How to even out hip dips with butt implants? (Photos)

Question

So about a year ago I got my butt done. I did the implants because I wasn't a candidate for a fat transfer. But I did get my flanks lipo'd. My hip dips I chose to leave untouched but now I'm regretting it as my body looks unproportional. What can I do to fix this? Looking for a solution and the best doctor & decent prices to fix this, thank you!

Ryan A. Stanton, MD · Answer

Allow me to answer your question as best i can based upon your photos. However, please keep in mind that an in-person consultation with physical exam is first necessary before any legitimate evaluation or final surgical recommendations can be made.
Often buttock implants provide the added curve to the "hips" that most patients are looking for. If not then actual hip implants can be placed either at the same time or instead of buttock implants. Unlike buttock implants, which should always be placed under/within the gluteus maximus muscle, hip implants are placed under just the fascia because no significant muscle exists in this region. However, because they are much smaller and lighter, their likelihood of migration is relatively low.

In general I consider hip implants to be quite safe. Like buttock implants, they are made of soft semisolid silicone rubber. They cannot ruptured or leak and, therefore, can be left in place forever (unlike  breast implants that require replacement approximately every 10 years). In my experience the infection rate and incidence of seroma have been only ~1% each.
Unfortunately fat grafting to the hip area is frequently met with poor success because, again, there is no muscle there to place the fat into and thus is does not survive. Another thing is, if you are asked to purposely gain weight (i.e. fat) for the procedure, the fat you lose first as you get back to your baseline weight after surgery is that very same fat that was transferred into your buttock/hip...so don't fall victim to this recommendation.  Glad to be of help.

Daniel Del Vecchio, MD · Answer

the fact that you had Lipo suction means that you did have some fat that could've been put in the hip area to round out your hip thigh interface. I think you still could be a candidate for fat grafting to even this out. Especially if you could gain 5 pounds there's ample fat to place there. many times patients were told that they do not have any fat but this is often not true. All you need is about 1000 mL of fat which can be harvested from many different areas. Unless your BMI is less than  22 you probably are a candidate for revision fat grafting. Hope this helps. Best regards

Steven Wallach, MD · Answer

Unfortunately, butt implants do not augment the hips. Fat injections to the hips if available would be best. Good luck.

How to even out hip dips with butt implants? (Photos)

Answers (3)

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