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Hourglass BBL Shapes: A Guide For Creating Your Dream Figure

Hourglass BBL shapes narrow the waist with liposuction and add that fat at the hips and buttock, over the glute. The fat is the patient's own. At SurgiSculpt® in Newport Beach, our surgeons tailor each plan with artistry, proven protocols, and patient safety as the priority.

BBL Revision — #SS141

Case Summary

This article features patient #SS141. View patient profile

Services overview

This patient’s surgical plan included: HD VASER liposuction of flanks, middle/upper/lower back, medial thighs, Brazilian butt lift revision, breast lift, tummy tuck.

Hourglass BBL Shapes: A Guide For Creating Your Dream Figure

What Hourglass BBL Shapes Change

Hourglass BBL shapes are a fat-transfer plan for a narrow waist with fuller hips and a fuller buttock. The American Society of Plastic Surgeons says that fat is placed above the gluteal muscle. On this outline the fat stays over the glute, in the subcutaneous tissue, and a larger share is put around the hips than into the muscle. An implant or a filler is not the material. The fat is the patient's own.

BBL Revision — #SS141

Photo legend

This photograph shows a patient after a mommy makeover that included HD VASER liposuction of the flanks, middle, upper, and lower back, and medial thighs, Brazilian butt lift revision, breast lift, and tummy tuck.

The outline people ask for is a big bust and hips with a narrow waist, read as one connected line rather than a buttock that is large on its own. Liposuction of the abdomen or the thighs is the harvest, and that removal is also what slims the midsection. The waist narrows because fat leaves the midsection. The hips and the buttock get wider because that fat is put back there. How much moves, and which of those sites can spare it, is decided from the body in front of the surgeon.

A Brazilian butt lift is the operation that does both steps: liposuction, then transfer of that fat. Hourglass BBL shapes use that pair of steps for a specific proportion, a smaller waist against a wider hip and buttock. The amount transferred and the exact sites are adjusted for the person. There is no single volume that creates the outline on every frame.

How Hourglass BBL Shapes Are Built

The consult starts with the goal and with whether this proportion fits the frame. The exam looks for fat that can be moved to the buttock and the hips, and it reviews medical history. Risks are part of that conversation. The plan is not chosen from a photograph of someone else's waist.

Liposuction takes fat from the abdomen or the thighs. That fat is the graft. Fat grafting then places it where the outline is short: around the hips, and in the buttock over the glute. The preference is more volume at the hips than inside the buttock muscle. Putting the fat in the muscle is the placement this outline avoids. The upper pole is not where the extra hip volume goes. Projection in the buttock still matters, but the hip width is what makes the waist read as narrow.

Fees for the transfer follow the harvest and the grafting that are actually planned, which is laid out on the augmentation cost page. The standing exam is at the offices listed with BBL locations. Fat transfer in Newport Beach is the same harvest-and-return idea when the donor sites can supply the hips and the buttock. The buttock enhancement overview is the graft itself. The shape on top of that graft is the proportion the consult is for.

Hourglass BBL Shapes Beside Round and Heart Shapes

The shapes named alongside this one are a round buttock and a heart-shaped buttock. A round result spreads volume through the buttock so the cheek reads even. A heart-shaped result keeps a fuller hip and buttock under a narrower waist, which is the family this outline belongs to. Hourglass BBL shapes push that idea further: the waist is actively narrowed by the liposuction, and the hip is actively widened by the graft.

A result that does not look round is not automatically a miss. The surgeon may have been building a heart-shaped buttock or this narrower-waist outline instead. Swelling in the early weeks also changes what the waist and the hip look like before the graft has settled. Judging the shape on day one compares a swollen waist with the proportion that was marked in the consult.

Clothes are the everyday test of the proportion. A narrower waist and a wider hip change how a fitted dress or a pair of pants sits, which is one reason this proportion is requested. That is a fit observation, not a claim that every wardrobe improves. The bust is part of the hourglass description people use, a full chest over a narrow waist, but the operation moves fat at the waist, the hip, and the buttock. It does not place a breast implant.

Donor Fat, the Waist, and the Hip

BBL Revision — #SS141

Photo legend

The service designations for this patient include BBL Revision, Mommy Makeover, Tummy Tuck, Vaser Lipo, and Breast Lift with Implants. This photograph shows a patient after a mommy makeover that included HD VASER liposuction of the flanks, middle, upper, and lower back, and medial thighs, Brazilian butt lift revision, breast lift, and tummy tuck.

The abdomen and the thighs are the donor sites named for this harvest. If those sites are lean, the hip cannot be widened by fat the patient does not have. The consult is where that limit is said out loud. A narrow waist drawn on a photo is not a waist that liposuction can create from an empty abdomen or empty thighs.

Narrowing the waist and widening the hip are one proportion, not two operations stacked by habit. Liposuction that only makes the waist smaller, with no graft at the hip, can leave the buttock looking disconnected from the chest. A graft that only makes the buttock larger, with no work on the waist, can leave the waist as wide as it started. The outline people ask for needs both.

Hip width is read from the side and from the back. From the back, the waist should step out to the hip. From the side, the buttock should carry projection without the hip being left flat. That is why the larger share of the fat is planned around the hip, with the buttock graft over the glute rather than in the muscle. The upper pole can take some of the buttock volume. It is not a substitute for the hip.

Round, heart-shaped, and a narrower waist with wider hips are the three shapes this topic names. A heart-shaped buttock and a narrow-waist proportion can look alike once swelling drops, because both keep more fullness low and lateral than a round cheek does. The difference is how hard the waist is narrowed. Liposuction of the abdomen or the thighs is what creates that extra narrowing. Asymmetry between the hips is both a named risk and a reason both sides are marked before any fat is moved. A hip that starts fuller does not need the same graft volume as the other side.

Risks and the Early Weeks

The risks named for this fat transfer are fat embolism, infection, bleeding, scarring, and asymmetry. A fat embolism is fat that enters the bloodstream and blocks a vessel. Choosing a board-certified plastic surgeon is the step this topic gives for keeping that risk down, because the handling of the fat is the point of that training. Infection is addressed with the post-operative care the surgeon sets, including prescribed antibiotics. Bleeding that continues after surgery needs a call to the surgeon.

Where an incision is made, a scar follows. The scar can thicken into a keloid. Aftercare is how that scar is watched. Asymmetry is possible, because the two hips and the two sides of the waist do not always take the graft the same way. No rate is attached to any of them. They are the problems the consult is supposed to name before the harvest starts.

Recovery is described as taking it easy for a few weeks, and as avoiding heavy lifting and pressure on the backside. That is the whole timing this topic gives. It is not a day-by-day sitting calendar. The graft still has to be left alone while it settles, which is why pressure on the backside is avoided during those weeks. A result that is meant to last is the fat that remains after that early period, not a filler that is scheduled for repeat visits. The early look is also affected by swelling at the liposuction sites. The abdomen or the thighs can look flatter before the waist proportion is obvious. Waiting through those few weeks, without heavy lifting and without pressure on the backside, is the care actually described. Grading the hip width on the first morning compares a swollen graft with the marks from the consult.

BBL Revision — #SS141

Photo legend

From this angle, the Tummy Tuck result is easier to follow. This photograph shows a patient after a mommy makeover that included HD VASER liposuction of the flanks, middle, upper, and lower back, and medial thighs, Brazilian butt lift revision, breast lift, and tummy tuck.

A board-certified plastic surgeon is named because the fat has to be handled so it does not enter a vessel. That is the fat-embolism concern, stated without a percentage. Bleeding, infection, a thickened scar, and a mismatch between the two hips stay on the same list. Each one is a reason for follow-up after surgery, not a reason to attach a number the operation does not publish. The scar at a liposuction entry site is small, and it is still a scar.

Frequently Asked Questions

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