Will I get an hourglass shape from Lipo to the flanks?

Question

I’ve been considering either Lipo to the stomach/flank or a bbl. I’ve always carried extra weight on my hips so I’m no sure how my anatomy looks without it. Would I be able to achieve an hourglass/curvy shape just by having extra fat removed? I feel like I had wide hips but I’m not sure if it’s just the extra weight that makes it seems so.

Kenneth Hughes, MD · Answer

The thinner patient requires an expert at liposuction to remove as much fat as possible while leaving the skin smooth. This is all a question of balance and proportions.  Fat can be taken from many different areas of the body including abdomen, sides, back, bra rolls, thighs, arms, underarms, etc.   You have to consider not only which areas will have perhaps the best fat, but also you have to consider which donor sites will have the fewest problems afterward with the liposuction.  In general, the abdomen and thighs are preferred, but, if those sites are not available, other areas can be used.  Creative liposuction with fat transfer to the hips can make them appear lifted, and rounder.  If the waist was smaller at one time, the waist can likely be reduced to those same measurements or smaller provided the muscular and fascial integrity has remained the same. 
Kenneth Hughes, MD, Board Certified Plastic Surgeon
Los Angeles, CA

George Marosan, MD · Answer

Thank you for your question and photos. The way to obtain an hourglass figure, is to have a 3D operation and not a 2D operation. This is also highly surgeon dependent based on technique, tools used and an artistic sense and appreciation of normal beauty. In my practice, I use VASER Hi Def Lipo 360 degrees of the whole torso.  Looking at you photos, you have excess fat on the abdomen, anterior and lateral rib cage, back, waist, hips, lower back fat pad and left saddle bag. All these areas need to be treated, and all these treated areas need to be connected to help "shrink wrap" the skin over the muscles. The collected fat can be used to enhance and shape your buttocks. I also sculpt out the semilunar lines and epigastric mid-line of the abdomen, the lower back paraspinous muscles to give an overall athletic and youthful shape. I use stealth incisions, so there are no signs that surgery even took place.See a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person consultation/evaluation. Good luck.

Daniel Barrett, MD · Answer

Dear beccafitz,
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

Peter Bray, MD · Answer

Thanks for your question. You are carrying some excess fullness in your waist/lower back/flank region. Reducing these areas by liposuction contouring will enhance your hourglass shape and improve definition of the upper buttock region. I would also recommend liposuction to your abdomen to achieve a more uniform look from the front and back. You would have enough fat to perform a modest, tasteful BBL, if you desire. Your PS should be able to show you multiple before/after examples of similar transformations and help with your decision-making. Good luck.

Kamran Azad, MD · Answer

Thank you for your question. It is best to be seen in person to be 
properly evaluated, however with that said based on the photos alone, 
you appear to be a good candidate for a Brazilian Butt Lift. Liposuction
 of your flanks and back will give you a narrower waist and and a BBL 
will give more curves. I recommend consulting with a plastic surgeon in 
person so they may better go over the procedures to help you achieve the
 aesthetic results you desire. Good luck!
Kamran Azad MD, Board Certified Plastic Surgeon
@kamranazadmd

Andrew P. Amunategui, MD · Answer

Hi Beccafitz and thanks for posting.  Based on your photos, you would be a
 great candidate for BBL.  You should expect a significant improvement 
in your shape.  Obviously, you will not have liters of fat for transfer,
 but, fortunately, you do not need very large volumes to improve your 
curves!  Please see attached web reference.  Make sure you are using a 
BCPS, who is NOT injecting fat in the muscle !! Good  luck!

Omar Tillo, MD, MS, FRCS (Plast) · Answer

From the pictures, you seem a very good candidate for 360 liposuction, buttock contouring and enlargement with fat transfer.  You seem to have enough fat to have about 800cc transferred to each side which will give you a natural hourglass shape.

Emmanuel Mallol Cotes, MD · Answer

Thank you for your question. Based on your photos you appear to be a good candidate for full body intense liposuction to improve your body contour and get better curves, especially in your waist area and Dominican Butt lift taking the fat we get and transfer to the buttocks and hips, to mold them and get better volume, contour and butt projection.
Kind regards,Dr. Emmanuel Mallol Cotes.-

Felix Omar Márquez, MD · Answer

Yes, you can get great results. Your body is young and beautiful. After a complete evaluation, a certified plastic surgeon can make a plan for the best results using a cannula for your flanks and abdominal zone, in a 360 degrees procedure, and then modeling your butt in the better way. Do not forget to follow the post-operatory instructions and to be sure that your lifestyle is going to keep you in the best shape. Good Luck!

Jean Paul Giudicelli Saba, MD · Answer

Hi, thanks for sharing your concern and photos with us!
Looking at your photos I might say that you´ll be a great candidate to get an entire abdomen, back and waist liposuction with BBL, this is because you have located fat that can be done with lipo.
Before all this, of course, you need to get a complete medical evaluation and laboratory exams to check everything is fine. Also please try to find a board certified plastic surgeon, remember that your safety, always, is going to be first.
Have a great day! 
Dr. JPG

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