How can I fill my hip dips without getting a BBL or fat transfer? (Photo)

Question

So I just got a tummy tuck & lipo to the flanks. I’m two weeks post op. I’m loving the results. I didn’t have enough fat for transfer to the hips. I don’t want lipo again. I already have a nice booty so I don’t feel like I need a full BBL. Is there another way for me to get hips without having to get lipo again? I don’t even know where they would get fat to begin with.

Alan Gonzalez, MD, FACS · Answer

Thank you very much for your questionTo obtain the result you want it is very important to review the anatomical structure, however in my experience I can tell you that the best procedure that will meet your expectations is to perform fat fat transfer, the results will be natural. it is very difficult to achieve this result with another procedure.

Jason Emer, MD · Answer

sculptra + renuva, bellafill, or radiesse can be used. you should be starting trusculpt flex now on stomach and buttock. if you do liposuciton HD you can get fat for the buttock.

my whole practice is doing lipoabdominoplasty, or at least liposuction with internal heating (which is not the gold standard for skin tightening with body contouring).

the smaller you are before liposuction the more contouring you can get from the procedure. most of my liposuction patients get pre and post surgical optimization with hormonal therapy (see link to help boost their weight loss before surgery and help them heal after).

You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with cellfina, sculptra, subcision and/or fillers such as bellafill, renuva synthetic fat, or sculptra.  If skin is very loose before surgery then it will need to be removed such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  Overall you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting.  Dr. Emer.

Daniel Barrett, MD · Answer

Dear Nice623570,
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

Felix Omar Márquez, MD · Answer

Hello, thanks for the question. Congrats on your successful surgery. Two weeks after your procedure is not time enough to think about going to the operating room again. If you don't have fat enough for a BBL, you could choose implants. By now, I recommend you to enjoy your results and forget about doing anything. Consult a board-certified plastic surgeon for an in-person exam. Good luck!

Mats Hagstrom, MD (license on probation) · Answer

The time for a fat transfer would’ve been when you had the last procedure instead of throwing away the fat it could’ve been put in your hip dips.

Fed can be found if patients are willing to have Liposuction of enough areas.

Solid silicone implants are really the only option other than fat transfer and I personally would not recommend going that direction.

Best,

Mats Hagstrom MD

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