Can you still get good results from fat transfer to hips with tight skin? (Photo)

Hello @deannamaraj.Every patient is different when it comes to fat grafting, especially the area of the hipdips. The skin tightness can limit the volume of the transferred fat to this area. There are also some big factors that help with fat survival: 1. Use a BBL pillow to sit down for the first weeks and avoid laying on your back, 2. Eat healthy and enough after surgery, 3. Don't smoke Plus the liposuction of the abdomen and back will already improve your shape and your waist to hip ratio. I recommend you to find a board certified plastic surgeon and talk about your expectations, aftercare etc. Best regards!
Dr. Alexander Hamers, MD

From this single picture, it seems that you're a very good candidate for this procedure that would aim to remove deposits from the flanks and inner thighs and transfer this tissue to fill the hips. A clinical examination is necessary to estimate the volume of fat tissue available and needed. In the picture attached to my profile you'll see a patient with very similar frame.

Dear Deannamaraj,
based on your photos, you look like a good candidate for a BBL. Liposuction of your abdomen, 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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

The hip dips are commonly corrected during Brazilian Butt lift to have a smooth transition from the abdomen to the outer thighs and contour a more hourglass figure. As your surgeon says, there can be a limit to the amount of fat injected at one time, but I believe you could achieve rounded and filled in hip dips. It is difficult to fully assess how tight the skin is through photographs and/or video consultation. I would recommend an in-person consultation with your surgeon, so they can give you an idea of how much correction of the hip dips they can achieve.

Thank you for your question. Based on your picture you appear to be a good candidate for liposuction and my special technique Dominican Butt lift.

The DOMINICAN BUTT LIFT (DBL) is my special technique of posterior body contour, developed after having done thousand of butt reshaping surgeries through the years in this field.
In this regard, the DBL is more advanced and sophisticated technique than the simple butt-fat-fill as the classic BBL is described.

Therefore, In the DBL, butt and hips are reshaped using Lipo sculpting techniques + fat transfer in specific butt areas and additional skin tightening treatment, attending the patient request.

Tightness in hip depressions requires posterior and anterior approaches. That means during surgery fat is given behind buttocks and from the front thigh after patient is turned. In very tight skins, viability of fat tissues may decrease, where a second session of fat transfer may be needed for a perfect hip contour.

You appear to be a very good candidate for liposuction and a BBL procedure. The fat taken form your abdomen, sides and lower back (Lipo-360) will cinch your waist line. The fat can be placed in your hip dips. While some fat is absorbed because of increased pressure (in tight skin conditions), more than enough usually survives to give a curvaceous silhouette.
Best wishes,
Dr. Taranow

I sometimes describe the ideal candidate for either Liposuction or fat transfer as women who are young tight and pudgy. tight skin is the best asset and makes you a far better candidate for both Liposuction and fat transfer than the alternative.
In my opinion having tight skin and being a limiting factor for fat transfer is nonsense.
It would indicate to me that you haven’t found the right provider.
Perhaps this provider does not get consistent quality fat transfer results and is already coming up with excuses to justify why the results will not be as good as you had hoped for.
There are certain inherent limitations. The biggest one is individuals who lack sufficient host tissue to graft fat into. in other words there has to be a sufficient layer of tissue to graft into in order to have a successful fat transfer outcome. if someone has skin on bone with very thin fat layers than fat grafting will be severely limited. tight skin is a positive attribute and just makes you a better candidate.
Here are my views on this procedure and some general recommendations.
Delivering consistent high-quality liposuction and fat transfer results is more difficult than most people believe in this is true for both patients and plastic surgeons. Most plastic surgeons think they are better at liposuction than they actually are. Liposuction and fat transfer has more variance or difference in outcome purely based on who does the procedure than any other surgical procedure I’ve ever seen. Being board-certified in plastic surgery with an overall good reputation is not sufficient to guarantee that somebody has mastered body contouring with liposuction and fat transfer. Personally I view the torso as a single anatomic unit and either treated the entire torso or don’t do Liposuction. There are of course exceptions but for the most part I believe in treating the entire torso. A full torso includes upper abdomen, lower abdomen, love handles all the way down to the hip dips, waist, the entire back and under arm area all the way to the side of the breast. this leaves people with a natural thin fat distribution without transition zones between treated and entrteded areas. I’ve viewed the BBL as an enhancement to body contouring creating an ideal feminine S-curve that goes from the armpit to the knee. I did not emphasize a large buttocks with liposuction of the outer thigh creating a big round butt on the small leg which I sometimes called the “lollipop look”. Instead I emphasize long smooth harmonious curves creating a slightly hyper feminized balanced figure. To find the most talented and experienced provider in your community I suggest having multiple in person consultations. I do not recommend patients travel for elective surgical procedures and I recommend patients whenever possible avoid virtual consultations. During in person consultations ask each provider to show their entire collection of before and after pictures of BBL results. Always confirm that after pictures were taken at least three months from the time of surgery. anybody who shows early postoperative pictures such as pictures with patients still showing surgical drawings on them, being in the operating room or any evidence of recently having had surgery should be immediately discounted as showing “.fake news”. Early fat transfer results can look very impressive but do not at all represent final results. Ask the provider to show you examples of excellent outcomes, average outcomes and less than outcomes. Specifically ask each provider to show as many pictures as possible‘s of patients who have similar body characteristics to your own. An experienced provider should have no difficulty showing you a minimum of 50+ sets of before and after pictures. Simply seeing a handful of pre-selected sample pictures which in reality most likely represent the best results of that providers career is insufficient to get a clear understanding of what average results look like for that provider. Highly experienced providers will have hundreds or even thousands of before and after pictures and should be willing to give you access during the consultation to see as many pictures as possible. If somebody claims to of done a lot of surgery but doesn’t have a lot of before and after pictures then you should ask yourself why? Do not commit to surgery or pay a down payment during the time of consultation until you’ve finished all your consultations and have given yourself plenty of time to think about your decision. The results from these procedures are permanent and irreversible. When in doubt slow down and schedule more consultations. Finally I recommend patients read all reviews on all various physician review websites avoiding providers for any significant number of justified negative reviews. The absence of justified negative reviews is more important and more telling and having an abundance of positive reviews. Plastic surgeons with the biggest social media profiles are not necessarily any more talented than those who have no websites at all. Famous or likable does not equal talented. Find the right plastic surgeon and everything falls into place.
Good luck,
Mats Hagstrom MD