Will lipo to flanks & saddlebags or lipo to flanks & fat transfer be best to give me an hourglass figure? (Photos)

Question

I have been told by a surgeon that just lipo to flanks and saddlebags will give me an hourglass finish but I fear I need fat transfer too? If so, how likely for my indents will I need more than one fat harvest as I’m on a tight budget! Thank you in advance

Daniel Barrett, MD · Answer

Dear Anon39879,
based on your photos, you look like a good candidate for a BBL. Liposuction of your back and flanks should give you more curves and hourglass shape and fat transfer to buttocks should give you more projection. I would suggest you to consult a board-certified plastic surgeon because only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Miguel Mota, MD · Answer

Hello and thank you for posting with your photos. I have to respectfully disagree. Yes you will have good enough results with lipo on your sides only, but if you want and hourglass figure with best results possible you need a bbl. Fat transfer to your hips and laterals is the only way to fill out the dents on your butt.

I do not believe you need more then one bbl. Adding other areas of lipo will give you more then enough fat for transfer and will help contour the rest of you body. Remember, a good waist to hip ratio isn’t always just the waist and hips. Upper and lower back are sometimes as important. Plus, adding some lipo to the front  is great also because 360 lipo helps contour your waist even more.

Best of luck,
Dr. Miguel Mota

John L. Burns Jr., MD · Answer

Adding fat to your hip dips would give the best result.  Certainly the liposuction alone would be a nice improvement as well.

Gary M. Horndeski, MD · Answer

You are an excellent candidate for liposuction and fat can be transferred if you want more fullness.

Best Wishes,

Gary Horndeski, M.D.

Zoran Potparic, MD · Answer

You seem to be a good candidate for body shaping with liposuction and fat transfer. Considering that you do not have unlimited amount of fat be reasonable in your expectations regarding enlargement of hips(primarily) and buttocks. In experienced hands you can expect nice improvement. Good luck.

Camille Cash, MD · Answer

If you are wanting to enhance your own natural curves then liposuction of the waist and flanks should accomplish this.  Based on the submitted photos you should have a nice result.  If you are wanting curves beyond what you have naturally then fat transfer would be recommended.

Connie Hiers, MD, FACS · Answer

Just based on your photos, liposuction of your lateral thighs and flanks should do very well for you and give you a nice shape.

Mats Hagstrom, MD (license on probation) · Answer

Any plastic surgeon who has sufficient experience should have no difficulty showing you before, and after pictures of previous patients, who look very similar to you. There should be no question of what your results are likely to look like. They should’ve showed you multiple examples, so you have a clear understanding of what typical results look like.
During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients who have similar body characteristics to your own.
And experience pro provider should have no difficulty showing you the before and after pictures of at least 50 previous patients.
 Highly experienced surgeons will have access to hundred or preferably thousands of before and after pictures.
Liposuction can definitely improve your body contour and define the curve better but adding fat transfer always enhances the results more or at least it does in most people.
What can be accomplished and what each individual provider can accomplish may be too very different things.
Delivering consistent quality liposuction, and or fat. Transfer results is more difficult than most people realize.
The number of plastic surgeon. Who truly mastered this procedure Are in the small minority.
Considering that the results are permanent irreversible, and can potentially leave people disfigured I cannot emphasize enough the importance of provider selection.
My best recommendation is patience. Have multiple consultation before choosing a provider.
Considering the variation in skill experience among plastic surgeons, when it comes to Liposuction and I think five consultations seems reasonable if you want to try to find the better provider.
Being board-certified in plastic surgery, with years of experience, does not mean somebody is mastered anyone single procedure, especially not liposuction and fat transfer.
 The number of plastic surgeons who truly do this procedure on a consistent basis is relatively small.
When in doubt, slow down and schedule more consultations.
My personal recommendation is to avoid virtual consultations whenever possible and try to meet with the providers in person.
It is your responsibility to vet the provider thoroughly . Don’t assume people know what they’re doing. 
Best,
Mats hagstrom, MD

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