What kind of procedure is best for me to create a pear shape figure? (Photos)

Hi there, thank you for your question. Liposuction and fat transfer to hip dips can help you to reach pear shape figure.

Thank you for your question and pictures. I would recomend you to get a liposuction for better results. If you're willing to travel, Surgeons in the Dominican Republic have experience and very high standard of excellence when it comes to plastic surgery. I'm positive you can get what you're looking for.

Dear Ayjayj,
Hello and thank you for submitting your question and photos. While it is difficult to tell for sure without an in-person consultation, from looking at your photos, you may be able to achieve improved contour with liposuction of the back and flanks. Based on what you mention your goals are, this may help to best achieve the shape that you desire. I suggest that at this current time, you schedule a virtual or in-person consultation with a board-certified Plastic Surgeon to discuss your specific goals, and to develop a plan to best achieve them. Best of luck and stay safe!

Dear ayjayj,
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

Thanks for the question.

In this regard, I recommend you waist and back Liposculpture, getting better curves especially in the waist, improving your body contour.

Finally, I suggested take the fat we get and transfer to the buttocks and hips, to mold them and get better volume, contour and butt projection, is that we know as "Brazilian Butt Lift" (BBL).

Kind regards
Dr. Emmanuel Mallol Cotes.-

if you want contouring you need HD lipo with fat grafting and internal heating. if you have loose skin you will need skin removed, if not then internal heating will help.

my whole practice is doing lipoabdominoplasty, or at least liposuction with internal heating (which is not the gold standard for skin tightening with body contouring).

the smaller you are before liposuction the more contouring you can get from the procedure. most of my liposuction patients get pre and post surgical optimization with hormonal therapy (see link to help boost their weight loss before surgery and help them heal after).

You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with cellfina, sculptra, subcision and/or fillers such as bellafill, renuva synthetic fat, or sculptra.  If skin is very loose before surgery then it will need to be removed such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  Overall you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting.  Dr. Emer.

I appreciate your concerns, however in person consultation would be needed to provide a more detailed recommendation because your figure as is, looks pretty darn good! Micro liposuction contouring of your flanks and hips with fat transfer to your areas of concern may be an option. However your approach should be conservative because over resection of fat in your case would be a mistake. Another option is to do nothing! Come see me or another board-certified plastic surgeon in our area to explore of the best options for you. Good luck.

Hello, thanks for your question and photos. By your pics, you don't need plastic surgery at all. Probably, you don't have the fat enough to make a BBL, which means liposuction with fat transfer to hips and buttocks. Consult a board-certified plastic surgeon in your area. Good luck!

Thank you for the pictures and question. I think you are a terrific candidate for liposuction as you have good skin quality and only a small amount of fat. You may even want to consider Emtone which is non-invasive and we have had terrific results with it. Either procedure is minor with a quick recovery.

You would benefit from High Definition VASER Liposuction and a BBL. Based on your pictures, you are an excellent candidate for a Brazilian Butt Lift (BBL). The optimal BBL outcomes are achieved with: 1) use of VASER liposuction to harvest the fat, 2) a closed looped system such as Puregraft to process the fat, and 3) strategic micro-packet transplant technique. These three processes have demonstrated over 95% fat graft take. This means that your results will be stable as long as you maintain your weight. As an official VASER trainer, I am routinely referred unhappy BBL patients. One of the most common reasons for disgruntled BBL patients is that patients are not able to accurately communicate their desired buttocks goals to their surgeons. A buttocks assessment tool can be an invaluable tool to communicate to your surgeon the exact buttocks size and shape you are desiring. A Skype or FaceTime consultation with a BBL specialist can help you get an accurate recommendation and pricing.

Respectfully,
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee