It is best to answer your question during a face-to-face evaluation, when you can discuss your goals and expectations for the procedure, and you can have a physical examination to evaluate for that procedure. I recommend that you find a board-certified, or board-eligible plastic surgeon with whom you are comfortable. Be sure to have all of your questions answered during a face-to-face meeting with your surgeon, and review before and after pictures of similar patients whom have had this procedure. If you have any questions, call our office for assistance. Good luck!

Best,

Jon Ver Halen, MD FACS

Harvard educated plastic surgeon

Texas “Top Doc” 2017, 2018

RealSelf100

America’s Top Plastic Surgeons, Consumer’s Research Council, 2010 – 2018

BeautyAdvisor Top Contributor

Hi, and thank you for the question
It is to difficult to give you an answer without any photo. It would be very helpful If you send us some photos in orden to give you a better answer. Make sure to seek the attention of a certified plastic surgeon, you should have a great result and a normal life. So feel free to contact us for further evaluation.
Thank you again and have a great day