Nature forgot to give me hips and a butt! What can I do? Would surgery look natural? (Photo)

Question

As a woman in my late twenties, it upsets me to have the lower body shape of an adolescent boy. What would be the best option for me? Its like the fat that should go to my hips and butt stays in my stomach and upper body so I have quite a bit for fat transfer but I dont know if its enough to fill me out. Would bum/hip implants be possible for me? Iv never known anyone to have a shape like me and I think even the most experienced surgeons in this field will be taken aback by my empty butt! Help! :(

Ryan A. Stanton, MD · Answer

Allow me to share with you some information that you may not hear elsewhere. There are
only two proven safe and relatively effective methods for Buttock Augmentation
and Hip Augmentation: 1) Autologous Fat Transfer (using your own fat,
transferring from one area of the body to the other) and 2) Buttock/Hip
Implants (semi-solid silicone rubber implants that cannot rupture &/or
leak). Both are very good options so what it comes down to, like any surgery,
is proper patient selection. Indeed because at least 50+ % of the fat
transferred will melt away within a year, most patients are not good candidates
because they lack an adequate amount of fat to harvest.  Additionally, the fat transferred must be placed into muscle for any chance of survival.  Unfortunately, the hip area has no reasonable muscle to put the fat into thus I personally do not augment the hips with fat transfer.  Another tip is that if
you purposely gain weight (i.e. fat) for the procedure, the fat you lose first
as you get back to your baseline weight is that very same fat that was
transferred into your buttock...so don't fall victim to this
recommendation.  Although using your own fat is relatively safe, the one
serious complication that can rarely (< 1%) happen is "fat
embolism" in which some of the fat gets into the blood stream and travels
up into the lungs, heart, and/or brain causing serious problems. This
complication is more likely to happen with the larger amount of fat being
transferred. This is
even more likely to happen when using fillers like PMMA and hyaluronic acids.
Also fillers, when injected in large quantities, have a relatively high
tendency to migrate away from the original area they were placed and tend to
stimulate a lot of inflammation and a subsequent disastrous amount of scar
tissue/hardening.

Thus
buttock/hip implants become a very good, safe, and long term reliable option
for most patients seeking buttock augmentation (at least in my practice). I
prefer to insert the buttock implants through a single 2 ½ inch long incision
over the tailbone (concealed within the crevice between the buttock cheeks) and
the hip implants through a ~ 1 inch incision just below the beltline above the
hip region. The buttock implant should always be placed under or within the
gluteus maximus muscle. In this position, the implant is less palpable, less
visible, and does not sag or shift/migrate over time unlike implants placed on
top of the muscle. Therefore it is extremely important to seek consultation
with a board certified plastic surgeon who specializes in this procedure. And
in this case too, at least in my surgical practice, the infection rate is
minimized to ~5%. Glad to help.

Kenneth Hughes, MD · Answer

I think you have enough fat to do hip fat transfer.  I think buttock implants can be used to complete the transformation.Kenneth Hughes, MDLos Angeles, CA

Jose Leon, MD · Answer

Hello, you definetely, first of all, benefit from a brazilian butt lift. It will define a beautiful curve in your waistline, through liposuction, and define more your abdominal area as the skin in your stomach tightens around your muscle frame. Using the fat harvested from your abdomen and back, I would round up those hips and give some volume to your buttocks. It is a probablity that you benefit more from gluteal implants, but I would advise you to try the fat transfer first, if the volume acheived is still too low for your desire, go with the implants, you have to get liposuction done anyway. Another aproach is to do both liposuction and gluteal implants at the same time, and reserve the harvested fat for your hips alone. In the end, you have a very good frame to work on, with the possibility of a wonderful result, you just have to decide if to go all the way or one step at a time. Best of luck with your decision, if you need further assistance I would be happy to help Dr. Jose Leon

Samir Shureih, MD · Answer

Based on the pictures posted, there is little fat in the abdomen and love handles, that can be liposuctoned and transferred. Depending on the final look you desire, there might be very little amount of fat. Then a buttock implant and hip implant is suitable for you. How ever, you need to fully understand the pros and cons of implants vs. fat transfer.Also close look at the buttocks, there is some drooping of the inside (medial ) buttock that may need to be addressed

Nature forgot to give me hips and a butt! What can I do? Would surgery look natural? (Photo)

Answers (4)

Answer: Buttock and hip enhancement

Answer: Buttock and hip enhancement

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Everything you need to know about Butt Implants

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Nature forgot to give me hips and a butt! What can I do? Would surgery look natural? (Photo)

Answers (4)

Answer: Buttock and hip enhancement

Answer: Buttock and hip enhancement

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Recommended reading

Everything you need to know about Butt Implants

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