What do I need for a subtle hourglass figure? Lipo? BBL (Photo)

Thank you for your question. I would recommend a 360 liposuction along with a brazilian butt lift to optimize your overall shape. With 360° Liposuction we treat any and all areas that will benefit the overall form of the patient.  The common "trouble spots" are the abdomen, back, waist, arms, and thighs.  We can decide your individual plan together, with the overall goal of really refining the  figure and working towards an hourglass silhouette.  Our central approach with these procedures is to provide a 360 degree improvement in order to maximize feminine curves.  For the butt I usually prefer augmentation / lifting through fat grafting. We refine fat removed during liposuction and then inject into the buttocks to create the shape we have planned together.That said, you definitely have to choose your surgeon correctly and make sure that he/she has the training and experience to meet your goals with absolute safety.  Best is a Board Certified Plastic Surgeon with specialized expertise in this procedure.

The photos show you are almost there.  With some sculpting of the waist, flanks and bra rolls, the waist should appear.  It is important to maintain the curve of the hips into the waist, as the lateral buttock contour is straight. 

Good question! The best way to determine that is by seeing a board certified dermatologist or plastic surgeon trained in liposuction in person.  If it is a subtle hourglass then you could consider SculpSure (nonsurgical laser lipolysis) or other options include the ones you discussed above.  The key to a great liposuction is not what you take out but what you leave behind.  The better way to think of it is body contouring not fat removal.  I wish you all the best.

Thank you for your question and photos. If you want only a "subtle" change, than working out in a gym might do it. If you want to look the best, based on your anatomy, then I would recommend VASER Hi Def Liposuction 360 degrees with fat grafts to the buttocks. You already had a tummy tuck and the above procedure will give you a great hourglass figure. See a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person consultation/evaluation. good luck.

Hello,You look to be a good candidate for liposuction of your torso. Fat grafting would also enhance your buttock appearance and overall torso shape. Go visit a few ABPS certified/ASAPS member surgeons who specialize in body contouring. Best of luck!

You look like a good candidate for liposuction with or without fat grafting (BBL).   If you desire a larger, rounder buttock go for the BBL but if you are fine with what you have, liposuction alone will add a lot of curve.  

in my experience of doing what you are requesting over 16 years the fat lipo sculpting is necessary to reduce the areas that would give you curves that you like and transferring the fat to gain in areas that would give the right projection.  

The magic hourglass configuration of the BBL relies on both the overall reduction of areas that you desire to be smaller as well as the enhancement of the buttocks. Therefore, liposuction of the back, flanks and abdomen would provide the narrowing of the midsection which makes the fat grating of the buttock even more remarkable. 

 I believe your best option would be Lipo- contouring of your abdomen hips and lower back with modest fat transfer to your buttocks. This would better define your figure, which is pretty good to start with! Be certain to consult with a board-certified plastic surgeon. Best of luck.

Hello and thank you for your question. Based on your photograph, you are a
great candidate for waistline contouring liposuction of your abdomen, flanks,
and lower back.  This can greatly improve your overall shape with a
smaller waist.  Make sure you specifically
look at before and after pictures of real patients who have had this
surgery performed by your surgeon and evaluate their results.  The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon