Is it possible to reduce the width of the hip bones/pelvis when there is little fat/muscle on the outside of the hips?

 It sounds as though you have a rather unique situation, especially in an era where most women are wanting their hip/pelvis made more wide. It just may not be possible to reduce the actual skeletal structure of your hips and pelvis. I would first recommend getting some radiology studies that can better evaluate the bony structure of your pelvis/hips. Glad to be of help.

Dear Hel,Hello and thank you for your excellent question. You may want to look into a body contouring procedure that combines both liposuction with laser, radiofrequency (RF), or acoustic therapy to produce the best balance of fat reduction and skin tightening and smoothing for your body type and anatomy. We use a proprietary technique that we call IDEAL Liposuction. First off, all devices and instruments used are FDA-approved. These procedures are usually performed in the office, with only local anesthesia. We typically use Smart / Laser Liposuction or ultrasound to reduce dense, fibrous fat, and stimulate collagen formation; Radiofrequency-based skin tightening to maximize skin contraction (like Pelleve); and Ultrasound, RF, or subcision (Z Wave, Venus, Cellfina) to treat cellulite. Patients go home the same day as surgery, do not need any narcotics postop for pain control, and can return to light exercise and work two days after their procedure. In my practice, we select the appropriate treatment for each patient based on their skin quality, amount of fat and surgical goals. 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