5 years post tummy tuck and liposuction - what can be done to improve the contour of my hips, thighs and butt? (photos)

Question

Had a wonderful tummy tuck with liposuction (flanks) about 5 years ago, but unsightly fat settled on my hips and upper backside, ruining my shape. I eat great and exercise 4-5x times a week and my weight is stable at 135 lbs. for the last 5 years. Can anything be done to improve the contour of my hips, thighs, and butt? I’m not overweight or a candidate for Wegovy, and I feel like my fat is in all the wrong places!

Carlos Mata, MD, MBA, FACS · Answer

Thank you for your question.  After a tummy tuck with liposuction, it's normal for patients to see changes in body fat distribution. The body's normal aging process, alterations in metabolism, and hormonal swings can all affect fat distribution even if you maintain a steady weight. Liposuction will be beneficial. Please discuss with your surgeon about the best option for you.

Arif Eroglu, MD · Answer

Hello; there is a fat in your waist area. Mentioned for hip bottom area; that's why, it looks even more hollow than it is. Removing fat from your waist zone; when applied for your hollow area, the protrusion is reduced and the hollow area fills up. Thus, the problem that disrupts the contour; is eliminated.

Fernando Ovalle Jr., MD · Answer

Hello and thank you for your question. The photos show some excess subcutaneous fat on the hip prominences as well as volume deflation on the "hip dips". In my opinion, liposuction on the hips and fat grafting/transfer to the hip dip areas would improve your shape and contour. An in-person consult with a board certified plastic surgery would be able to confirm the findings/plan. Good luck on your journey!

Tyler Frew, MD · Answer

Hi there,
For your contour I would recommend liposuction to the lateral areas that budge and also, if you didn't have it at the time of the tummy tuck, liposuction of the back. This will help silhouette your frame better and improve the natural curves. 
Taking it a step further, I would recommend you then inject that fat back into your body in your hip dip area. This is like a BBL in other words. That is the most powerful procedure for improving the waistline and shape, especially when the fat is injected in the lateral buttock, it really makes an hour glass shape possible
All the best

Ramin Behmand, MD, FACS · Answer

Looking at your photos, there are more positives than concerns. Your abdomen has excellent skin tone and shape, and you are in no way overweight. Diet pills are not a solution for you. What has happened is that more fat cells were left behind in the flank areas than ideal. This is not an uncommon occurrence, but it has an easy fix. You would benefit from localized contouring of the two bulge areas with liposuction, using a small cannula to avoid contour irregularity. This should not be overdone, as to avoid developing lax skin where the bulges are by deflating them too much. Because skin is not removed from the flanks during the tummy tuck surgery, the flanks have a propensity for developing lax skin. Therefore, only contouring to the degree needed is best, and that avoids deflating the flank skin. If you notice that the lower stomach can occasionally get fuller than you like it, then you could have some contouring there as well. In your case, I would say less is more.

Dr. B.

Dr. B.

Gary M. Horndeski, MD · Answer

You would benefit from liposuction.  You can change the contour, particular laterally, where the tummy tuck scar ends and the flanks.

Best Wishes,

Gary Horndeski, M.D.

Connie Hiers, MD, FACS · Answer

Yes, first you can have li[osuction in those areas to see if this will remove the excess fat. If residual skin is still present, then your tummy tuck scar can be extended to remove that excess skin.

Vincent Gardner, MD · Answer

For the excess fat around hips, and lateral scars that can be easily sculpted away with Liposuction. It would be approximately 1-1.5 hours of Liposuction with consideration for skin tightening and Renuvion, which heats and contracts the skin.

Roger Smith, MD, FACS · Answer

Hi Janelle7676,
Thank you for your question. Based on your photographs, I feel that liposuction is the most predictable technique that can be utilized to help you achieve the contour of your hips, thighs and buttocks. Liposuction, when performed by an experienced surgeon, can remove the areas of increased fat and blend and contour these areas naturally into adjacent areas that you are more satisfied with. 
Sincerely,Roger Smith, MD, FACS

Camille Cash, MD · Answer

From the submitted photos you appear to be a good candidate for liposuction to help sculpt and revise your curves.  Aveli can also be used to address cellulite.  This is a one time procedure that clips the tethers that create the cottage cheese look of cellulite.  See my website or a provider near you to learn more.

5 years post tummy tuck and liposuction - what can be done to improve the contour of my hips, thighs and butt? (photos)

Answers (13)

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