Why do I need fat transfer to get an hourglass shape?



Less than 8% of the female population in the world are naturally born with the amazing and beautiful hourglass shape. Even from this 8%, a significant percentage of women end up battling fat accumulation in different areas of the body sooner or later in their lives. This is the reason why the hourglass procedures are so sought after. In my practice, I have chosen to dedicate myself completely to significantly improving the appearance of my patients by performing combined procedures with the purpose of creating or recreating the hourglass body shape.

Many patients understand the need of liposuction in sculpting the body shape, but always ask why they also need fat transfer to achieve the hourglass silhouette. What is the reason why we perform two procedures that have the exact opposite purpose in one intervention with the aim to improve the body? Why fat transfer is needed to get an hourglass shape is a question we will answer in this article, while also bringing more details and information about the fat transfer procedures.


Fat transfer procedure and areas targeted

Probably ever since the first successful liposuction was performed, plastic surgeons from all over the world tried to find a viable method to save the fat extracted and use it to add volume to other areas of the body. The fat transfer procedures took many years to refine in terms of the surgical method and to provide good results. Even now, the fat transfer is considered a delicate procedure whatever the targeted area might be, and not all plastic surgeons do it. This is why it is essential to choose a board-certified and experienced plastic surgeon to play out your intervention when it comes to fat grafting.

Fat transfer procedures start invariably with a liposuction of the donor areas. The donor areas are the areas from which fat cells will be extracted to perform the transfer. Commonly used donor areas are the abdomen and the flanks, the thighs, and the buttocks. Keep in mind that even if we can perform liposuction on virtually any area of the body, the plastic surgeon is not likely to target the ankles or the calves with lipo as they won’t provide the necessary amount of fat for the transfer.

It is also important to mention that not all types of liposuction can be performed if a fat transfer is desired. Laser or ultrasound liposuction can damage the fat cells and make them unusable for the transfer. After the fat is collected, it goes through a thorough and complex purification process that will deliver only the healthy and pure fat cells for the transfer.

The fat can be transferred to any area of the body that needs the extra volume. We can transfer the fat to the face to make the face look younger and fill in the wrinkles, and we can transfer the fat to the hands for a youthful appearance, to the breasts or buttocks if an augmentation is desired. However, when it comes to the fat transfer performed during an hourglass procedure or to achieve an hourglass shape, the transfer will most certainly be done on the hips.

Many patients who find out that they need fat added to the hips don’t understand this as they consider their hips to be wide enough as it is. We will discuss this next, together with the characteristics of the hourglass shape.
The definition of the hourglass shape

There are certain specifics that define the hourglass shape. In general terms, it is the curvaceous shape of an hourglass figure. In more specific details, it is about the proportions of the shoulders, waist, and hips. It was considered that the ideal proportions of a woman were 90-60-90 (cm), but nowadays it is not as much about a certain number but the harmony of the features of the body and maintaining the proportions. In other words, to enjoy a beautiful hourglass shape you need to have shoulders that are similar in size with the hips and the waist much smaller, with at least 20% compared to the hips and shoulders.

As you can see, the hourglass shape is not necessarily defined by a generous bust or buttocks, although they do contribute a lot to achieving a beautiful figure, but as well as the harmony of the proportions.

Many women who are looking for improving the shape of the body are confronted with what they call wide hips and wonder why they need even more fat to be transferred there. But when the patient has wide hips, the fat is often not in the area of the hips that we want it to be. Instead of being in the center focal point of the hips, it is lower on the upper thighs. This is not a sexy body shape, but a body defect to be corrected with the help of liposuction.

When trying to achieve the hourglass shape, the plastic surgeon will need to sculpt and define the waist and create a good ratio between the waist and the shoulders. But the next essential step in creating the hourglass body is to have hips just as large as the shoulders (or even larger). This can only be done with the help of fat transfer to the hips.

The hourglass shape is all about the shoulders, waist, and hips. Can we alter the dimensions of the shoulders? Not usually. So we are left to improve the aspect of the waist and hips.

How can the hourglass shape be achieved with plastic surgery?

The hourglass procedures that I have developed and perform routinely have a logic and derive one from another. The main purpose of plastic surgery is to make the body more appealing and aesthetic. To achieve this, the harmony of the features should be our main concern.

To achieve the hourglass shape, we can use different procedures, depending on the starting point and the desires of the patients. Most often, the patient will also want an augmentation of the buttocks or the breasts aside from the hourglass improvement of the shape of the body.

The hourglass shape can only be achieved with the help of liposuction and fat transfer to the hips. If other procedures, such as the tummy tuck, breast or butt enhancement, are dependent on the morphological characteristics of the patient and his desires, when it comes to sculpting the body into a more curvaceous shape, it is only liposuction and fat transfer that can provide impressive results.


Who is a good candidate for hourglass procedures?

The hourglass procedures and fat transfer interventions are recommended for women of a legal age who want to improve the appearance of their bodies by adding volume to certain features while getting rid of unwanted fat deposits in other areas of the body. The fat transfer can also be used separately from the hourglass procedures with the aim to increase the buttocks or the breasts.

The fat transfer procedure is often performed on an outpatient basis, and the length of the intervention depends on the combination of procedures to achieve the hourglass shape.

You might have noticed patients that after the surgery had bigger hips compared to the waist. This is normal and nothing to worry about. When assessing the results of the fat transfer, you need to allow at least three months from the surgery date. In the first few months after the intervention, the patient will also be confronted with swelling and bruising and a certain percentage of the fat inserted (up to 30%) will be reabsorbed by the body.

In order to be a good candidate to get the hourglass body, you need to understand that time is of the essence. Patience is not only a virtue but an absolute necessity after this type of procedure.

Butt Implants and Capsule Contracture


A common question from many patients is “why do I need fat transfer to get an hourglass shape?” Most patients consider their hips wide enough and believe that fat transfer to the hips won’t do them any good. But when it comes to the beautiful hourglass silhouette, it is also about proportions, harmony, and the localization of fat. Beautiful curves can’t exist without fat, and hence the hourglass figure would not be possible. But the fat needs to be localized in certain areas where it is usually not for most people. As a general rule, a vast majority of people looking to improve the shape of their body would need a fat transfer to the hips. The ones confronted with an excess of adipose tissue on the thighs meeting the hips need to understand that this deposit of fat will actually be removed with liposuction and the fat needs to be transferred up in the widest area of the hip.

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