How is the hourglass surgery performed? - Hourglass Tummy Tuck
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How is the hourglass surgery performed?


The hourglass body is the most popular female body shape right now. Women desire to have killer curves, wider hips, and a smaller waist. Unfortunately, only a few in a thousand women get the hourglass body naturally. Most women could only desire to have that figure until the advent of the hourglass surgery. Developed by renowned plastic surgeon Dr. Wilberto Cortes, the hourglass surgery is now one of the most demanded plastic surgery procedures in the US.

The hourglass surgery involves multiple procedures. It includes fat harvesting from localized areas of your body through liposuction and fat transfer to your hips. Liposuction of the waist is also part of the procedure. To qualify for the surgery, you must have excess fat in your body that can be used as donor fat.

The hourglass figure

The hourglass figure is the most revered female body type. It is defined by the size of your body areas, including the waist, hips, and bust. To have the hourglass body, you must have wider hips, smaller waist, and an overall curvaceous body. It also requires the bust and hip to be equal in size. If your waist measures 27 inches and your hips and shoulders measure 36 inches, you have the hourglass body.

Many people are curious why the hourglass figure is so popular. Since the hourglass figure features wider hips and smaller waist, it makes you look more feminine, fertile, and beautiful. While the hourglass figure has a long history that dates back several centuries, it was later set into a trend by celebrities like Kim Kardashian. Today, a large number of women want to get the hourglass figure.

Candidacy for the hourglass surgery

The hourglass surgery is a popular and effective plastic surgery to get the figure of your dreams. It is a major operation, which is why it is essential to make sure you are a good candidate for the procedure. Your candidacy will be assessed during the pre-operative consultation. Be sure to choose a board-certified plastic surgeon who is highly experienced in hourglass surgery to perform the operation.

During the consultation session, the doctor will examine your body, assess your health, and know your aesthetic goals and expectations to determine your candidacy. The surgeon will also examine your body areas like the waist, sides, abdomen, upper back, and love handles to make sure there is enough donor fat available for the procedure.

To be a good candidate, you must be to the best of your health. In other words, you must be physically and mentally fit for the operation. Be sure to share your complete health and medication information with the surgeon. The risks of the surgery may be greater for you if you are suffering from health problems like diabetes, heart disease, respiratory problems, or blood disorders.

The doctor will also ask questions about your aesthetic goals. The doctor has to make sure you want to get the hourglass figure and are prepared for the recovery period. Your goals and expectations must be realistic and reasonable for you to be a good candidate for the procedure. Keep in mind that the surgery can enhance your body, but it will not transform you into someone else.

How is the surgery performed?

The hourglass surgery is a major procedure. It is performed under general anesthesia, which is administered by a board-certified anesthesiologist. Being under general anesthesia means you will be fully asleep during the operation. You will not remember anything about the surgery’s proceedings, nor would you be able to make any movements during the procedure. You will not feel the surgical pain and trauma.

After the anesthesia administration, the plastic surgeon will start the operation. The major steps of the procedure are:

– Liposuction to contour the waist and extract donor fat

– Fat processing

– Fat grafting


The surgery starts off with liposuction of the abdomen, sides, flanks, upper back and other fat donor sites. Liposuction has two goals to achieve here: contour the waist and gather enough fat for transfer to the hips. Liposuction involves tiny incisions on the target areas. The surgeon then inserts a hollow tube called a cannula into the target area, after which it is moved back and forth in a careful manner.

A tumescent solution is also introduced into the area to help dislodge the fat from the surrounding tissue and restrict the bleeding. The surgeon will then use a suction pump at a lower pressure or a special syringe to remove the dislodged fat from the target area. The incision is then sutured and closed. The same process is repeated on all target areas until the waist has become small and enough fat has been collected. The surgeon has to do this step with great care so the body areas are correctly contoured and shaped according to the hourglass standard, and the fat has been removed without damaging it.

Fat processing

In the second step, the plastic surgeon will process and purify the fat collected in the first step. The fat is treated in a centrifuge at high speed. Doing so helps separate the impurities, dead and damaged fat cells, blood and fluids from the healthy and living fat cells. This step is crucial to the achievement of the aesthetic goals. If the impurities and dead fat cells are grafted into the hips, the results will not sustain for longer. Hence, it is essential to remove them and pick only the best quality fat cells for grafting into the hips.

Fat grafting

Fat grafting is the last step of the hourglass operation. It is also one of the most critical steps. During this step, the plastic surgery will carefully graft the fat cells into the hips. To make this possible, the surgeon will use a special needle. The fat cells have to be carefully injected into the hips, especially areas that need contouring.

Fat grafting is a time-consuming process and involves meticulous work. The plastic surgeon will use his sense of aesthetic of the female body, artistry, and surgical skills to graft the fat cells in a manner that would widen the hips and make the body curvaceous. The good news is that it does not involve incisions, which means there will be no scars on the hips. The surgery will come to an end after all the fat cells have been injected into the hips.


After the surgery, the patient is required to go through a recovery process that can extend to several weeks and even months. The fat injected into your hips is delicate, which means it will be damaged if the patient is careless. The fat cells require at least two weeks to be vascularized. During this time, the patient must avoid physical activities as it can damage the fat cells. Also, be sure to avoid sleeping on your back and sitting for the first 2-3 weeks following the operation.

While most of the recovery will occur within the first 2-3 weeks following the procedure, complete recovery can take six or more weeks. During the first six weeks, you must avoid physically demanding activities. Also, avoid driving for three weeks after the procedure. You may resume work 2-3 weeks after the procedure, but be sure not to engage in physically strenuous activities at work.


You will not see the results right after the procedure. Your body will be swollen for several weeks, and it would take many weeks for the final results to evolve. After vascularization of the fat cells, the fat will nurture and expand gradually. It will slowly widen the hips. The final results will be visible several weeks after the procedure.

The ultimate results of the surgery will gradually transpire in the form of the hourglass body, featuring wider hips, smaller waist, and a sexy and curvaceous body. You will look more feminine, beautiful, and fertile after the procedure. The results of the surgery are sustainable as long as you stick to a stable weight and avoid weight loss. Also, avoid weight gain as it may trigger the development of stubborn fat in the stomach and waist.


The hourglass surgery is plastic surgery procedure to sculpt your body and transform it into the hourglass shape, which is the most popular female body shape. The surgery involves removal of the excess fat from localized areas of the body, especially the abdomen, sides, flanks, and love handles. Removal of the fat helps contour these areas and makes the waist smaller. The fat is then injected into the hips so it can become wider. The results of the hourglass surgery will evolve, taking many weeks and even months to appear. The final results include wider hips, smaller waist, and a curvier body.








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