Hip augmentation fat transfer aims to improve the waist-to-hip ratio; this is particularly true if the donor or liposuction sites include the waistline (e.g., abdomen, flanks, and lower back).
Studies have found a strong preference for a WHR near 0.70, which interestingly does not rely on dress size. For instance, full-bodied celebrities like Beyoncé and Marilyn Monroe and lithesome beauties such as Keira Knightly and Jessica Alba all conform to this beauty hallmark that almost always transcends culture and milieu.
Leading Inland Empire plastic surgeon Dr. Tarick Smiley has recently performed hip augmentation fat transfer on a female patient with narrow hips although her buttock profile was relatively good.
The patient had a previous liposuction performed by a different surgeon, which made it more challenging to collect sufficient donor fats. To compensate for this, Dr. Smiley treated more surface areas that included the flanks, bra rolls, lower back, and anterior abdomen.
He used power-assisted liposuction technique, meaning the cannula (steel tube) has a vibrating tip that made fat collection gentler, quicker, and more precise.
Afterwards, he purified the fats in order to remove the dead fat cells, red blood cells, anesthetic solution, oil, and other biomaterials and impurities. This was primarily done with a centrifuge, which separated materials based on weight.
With centrifugation, Dr. Smiley was able to collect the healthiest fat cells along with stem cells, which can increase the survival rate of fat grafts and improve skin texture and appearance thanks to their “healing properties.”
The celebrity plastic surgeon created a small puncture hole on each side of the outer-lateral buttock (i.e., hips) to make the area appear curvier. The vibrating cannula was again used to inject fat grafts through a microdroplet technique—i.e., they are compartmentalized, with minute spaces between them in order to promote blood vessel ingrowth.
To further promote high survival rate and near permanent results, Dr. Smiley inoculated the fat grafts into varying layers.
Meanwhile, the patient was instructed to avoid pressure on the fat grafts for at least three weeks to further promote high survival rate and to ensure highly symmetric results.