Sculptra or fat transfer for hip dips and to achieve a more hourglass shape? (Photos)

Question

I want to fix my hip dips and even out my hip in one side to achieve a more hourglass shape. I have scoliosis so one side noticeably sticks out. I do not want implants and I’m told I don’t have enough fat to do a fat transfer. What would you recommend and if so, how many vials of Sculptra?

Ryan A. Stanton, MD · Answer

I have unfortunately had many patients come to me after having their high hopes for buttock/hip augmentation crushed by measly Sculptra results or other "fillers" such as Renuva and Juvederm, etc. Other than the fact that these are not FDA approved for buttock injections, here are some critical points of awareness: 1) they all are temporary, lasting 1.5 - 2 years at very most, 2) if done correctly dermal fillers like Sculptra ir Renuva are cost prohibitive for 99% of potential buttock augmentation patients. In order to create a significant/noticeable result with a dermal filler, at least 200 mls of product must be injected into each buttock cheek for a total of 400 mls. At $1000 per ml, this equates to a minimum price of $400,000.00. Thus if your doctor is recommending to put in ONLY 20 or 40 mls of these fillers you will pay $20,000-$40,000 and get an insignificant miniscule result! (eg. like a “drop in the ocean” effect), 3) Do not let anybody tell you that the product is so special that it's going to magically grow over the following months or years...this just doesnt happen to any noticeable degree!, 4) dermal fillers, when injected in large quantities, have a relatively high infection rate, guaranteed tendency to migrate away from the original area they were injected into, and almost always stimulate a lot of inflammation with a subsequent and disastrous amount of scar tissue/hardening, and 5) the one very serious complication that can rarely happen is "embolism" in which some of the filler gets into the blood stream and travels up into the lungs, heart, and/or brain causing serious problems, including death.

As well, fat transfer to the hip dips, especially on lean patients, has a poor survival rate and thus often slighted results.

The only relatively safe, reliable, and permanent option for buttock and hip dip augmentation is with implants. Please note, an extremely few number of board-certified plastic surgeons specialize in buttock or hip implants so you may have to travel far and away from home to find this particular surgeon. Glad to be of help.

Stanley Okoro, MD · Answer

Thanks for your question and the photos you provided. Sculptra is an option as well as Revunva. It is really difficult to tell exactly how many vials you need without examining you in person. I would start off with 10 cc of product and then consider adding more in 3 months if you desire a more full look. Make sure you consult with a board certified plastic surgeon.

Kenneth Hughes, MD · Answer

The Sculptra buttlift has been popularized by some practitioners as a less invasive method that can benefit even thin patients. Sculptra is a filler that has been approved for facial augmentation and has been used off label for butt augmentation. The question of utility of Sculptra in butt augmentation really just comes down to volume of improvement and the safety of the substance injected. Consult with a board certified PS via email or Skype to learn more about the cost and amount of Sculptra required to reach your goals.

Daniel Barrett, MD · Answer

Dear Generous571634,
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

Adolfo Sesto, MD · Answer

Hello. Sculptra or any other method with laser or ultrasound is good for fat tranfer since all of them destroys the fat cell making their survival in tha receptor area impossible. I thin you have enough fat for a tranfers to your hip dips, but not a huge amount. 29 year experience, American Society of Plastic Surgeons.

Sculptra or fat transfer for hip dips and to achieve a more hourglass shape? (Photos)

Answers (6)

Answer: BBL candidate

Answer: BBL candidate

Answer: Sculptra or fat transfer for hip dips and to achieve a more hourglass shape? (Photos)

Answer: Sculptra or fat transfer for hip dips and to achieve a more hourglass shape? (Photos)

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Everything you need to know about Hip Augmentation

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Sculptra or fat transfer for hip dips and to achieve a more hourglass shape? (Photos)

Answers (6)

Answer: BBL candidate

Answer: BBL candidate

Answer: Sculptra or fat transfer for hip dips and to achieve a more hourglass shape? (Photos)

Answer: Sculptra or fat transfer for hip dips and to achieve a more hourglass shape? (Photos)

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Recommended reading

Everything you need to know about Hip Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.