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What Procedures Would Be Recommended to Achieve an Hourglass Look?

To achieve an hourglass figure there are three areas that need to be addressed: the upper fullness (breasts), middle slenderizing (waistline), and lower fullness (hips/buttocks). In our Dublin practice we tailor all treatment plans to each patient’s existing shape. Creating the upper fullness in the breasts is generally accomplished by augmentation with saline or silicone implants, lifting the breasts, or a combination of both. Sculpting the waistline can be done with liposuction to the abdomen, flanks, and/or back to remove excess fat, a tummy tuck (abdominoplasty) to remove excess skin and pull the abdominal muscles (rectus abdominis) tighter, or again, a combination of both. Forming the lower fullness entails transferring an individual’s own fat into their hips and buttocks to augment their curvature (Brazilian butt lift) and is generally accompanied with liposuction to sculpt the waistline. Multiple procedures may be performed during the same operation or during different operations depending on the objectives of the individual. For best results visit the office of a Board-Certified Plastic Surgeon.

Clinical Context

When these procedures are combined, recovery involves multiple healing processes at once. Fat transferred to the hips or buttocks needs time to establish blood supply, so patients avoid sitting directly on the area and limit pressure for a few weeks. A tummy tuck heals on a separate, often longer timeline, with swelling that gradually improves over months. Because of these different recovery needs, some patients choose to stage procedures across more than one operation rather than combining everything at once.

Answered by Dr. Steven Williams, President Emeritus of ASPS

Back to Patient Questions

We are leaders in cosmetic surgery, facial aesthetics, and medically supervised weight loss, serving the entire San Francisco Bay area. Whether you live in the Bay Area or are coming in from out of town, we’re happy to answer any questions you may have on your path to your new self. Book your cosmetic surgery intro call or Med Spa consultation today and take the first step towards realizing the look you’ve always wanted for yourself.

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