Although I encourage every patient to workout and live a healthy lifestyle, curvaceous hips often just come down to a genetics. Not everyone is born with the skeletal framework and fat deposits in the hip area that result in the curvy look.
Take a look at some professional female bodybuilders and notice how they too have a depression in their outer buttock. No one is accusing them of not developing their gluteus medius muscles! The depression stays because they are ultra-lean and that is simply their body type.
To put it simply, unless you are genetically blessed with “hour-glass” hips, your only option for permanent hip augmentation may just be hip implants.
More often than not, buttock implants will provide the added curve to the “hips” that most patients are looking for. If the buttock implants alone don’t cut it, actual hip implants can be placed either at the same time or instead of buttock implants.
Unlike buttock implants, which should always be placed under/within the gluteus maximus muscle, hip implants are placed under just the fascia (the body’s connective tissue) because no significant muscle exists in this region. However, because they are much smaller and lighter, their likelihood of migration is relatively low.
Well what about fat grafting in the hip areas?
Unfortunately fat grafting to the hip area is frequently met with poor success because, again, there is no muscle to place the fat into and thus is does not survive.
Sometimes patients are asked to purposely gain weight (i.e. fat) for a fat grafting procedure. There’s a fundamental problem with this. As you lose fat and return back to your baseline weight, the fat you lose first is that very same fat that was transferred into the buttock/hip! It is more than disappointing to see the results of a procedure disappear as you lose weight. Don’t fall victim.
If you have any questions about hip and buttock implants ask them in the comments below!