What can I do to improve my body shape & have a more natural hourglass shape? (Photos)

Question

I’d like to have more of a natural hourglass shape and I’m not sure why my body looks kind of uneven

Semih Yildiz, MD, FEPOBRAS · Answer

The photos show mild waist/flank fullness, lower-abdominal skin softness, and some natural asymmetry; an in-person exam may change the best plan. A more natural hourglass shape usually comes from matching the cause: waist contour, abdominal wall/skin laxity, and hip or buttock volume are different problems.

If your skin quality is good, carefully planned liposuction of the waist/flanks and possibly abdomen can improve the waist-to-hip transition, but it will not tighten loose skin or repair muscle separation. If the lower abdomen has significant laxity or diastasis, a tummy tuck may be more appropriate than liposuction alone. If more hip or buttock roundness is desired, fat grafting can be discussed, but it should be conservative and safety-focused. The best next step is an exam with measurements, skin-quality assessment, and a discussion of whether contouring alone or a combined plan would give the most balanced result.

Chad Deal, MD · Answer

This is a very straightforward recommendation. Because of the laxity and damage of the skin and the front you’ll definitely want a tummy tuck to get a flat and smooth abdomen. To get the curves you want you’re gonna wanna combine this with a Lipo360. As an added bonus, I would recommend some cellulite release in the middle of the buttock with a very small amount of fat transfer to give you just a little bit more projection and the lower area of your body where it’s a touch flatter and has the cellulite. All of these in combination should give you a gorgeous result! Wishing you the best!

Arif Eroglu, MD · Answer

Hello; If fat is taken from the waist, back, hips and the fat is injected into the sides of the hips; an hourglass shape can be realized. If also desired, Lipoabdominoplasty can be performed in the same session that; you can get rid of the cracks and deformed skin in the lower abdomen field.

Emmanuel Mallol Cotes, MD · Answer

Thanks so much for your question, 
If you're looking to enhance your body shape surgically to achieve a more natural hourglass figure, there are several procedures available that can help create that desired shape. These surgeries can focus on enhancing curves, reducing fat in specific areas, and tightening the waist.

Liposuction can sculpt the body, removing fat from areas where it's not desired while leaving natural curves in place. This can be combined with other procedures like fat transfer to enhance curves elsewhere.

Based on your pics you appear to have weakened or separated abdominal muscles, which is common after pregnancy (diastasis recti). A tummy tuck can tighten these muscles to create a firmer, flatter abdomen.

Sincerely,
Dr. Emmanuel Mallol

Guler Gamze Eren, MD · Answer

Hi from Istanbul!Thank you for your question. You are a good candidate for tummy tuck and liposuction surgery, and it will be a good idea to transfer a small amount of fat to hips dips area to give you a rounder butt shape.Liposuction and tummy tuck surgery will create a narrower belly to reach an hourglass shape.Best Luck!

Ramin Behmand, MD, FACS · Answer

If you're done having kids, a tummy tuck combined with Lipo360 (liposuction around the entire torso) would make a big difference in achieving a natural hourglass shape. During the liposuction, you could also choose to add some fat to the dips in your buttocks, but many patients are happy without that. The tummy tuck would include tightening your abdominal muscles, addressing any loose skin, and shaping the sides with liposuction. The liposuction on your back helps enhance your overall shape, giving you a more balanced and sculpted look all around.

Dr. B.

Dr. B.

Gary M. Horndeski, MD · Answer

If you are not planning future pregnancies, I recommend abdominoplasty with mesh reinforcement. The mesh creates a more hourglass figure by compressing the abdominal wall resulting in early satiety and helps maintain a reduced weight.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

George Marosan, MD · Answer

Thank you for your question and photos. The body looks uneven due to natural asymmetry that all of us have. It is important for the plastic surgeon to define and understand these asymmetries so they can be improved with surgery. The results have to look natural and un-operated. As a Total Definer surgeon, if you were my patient, I would do VASER liposuction 360 degrees (full back, full abdomen, lateral chest wall, waist, hips and lower back fat pad), fat grafting to the buttocks and hip dips for shaping and slight enhancement and a full abdominoplasty with a low pubic bone level incision. These procedures I do under deep intravenous sedation in our certified office surgical suite. I believe, anything less will leave you with suboptimal results. See a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person consultation/evaluation. Good luck.

Roger Smith, MD, FACS · Answer

Hi Justme1024,
Thank you for your question. I'd like to start my answer by sharing what my partner tells her patients. "Perfect symmetry does not exist in nature." Although it is certainly not easy nor definite to make this claim with certainty based on review of a photograph alone, but you may have slight scoliosis causing your left hip to be just a bit higher than your right. This could account for some of the differences that you have noticed in your body contour. You DO have an 'hour glass' figure, so what I assume that you are meaning in your question is that you are looking for a ways to achieve is a more 'toned' and smooth look. That can be accomplished with liposuction to accentuate your natural curvature and help to smooth some of the mild irregularities that you mention. I would recommend a consultation to address the specific areas of concern with your shape with a qualified surgeon. 
Best,Dr. Smith

Connie Hiers, MD, FACS · Answer

I would suggest liposuction of your abdomen, flanks, and lateral thigh areas to obtain and smoother contour. You should do very well with this.

What can I do to improve my body shape & have a more natural hourglass shape? (Photos)

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