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

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

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.

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