Can I achieve a hourglass shape without getting a Brazilian Butt Lift? (photos)

Hi and thank you for your question. The answer is yes. With the use of selective liposculpture I feel that you could obtain the elusive hour glass figure that so many women are looking for.  I don't particularly like using the term Brazilian butt lift to signify a  shapelier buttock. Instead I prefer the term buttock enhancement. This simply means that the buttock area is enhanced whether with fat transfer (BBL) , buttock implants or selective liposuction. I feel you could benefit from lipo of the hips, flanks, possibly the abdomen and more important the sacral area of your back. This will create a sacral hollow to accentuate the "scooped" out look that really enhances the profile of your buttocks. I encourage you to be very diligent about your research. You are located in my city and should be keenly aware of all of the mom and pop shopping center cosmetic surgery clinics that exist today. Buyer beware.I am certified by the American board of plastic surgery and have been performing liposuction  in the greater Miami area for the past 29 years. Miami has some excellent board certified plastic surgeons but unfortunately,  too many with questionable training and credentials.Always seek out the opinion of a surgeon certified by the American Board of Plastic Surgery with years of experience in liposuction . Furthermore request to see before and after photos of previous patients by that doctor....not a clinic or surgery center. Do your homework......research and verify the doctor's credentials. Have they had problems with the Board of Medicine, disciplinary or otherwise. Any law suits? How about the center, clinic or facility? Are they accredited by a national organization or do they just have State approval. Understand that at the current time, there are three nationally recognized organizations responsible for the highest levels of patient safety, AAAASF, AAACH and JCHO. You owe it to yourself to position yourself for the best possible results but under the most stringent safety regulations, If you have kids, even more so.How about anesthesia? Will you have a medical doctor certified by the American Board of Anesthesiology or a certified nurse anesthetist (CRNA)? Understand that there is no substitute for research. Cosmetic surgery, no matter how simple it may be to the patients, are invasive procedures and as such carry certain risks and complications.In our office we use TouchMD which is a web based program in which patients have the ability to load their picture unto the program. I then evaluate them and can actually draw on the picture to show a potential patient where the incisions would be located and how the procedure is to be realized. It's all done to comply with HIPPA which is the federal law that protects the patient's medical information. Look them up.Contact our institute and come by to see me. I do all of my consults personally.Give yourself the highest percentage of a sucssesful operation. Good luck

Thank you for your pictures. Liposuction of your abdomen and back can improve the contour of your waist and make your buttocks look more shapely without adding fat. Adding fat just gives you more volume and more shape. It is not necessary.

Thank you for your question, your body shape would be greatly improved with the Brazilian butt lift, we would do liposuction of the waist, abdomen, upper back, lower back and arms. The fat that is taken out will be injected into the buttocks, this will accentuate your curves and give you the hourglass shape that you are looking for, we could even keep the shape of your buttocks if that's what your looking for and just make it a little fuller.

  Liposuction of your waist area with fat transfer to the hips would do a great deal to achieve the figure you want.  Select a plastic surgeon who performs hundreds of BBLs each year, has good reviews, and has good before and after pictures.Kenneth Hughes, MDLos Angeles, CA

Hello dear!

Thanks for the question and provided information as well.

Based on your pictures, you are a good candidate for liposuction, to improve your abdomen, back and flanks, to give you a great contour and I think you'll get very good results.

In general, you need to be physically healthy and at a stable weight, have realistic expectations, be a non-smoker and your BMI needs to be 30 or less.

I recommend you to make an appointment with a board certified plastic surgeon to talk about your goals and anything you need to know.

Good luck :)

Thanks for your questions and for sharing your photos. I think a BBL is the best option for you to achieve the best results.  However if you are happy with the way your buttocks look, I suggest some fat grafting just in the outer part of the butt to emphasize your curves, along with lipo of the abdomen and flanks.

You can certainly achieve a more hour glass figure with liposculpture alone without the addition of fat grafting of the buttocks.  You may also consider having a conservative amount of fat grafting at the same time, especially of the sides / hips area which will enhance that hour glass look and give you the rounder look you mentioned without any significant increase in buttocks size.  good luck. 

You can have liposuction alone to conotur the surrounding regions. I call this the DREEAM  buttock lift.  Directly redistribute, equalize, enhance  adipose mounds to give the buttock the center of attention in this aesthetic unit for those that do no need fat transfer. Best of luck.