I want my hip dips gone forever. How can I make sure my fat survives in my hip dips?

Fat transfer may be a very reasonable choice based upon your description and goals. Photos would be helpful in determining if you have areas of fat that be harvested and transferred to the buttock. Typically 50% of the fat that is transferred obtains permanence so you may need more than one fat transfer to completely fill the hollow space.

Dear hope2310,
Fat viability depends a lot of surgeon technique. The fat has to be placed back into the buttocks as soon as possible so that it has a greater chance of survival. It has to be placed carefully so that not too much fat is placed in only one area.If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. 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

Hello dear!!
Thanks for the question and provided information as well.
Unfortunately, without pictures, it is very difficult to give you a proper answer.
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. l 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 :)

Thank you for your question. A fat transfer should be able to resolve your issue with hip dips. Unfortunately there is no guarantee with fat survival when it comes to fat transfers. As long as you are going to a qualified Plastic Surgeon and following post op instructions you should have more fullness and an improved contour. With my patients I recommend not sitting or laying on their butt or sides for 6 weeks post op. Most research on the procedure suggest fat cells should be stable after that period. Using a BBL pillow to assist with driving and sitting so you won't compromise your results would be a great buy if the office doesn't offer that. As long as you follow post op instructions recommended by your surgeon and maintain your results with healthy diet and exercise they shouldn't come back. However, it is important to keep in mind the body is always changing and fat loss or gain is normal as we age. Working out is great before and after surgery but it won't necessarily give you surgical results or increase fat in that area. It is true that smokers have more difficult recovery, have a higher risk of complication, and reduced fat survival so that fact that you are not a smoker is awesome!
Daniel Park, MD
Diplomate, American Board of Plastic Surgery
Diplomate, American Board of Surgery

The reason hip dips return or are not always successfully treated with fat transfer is that area tends to be very thin as hands like post tissue to support high volume fat graft.

Areas that lack supportive post tissue cannot tolerate significant amounts of fat. Over grafting leads to a higher percentage of graft loss.

To get more volume in these areas they need to be grafted a second or third time to get significant projection.

If an area has 1/4 inch of soft tissue to service host a tissue you can expect the area to have a final thickness of somewhere between 3/8 of an inch and 1/2 inch.

If the soft tissue layer is 1/2 inch you can expect to end up with 3/4 of an inch or 1 inch as the final thickness

In other words you can get 50 to 100% volume increases as final results but not more than that.

If an area is 1/2 inch thick and needs to be 2 inches to get the ideal body shape than you need multiple rounds of fat transfer.

Best,

Mats Hagstrom MD