What can I do about my boxy frame? What surgery can I do to give me a smaller waist? (Photos)

Question

I feel like I am going crazy no matter how many surgeries I do I can’t achieve a smaller waist like how I dream of on 01/2019 I had a tummy tuck with lipo of the flanks. 09/2019 I went back for a secondary lipo of the front and back torso as well as a bbl. all this did was improve the contour of my back and but but my front torso stayed the same. What exact procedure do I have to do in order to achieve an hour glass figure? A third lipo? Lipo 360? Please help!

Dallas Buchanan, MD · Answer

Thank you for your pictures and questions. It looks like you have completely reasonable outcomes from your surgical procedures. What may not be reasonable is your expectations. Every person has a unique anatomy and your bone structure may not be able to be transformed into your ideal results. Furthermore, you should stop chasing some ideal figure or shape and just work on being the best you that you can be. Good luck!Dallas R. Buchanan, MD, FACSOwner & Board-Certified Plastic SurgeonVIVIFY plastic surgery

Kenneth Hughes, MD · Answer

If the waist was smaller at one time, the waist can likely be reduced through liposuction of the abdomen, flanks, back, and love handles to those same measurements or smaller provided the muscular and fascial integrity has remained the same.  The harvested fat can be transferred to the buttock and hips to make your waist look even smaller. 
 The results depend very little on the method used and very much on the board certified plastic surgeon selected. 
Best of Luck!

Rodrigo Rosique, MD, PhD · Answer

Dear, to achieve an hourglass figure surgically, we can transfer fat from waist to hips, take excess skin out and repair muscle recti diastasis. There are two structures that we can't improve surgically: bony framework and intraabdominal fat. Although both are genetically influenced, working out at the gym slowly improves both (your figure 1). Keep doing your good work!

Jason Emer, MD · Answer

To get a snatched waist you need to have aggressive fat removal of the torso/sides and have fat injections on the hips/buttock to give the illusion of an S Curve.  This cannot be done with smart lipo, and this cannot be done awake to the full extent that contouring can be performed. I suggest you see a well trained expert in body shaping.   Best, Dr. Emer.

Daniel Barrett, MD · Answer

Dear Keysmom27,
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

Darryl J. Blinski, MD · Answer

Without in person examination to see if you have any residual donor fat for transfer to lateral hips/buttock can not offer surgery. Might consider non surgical BBL with Sculptra injections or combination limited available lipo with fat transfer + Sculptra injections to laterals.

Arian Mowlavi, MD, FACS (license on probation) · Answer

There are a number of ways to achieve a slimmer waist. Furthermore, there are many body regions that go into a slim waist. VASER liposuction of the back and flanks can help contribute to a slimmer waist. Often times patients seek a BBL to achieve a slimmer waist as well. After looking at your pictures you appear to be a great candidate for high definition VASER liposuction. A Skype or FaceTime consultation with a VASER specialist will help you get an accurate recommendation and pricing.
Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Mats Hagstrom, MD (license on probation) · Answer

You had a good outcome from both procedures.True hourglass figures are exceedingly rare and the number of photo shopped images floating around the Internet way beyond peoples imagination.I’ve only known one surgeon who is able to truly pull in the waste with a full tummy tuck.He does muscle tightening to the point of bending women’s ribs. his patients lose 10 pounds afterwards because they can’t eat after the procedure.your results look good and you should be happy with the outcome.i’m sure there are lots of people who wish they had lots of things like men who were hung to their knee.I have certainly met enough patients in my practice to know some people are never happy no matter how good the results are.Best, Mats Hagstrom MD

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