How can achieving an hourglass figure be for me? (Photo)

Question

I'm 5'6 and 147 lbs. I know I have to gain weight . how successful can achieving an hourglass figure be? Inverted triangle to hourglass.

Alan Gonzalez, MD, FACS · Answer

Hello @Humorous973363, thank you for your question. It is important to develop a surgical plan that fits your possibilities, to fulfill your wishes for improvement and to take into account what can actually be achieved in a BBL. Is best if consult one or several board certified plastic surgeon for more information and recommendations. Best wishes! Alan Gonzalez MD, FACS.

Finny George, MD · Answer

Hi, thank you for sharing your question. You can still achieve an hourglass shape with this procedure. A 360 Lipo + BBL will help contour the waist and improve your overall shape. I hope this helps.

Moises Salama, MD · Answer

Thanks for your question. From your picture, you seem to be a good candidate for the BBL. The BBL includes 360 lipo, which is lipo of the upper and lower abdomen, the upper and lower back, and the flanks. If you don't have enough fat to transfer in these areas, then liposuction can be performed in other areas such as the chin and upper arms. Depending on your desired results, you may be asked to gain some weight. I recommend you schedule a consult for a proper evaluation. Make sure your surgeon you choose has extensive experience with the BBL and clean credentials. Always consult with a board certified plastic surgeon. Take care, Moises Salama MD, Board Certified Plastic

Andre P. Marshall, MD · Answer

Hi Humorous973363, 
Weight gain isn't always necessary prior to a BBL, it all depends on the comfort level of your surgeon. Rarely do we require patients to gain weight prior to surgery. An hourglass figure is based upon your own body's bone and muscle structure. You would need a consult with a board certified plastic surgeon who specializes in the procedure to best determine what is achievable. 
Dr. Andre P. MarshallDouble Board Certified Plastic SurgeonBeverly Hills, CA 90210

Emmanuel Mallol Cotes, MD · Answer

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

Daniel Barrett, MD · Answer

Dear Humorous973363,
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

Karl William Schwarz, MD · Answer

You would be a good candidate for a BBL--where liposuction is performed all around your trunk (360 degrees ) and then the fat is transferred to your hips and butt to totally reshape you. It is an incredibly powerful operation to reshape and change the body. There are a lot of videos on YouTube that explain it much better. I have included a link below.

Mats Hagstrom, MD (license on probation) · Answer

Rarely if ever do people look good being overweight. I see no purpose in you gaining weight. Stay slip because that tends to always look more attractive.
Liposuction with fat transfer is the standard procedure for someone like you. here are a few things to keep in mind.
Delivering consistent high-quality liposuction and fat transfer results is more difficult than most people believe in this is true for both patients and plastic surgeons. Most plastic surgeons think they are better at liposuction than they actually are. Liposuction and fat transfer has more variance or difference in outcome purely based on who does the procedure than any other surgical procedure I’ve ever seen. Being board-certified in plastic surgery with an overall good reputation is not sufficient to guarantee that somebody has mastered body contouring. Personally I view the torso as a single anatomic unit and either treated the entire torso or don’t do Liposuction. There are of course exceptions but for the most part I believe in treating the entire torso. A full torso includes upper abdomen, lower abdomen, love handles all the way down to the hip dips, waist, the entire back and under arm area all the way to the side of the breast. this leaves people with a natural thin fat distribution without transition zones between treated and entrteded areas. I’ve viewed the BBL as an enhancement to body contouring creating an ideal feminine S-curve that goes from the armpit to the knee. I did not emphasize a large buttocks with liposuction of the outer thigh creating a big round butt on the small leg which I sometimes called the “lollipop look”. Instead I emphasize long smooth harmonious curves creating a slightly hyper feminized balanced figure. To find the most talented and experienced provider in your community I suggest having multiple in person consultations. I do not recommend patients travel for elective surgical procedures and I recommend patients whenever possible avoid virtual consultations. During in person consultations ask each provider to show their entire collection of before and after pictures of BBL results. Always confirm that after pictures were taken at least three months from the time of surgery. anybody who shows early postoperative pictures such as pictures with patients still showing surgical drawings on them, being in the operating room or any evidence of recently having had surgery should be immediately discounted as showing “.fake news”. Early fat transfer results can look very impressive but do not at all represent final results. Ask the provider to show you examples of excellent outcomes, average outcomes and less than outcomes. Specifically ask each provider to show as many pictures as possible‘s of patients who have similar body characteristics to your own. An experienced provider should have no difficulty showing you a minimum of 50+ sets of before and after pictures. Simply seeing a handful of pre-selected sample pictures which in reality most likely represent the best results of that providers career is insufficient to get a clear understanding of what average results look like for that provider. Highly experienced providers will have hundreds or even thousands of before and after pictures and should be willing to give you access during the consultation to see as many pictures as possible. If somebody claims to of done a lot of surgery but doesn’t have a lot of before and after pictures then you should ask yourself why? Do not commit to surgery or pay a down payment during the time of consultation until you’ve finished all your consultations and have given yourself plenty of time to think about your decision. The results from these procedures are permanent and irreversible. When in doubt slow down and schedule more consultations. Finally I recommend patients read all reviews on all various physician review websites avoiding providers for any significant number of justified negative reviews. The absence of justified negative reviews is more important and more telling and having an abundance of positive reviews. Plastic surgeons with the biggest social media profiles are not necessarily any more talented than those who have no websites at all. Famous or likable does not equal talented. Find the right plastic surgeon and everything falls into place. Good luck, Mats Hagstrom MD

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