How to choose the plastic surgeon for the hourglass procedure - Hourglass Tummy Tuck
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How to choose the plastic surgeon for the hourglass procedure


The hourglass body shape is one of the most revered silhouettes of our time and has been like this for quite a while now. The hourglass body entails similar dimensions for the hips and the shoulders and a waist that is 20 to 30% slimmer than the hips. A few decades ago, the unwritten golden rule for beauty contests was for participants to have measurements of 90-60-90 cm (shoulders – waist – hips), but nowadays it is more a question of symmetry and body proportions than respecting a certain dimension to the last centimeter. In other words, the hourglass silhouette has curves in all the right places, especially on the hips and a slim and narrow waist.

Unfortunately, less than 8% of women nowadays are born with this type of silhouette, and even they can lose it due to a sedentary lifestyle and other habits that affect the shape and weight of the body over time.

Plastic surgery comes to help women looking to get the hourglass silhouette, and special procedures have been developed and perfected over the years. Among them are the hourglass tummy tuck and the hourglass hip procedure that are very much in demand nowadays.

In this article, we will discuss more about the hourglass procedures and how to choose the plastic surgeon to play out this procedure.

About the tummy tuck hourglass procedure

When talk about the hourglass procedure, we often talk about a combination of plastic surgery procedures or techniques that are performed in the same operation to help the patient improve certain areas of the body to achieve the hourglass body. Hourglass procedures always include liposuction and fat transfer and in most cases are performed with the patient under general anesthesia.

When it comes to the hourglass tummy tuck procedure, the plastic surgeon will start the procedure by performing liposuction. Liposuction is performed on the so-called donor areas and aims to fulfill two roles. First, with the help of liposuction, the plastic surgeon aims to contour the body into the hourglass shape and create curves where there are adipose deposits that blur the shape. However, this fat that is collected with liposuction will also be processed and purified and then re-injected into the hips to add more volume to the area.

Liposuction is often performed on the abdominal wall to reduce the thickness of the adipose tissue and make the tummy slimmer. This is to remodel the middle area in preparation for the hourglass body. However, if the plastic surgeon doesn’t find enough fat for transfer in these areas, other areas of the body might be addressed with liposuction. These include the flanks or thighs. Liposuction is the first stage of the hourglass procedure, and it is completed when the plastic surgeon is satisfied with the reshaping of the body and has also collected the required amount of fat necessary for fat grafting to the hips.

Next, the techniques of the tummy tuck procedure will be performed. This means the plastic surgeon will perform an incision on the lower part of the abdominal area, on top of the pubic area that goes horizontally from hip to hip. Another incision is performed around the belly button in a circle and is required for the repositioning of the navel if the procedure is more complex. After the incisions are performed, the plastic surgeon will pull the tissues of the tummy, fat and skin up to the level of the ribs after detaching them from the muscles of the abdominal wall. For patients who had multiple pregnancies in the past, the muscles of the abdominal wall are often distended and loose, lacking tonus. The plastic surgeon will correct this condition by using sutures to bring the muscles together on the median line. After the muscle diastasis is fixed, the plastic surgeon will re-drape the skin and fat tissue over the abdominal wall. The excess tissue is removed and the incisions are sutured. A new incision will be made for the navel.

For patients concerned with the appearance of their tummy after the hourglass tummy tuck, it is important to know that if they had stretch marks or other skin imperfections on the tummy, (e.g. C-section scar) they can be removed partly or completely during the tummy tuck if the imperfection was positioned on the pedicle of excess skin that was removed. This often means that imperfections positioned on the lower part of the abdominal area can disappear together with the excess tissue. However, it is important to keep in mind that stretch marks or other imperfections that are positioned on the upper part of the abdomen will descend once the re-draping of the skin is performed.

After the incisions for the tummy tuck are sutured, the plastic surgeon will start the third stage of the procedure and a very delicate one: the fat transfer to the hips. The transfer uses the purified fat that was collected with the help of liposuction. The fat is injected in different layers and parts of the hips to ensure a certain symmetry and beautiful results. The plastic surgeon will use special syringes for this part of the procedure so the patient won’t be left with significant scarring on the hips.

The recovery period after the hourglass tummy tuck is one or two weeks. During this time, the patient is strongly advised to avoid any intense activities.

How to choose the plastic surgeon for the hourglass procedure

When it comes to choosing the plastic surgeon to play out your hourglass procedure, there are certain factors to keep in mind such as:

– Board certification

The board certification testifies that the plastic surgeon has spent numerous hours performing procedures and learning about them. Seeing a board-certified plastic surgeon to discuss your procedure is important when trying to get the best results possible to also minimize potential risks and complications.

– Experience

The hourglass procedures are delicate and complex surgeries. The plastic surgeon performing them should have a keen eye for details and a fine sense of feminine aesthetics, aside from plenty of experience in the medical field. This means that in most cases, it is only a plastic surgeon who routinely performs this type of procedure that will deliver the best results.

– Good results achieved in the past

Make sure to ask for before and after pictures of patients who had this surgery with the same plastic surgeon. A most experienced plastic surgeon will be able to show you numerous pictures and even pictures of patients with similar anatomical characteristics as yours. If the plastic surgeon has achieved spectacular results in the past on other patients, chances are you will get satisfactory results after the procedure as well.

– Feeling able to trust the plastic surgeon

An important factor when choosing the plastic surgeon is your ability to trust him and feel confident that he can deliver you the results you desire. Moreover, keep in mind that during the pre-operative consultation, you will be required to share private details about your medical history, medication and allergies, as well as other life habits to give the surgeon an idea if you are a good candidate for the procedure.

You can look for a plastic surgeon to play out your procedure online or by taking the recommendation of friends who had the procedure; however, keep in mind that your relationship with the doctor should be honest and open.


The hourglass body shape is very much in demand nowadays. Considering the fact that there is only that much exercise and diet can do, many women resort to plastic surgery to make their dreams come true. The procedures to achieve this goal are called the hourglass procedures, and among them the most commonly performed are the hourglass tummy tuck and the hourglass hip procedure.

When choosing the plastic surgeon, keep in mind that he or she should be board-certified and highly experienced in performing this type of procedure. Moreover, it would be ideal if the plastic surgeon has achieved good results in the past on other patients, and also if you feel comfortable talking to him about your aesthetic goals and medical history. Keep in mind that the relationship with the plastic surgeon doesn’t end after the procedure as follow-up consultations are necessary.








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