I hate my wide hips/hip dips but I’m not overweight. Will liposuction help? (Photo)

Question

Hi, I am 18 and a high performance athlete. I am extremely fit but have big hips that make me extremely self conscious. I am only 132 pounds (5’6) but seem to have stubborn fat around but mostly above my hips. I also have some lower back fat which might be contributing. I am a more masculine presenting woman so I would much rather have my hips be les a prominent and more in line with the upper half of my body. I’ve heard of both liposuction and coolsculpting. Would these help?

Jason Emer, MD · Answer

I suggest consultation for female supermodel liposuction with internal heating and grafting to the hips.

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.

Yily De Los Santos, MD · Answer

Thank you for your question and pictures. 
Yes, it is possible for you to get a liposuction with J-plasma 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.

Daniel Barrett, MD · Answer

Dear Ashton_30,
it is hard to tell for sure without an examination. Based on your photos, it looks like you would benefit from liposuction. 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

Karl William Schwarz, MD · Answer

Liposuction is best for treating areas of resistant fat in patients of appropriate weight so I think with this in mind you would be a good candidate to permanently remove those fatty areas that are bothering you. The hip dips are normal and are common in athletes. The gluteal muscles stop in this area and produce the 'hip dips'--they are normal.

Som Kohanzadeh, MD · Answer

Hi, Looking at your current age and your weight: Your BMI is 21.3 inside Normal Weight,Underweight = under 18.5,,Normal weight = 18.5–24.9,,Overweight = 25–29.9,,Obesity = BMI of 30 or greater,,
After doing some research on your Body Mass Index, I can see you are at your Normal weight and normal weight is anywhere between 18.5 to 24.9 BMI. With your current weight and age, I only suggest going forward with Coolsculpting and or Flexsure as a non-invasive and not-incision operation. Within a few years of maturity, you can go into the option of Liposuction.

I hate my wide hips/hip dips but I’m not overweight. Will liposuction help? (Photo)

Answers (5)

Answer: Liposuction

Answer: Liposuction

Answer: Answer: Think about Coolsculpting and Flexsure

Answer: Answer: Think about Coolsculpting and Flexsure

Recommended reading

Everything you need to know about Liposuction

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

I hate my wide hips/hip dips but I’m not overweight. Will liposuction help? (Photo)

Answers (5)

Answer: Liposuction

Answer: Liposuction

Answer: Answer: Think about Coolsculpting and Flexsure

Answer: Answer: Think about Coolsculpting and Flexsure

Browse related questions

Recommended reading

Everything you need to know about Liposuction

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