How can I achieve an hourglass shape/small waist (preferably) without surgery?

Dramaqueengirl. Thank you for your question and photographs. An in person consultation is necessary to determine your best course of action. From your photograph alone:  Coolsculpting will be able to reduce body fat around your midsection.  This may need to be combined with skin tightening From Exilis or Venus treatments.  

Thank you for your question! If you have tried diet and exercise, but aren’t seeing the results you desire, there are some great options to consider that are FDA-cleared for the treatment of fat bulges. In my practice, we offer CoolSculpting and CoolTone, two revolutionary, non-invasive and non-surgical treatments for stubborn fat and muscle definition. You have put in the effort; CoolSculpting and CoolTone will help you get the results. While diet and exercise shrink fat cells, CoolSculpting works by destroying them. It appears that you could be an ideal candidate for CoolSculpting to help achieve that hourglass figure you desire. CoolTone creates strength and muscle definition not attainable by other methods. A consultation with a Board Certified Plastic Surgeon experienced in body contouring can help determine the appropriate treatment plan for you. Good luck!

Hi There, Thank you for your question. Many can re-shape their body with procedures like CoolSculpting and CoolTone. The CoolSculpting can re-shape the curves of your body by reducing stubborn pockets of fat and CoolTone will help increase muscle, giving you a tight toned look. Please consult with a local provider in your area to determine the best treatment plan moving forward. Best of luck!

If you have small problem areas you can use non invasive methods like Coolsculpting with Vanquish or trusculpt iD to get small areas of fat reduced. Skin also tightens if you combine this with Exilis Ultra, Venus Legacy, and Inmode Forma/Contoura radiofrequency treatments. You boost the results from Coolsculpting if you add in Kybella injections to melt fat as well.  We often combine Coolsculpting with shock therapy like ZWave, EVIVE, and Cellutone to get even faster results, more improvement, and less risk of combinations like nodules, swelling, neuropathy or paradoxical hyperplasia. Coolsculpting often takes a few treatments separated 8 to 12 weeks apart to get significant improvement.   However, to get the most fat removal, contouring, skin tightening and definition, a VASER HI-DEF liposuction / liposculpture procedure with ThermiRF, Renuvion (J-Plasma), InMode BodyTite and fat grafting is your best bet. This will give you the most toned result. I recommend getting a formal evaluation with a body contouring and hi-definition physique expert. Best, Dr. Emer.

The waistline and everything in the body is all about proportions. if there is absolutely no fat surrounding your waistline, then the only way to make the waistline appear smaller would be to create rounder hips and that should make your waistline appear considerably narrower. rounder hips can be created by means of sculptra injections in a completely scarless matter and produce the results you are looking for. I hope this helps and good luck from New York City