Tummy tuck and hourglass hip procedure at the same time - Hourglass Tummy Tuck
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Tummy tuck and hourglass hip procedure at the same time


The abdominal area is a major aesthetic concern for both men and women. The tummy tuck or abdominoplasty is one of the most popular cosmetic surgery operations today. In some cases, it comes within the scope of reconstructive surgery, especially for clients who had bariatric surgery to lose weight, but in a vast majority of cases, the purpose is purely cosmetic. When considering such a complex procedure, some patients ask the surgeon for complementary procedures that can be performed at the same time with the tummy tuck and enhance the body even more.

Unfortunately, in many cases, the patient suffering from sagginess of the abdomen is also confronted with other aesthetic imperfections such as fat accumulation on the flanks. Most women choose to undergo the tummy tuck procedure as they believe it will help them get a firmer tummy, a slimmer waist, and an hourglass silhouette, but this doesn’t happen very often when a traditional tummy tuck is performed.

In this article, we will discuss about associating the tummy tuck with the hourglass hip procedure to achieve superior aesthetic results.

Definition of abdominoplasty

The tummy tuck consists of tightening the skin of the belly and/or the muscles of the abdominal wall. It is performed and recommended in several cases when there is:

– sagging skin on the abdomen following one or multiple pregnancies, significant weight loss;

– an unsightly aspect of the abdominal area that occurred with aging;

– umbilical hernia;

– a distension of the muscles of the abdominal wall.

A tummy tuck should always begin with the careful choice of the plastic surgeon to play out the procedure. While choosing a surgeon based on the recommendations of friends and what you read online on forums, make sure to also check his experience in performing this type of procedure and whether he is board-certified.

The medical examination will be the next step in the process of getting a firmer, flatter, youthful-looking tummy. This will happen during the pre-operative consultation.

When the patient desires to improve more than the appearance of the abdominal wall, the hourglass hip procedure might be recommended by the plastic surgeon. The results to be expected after a traditional tummy tuck are a flat and firm abdomen; however, the procedure does not address the issue of the abdominal fat layer, the flanks or the hips. Patients who have a rather square shape—meaning the dimensions of the shoulders are similar to the hips and the waist is not very well-defined—might end up with a Spongebob figure after a traditional tummy tuck.

The hourglass hip procedure

The hourglass hip procedure can be performed with a tummy tuck or as a standalone procedure. It targets patients who want to improve the overall aspect of the silhouette and achieve an hourglass figure. The hourglass body figure is one of the most sought-after body shapes, and it is defined by a waist that is slimmer up to 30% compared to the size of the shoulders and hips. But more often than not, women notice that their hips are quite narrow compared to the rest of their anatomy. To get wider hips, no amount of physical exercise or diet can help. It is only with the help of the hourglass hip procedure that this goal can be achieved.

The hourglass hip procedure often delivers impressive results; however, it is essential to choose a plastic surgeon who is board-certified and performs this procedure routinely if you want to achieve the best results possible. Keep in mind that the surgeon will work with the patient’s existing body frame. This means that how wide your hips can get depends on the amount of fat that can be removed from the donor areas, along with the initial condition of the hips.

Tummy tuck combined with the hourglass hip procedure

A tummy tuck lasts approximately an hour and 30 minutes to 3 hours. The operation takes place under general anesthesia, and the patient remains hospitalized up to 24 hours if no complications occur. When the tummy tuck is performed in combination with the hourglass hip procedure, the procedure can last up to five hours, depending on the complexity of each case.

This type of combined procedure starts with liposuction. The plastic surgeon will use a hollow cannula attached to a powerful suctioning medical device to remove fat from localized pockets in the abdomen and the flanks. The cannula is inserted through small incisions made in the skin on the targeted areas. Often these incisions are no longer than 3-4 mm. The areas often addressed with liposuction are the abdomen and the flanks to sculpt a more defined and smaller waist and a flatter abdomen.

However, the purpose of liposuction during this procedure is not only to remove fat but also to add volume to the hips by transferring this fat to that area. This means that if the surgeon doesn’t get enough fat from the abdomen and the flanks, other areas might be targeted with liposuction to collect more fat. These areas could be the thighs or other areas of the body where the thickness of the fat layer is more significant. Once liposuction is complete, the tummy tuck comes next.

At first, the surgeon makes an incision around the navel. Once the skin is tightened, it will be repositioned to a higher position on the abdomen. The next incision is on the supra pubic area, and its length depends on the amount of skin to be removed. In many cases, the incision can be from hip bone to hip bone. Despite its length, the incision will be barely visible one year from the procedure when the scars are fully matured.

After this incision, the surgeon will separate the skin and fat tissue from the muscles of the abdomen and lift these tissues up to the ribs. If diastasis recti is present, the surgeon will strengthen the abdominal muscles with sutures. The skin and fat tissues are then pulled back down and the excess skin and fat are removed. A new orifice is made for the navel and sutured. Finally, the surgeon sutures the wound with resorbable threads. Suction drains are placed under the skin.

Another stage of the procedure is the fat grafting to the hips. After the fat is removed with the help of liposuction, it will go through a complex purification process that will deliver only healthy and pure fat cells that are more likely to survive after the transfer. These cells are transferred with the help of special syringes into the hips to create more volume and an alluring shape. The fat transfer to the hips is a delicate procedure, even if it might seem quite simple. The fat needs to be distributed evenly to achieve a certain level of symmetry and also at different depths and in different parts of the hips to ensure the survival of the fat grafted. After this step is completed, compression bandages are placed over all areas that were treated and the patient can go to the recovery room.

When the tummy tuck and the hourglass hip procedure are performed in one sitting, the patient can enjoy more aesthetic benefits. Moreover, the patient needs to undergo general anesthesia just once instead of twice and will only need to take time off from work once. The benefits of undergoing these procedures combined often weigh more than the risks of undergoing separate procedures.


The tummy tuck and the hourglass hip procedure can be performed at the same time to achieve superior aesthetic results. Combining these procedures is recommended when the patient has a considerable layer of fat on the tummy and the flanks, sagginess of the skin on the inferior part of the tummy, and narrow hips. The results achieved with these procedures are a slimmer waist, wider hips and a flat and firm abdominal area. During this procedure, the plastic surgeon will combine the methods used for the traditional tummy tuck, liposuction, and fat grafting.








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