How many vials of sculptra would I need to fill out my hip dips? (photos)

Question

I've been insecure about my hips dips for a long time , and I know having a fat transfer would be too much , I don't want my butt to look so huge .

Ryan A. Stanton, MD · Answer

I have unfortunately had many patients come to me after having their high hopes for buttock or hip augmentation crushed by measly Sculptra results or other "fillers" such as Renuva and Juvederm, etc. Other than the fact that these are not FDA approved for buttock injections, here are some critical points of awareness: 1) they all are temporary, lasting 1.5 - 2 years at very most, 2) if done correctly dermal fillers like Sculptra ir Renuva are cost prohibitive for 99% of potential buttock augmentation patients. In order to create a significant/noticeable result with a dermal filler, at least 200 ccs of product must be injected into each buttock cheek (100 ccs for each hip dip) for a total of 400 ccs (200 ccs). At $1000 per ml, this equates to a minimum price of $400,000.00 ($200,000.00). Thus if your doctor is recommending to put in ONLY 20 or 40 mls of these fillers you will pay $20,000-$40,000 and get an insignificant miniscule result! (eg. like a “drop in the ocean” effect), 3) Do not let anybody tell you that the product is so special that it's going to magically grow over the following months or years...this just doesnt happen to any noticeable degree!, 4) dermal fillers, when injected in large quantities, have a relatively high infection rate, guaranteed tendency to migrate away from the original area they were injected into, and almost always stimulate a lot of inflammation with a subsequent and disastrous amount of scar tissue/hardening, and 5) the one very serious complication that can rarely happen is "embolism" in which some of the filler gets into the blood stream and travels up into the lungs, heart, and/or brain causing serious problems, including death.The only relatively safe, reliable, and permanent option for buttock and hip augmentation is with implants. Hope I at least saved you some money and maybe even your life.

George Marosan, MD · Answer

Thank you for your question and photos. The short answer is way too many vials at a huge cost. You would do best with VASER Hi Def Lipo of your torso and a Brazilian Buttock Lift. This is permanent as opposed to the temporary solution you are asking about. You have significant amount of fat on your back and excess fat on upper hips which makes the buttocks look too high.See a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person consultation/evaluation. Good luck.

Dmitriy Schwarzburg, MD · Answer

Sculptra unlike other fillers increases volume as it induces collagen production. So the solution itself is not the one that produces the added volume. The process relies on the body's natural collagen production. It induces the body to produce collagen. The chances of it looking natural are very high because of this too. And so, because of this, we will never promise or guarantee that a certain number of syringes/vials will be sufficient to reach your goals. This will depend on your individual response to treatment. You may start with 10-12, and then decide whether you want more or not.

Luis Mario Salazar, MD · Answer

Definitely, hip dips needs many vials, it all depends on the body as well. Sculptra is a collagen stimulating filler who can achieve augmentation in the area where its placed it requires several vials, and you must place them every 30 to 45 days,  the results last over 3 years and you will find they are progressive so you need to compare and evaluate every follow up to know how many vials you will need in every session. There is nothing better than a surgical bbl, if thats not an option then you need to do a good plan and follow up with your doctor to achieve your desired results

Wing Jian (Nigel) Foo, MD · Answer

Hip dips (scientifically known as trochanteric depressions) are basically inward curves on the outer, upper thighs, just below the hip bone due to a space between the hip bone and the thigh bone.
Hip dips are a part of your normal bone structure, and while you can enhance your body shape through exercise and diet,  they won’t make them completely go away as you cannot change your bone structure.
Apart from dieting and exercising, some medical procedures such as dermafiller injection or fat transfer would improve the overall appearance of hip dips, but again result varies according to individual and they may not be completely go away. 
Do arrange for a face to face consultation with a certified doctor, it would be a good start. Cheers and hope it helps.

Jennifer Levine, MD · Answer

I love Sculptra for hip dips---there is no downtime, no anesthesia, and is very safe. It is difficult to say how many vials per side would be necessary since the photos are very far away. Sculptra not only adds volume, but improves skin quality and texture. There looks like there may be some asymmetry between the sides; so one side may need more than the other. Sculptra needs to be performed at least two times, and the benefit is that your body also produces its own collagen, which lasts longer than the product does. I would start with three to five vials per side and repeat that at least once, but you would need to be seen and examined for a more accurate assessment. Good luck!

Mats Hagstrom, MD (license on probation) · Answer

The amount of filler needed makes that option price prohibitive. Especially for a temporary option.Fat transfer can be done with any volume including just filling in the hip dip so I don’t think you do know what can and cannot be achieved with that procedure. Just because most patients are looking for an exaggerated high-volume result does not limit the procedure to doing it that way.Fat transfer is the most appropriate option for you. I suggest having in person consultations with local board-certified plastic surgeons who have extensive experience with this procedure.Best, Mats Hagstrom MD

Kristine Brecht, MD (license suspended) · Answer

Buttock augmentation can be achieved most optimally, for rounding, with fat Transfer. Liposuction of the left and right lower back would be the best sites to work on, in order to give the best hourglass shape, and compliment the fat transfer to the bottom.Sculptra can last 2-5yrs at best, and the amount of vials you would need would be prohibitively expensive.Thank you,KristineBrecht, MDSeattle, Wa

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