Category: fat grafting | hip implants | technical strategies

Technical Strategies – Trochanteric Hip Augmentation by Pedicled Fat Flap from a Tummy Tuck

Hip augmentation remains a challenging body contouring procedure. An autologous approach with fat injections are the most logical approach but the survival of fat in the hip area is generally poor particularly if a deep trochanteric depression exists. Hip implants offer assured volume retention but have a significant complication rate due to the lack of Read More…

Plastic Surgery Case Study – Dermal-Fat Grafting for Hip Augmentation in Tummy Tuck Surgery

Background: Hip contouring historically was a reductive procedure for which liposuction was the definitive treatment. While that aesthetic body contouring need still exists today the reverse, hip augmentation, has become a commonly requested procedure. Driven by the increasing demand for buttock augmentation as well as male to female gender affirming surgeries the role of hip Read More…

Design and Surgical Placement Concepts in Custom Hip Implants

The breast and buttock regions dominate the locations for aesthetic implant augmentation on the body based on largely female requests. The hip area has become an increasingly popular request for implant augmentation due to its proximity to the buttocks and the ability to help provide some visible more feminine curves below the waistline. But the Read More…

Plastic Surgery Case Study – Creating Feminine Curves Through Rib Removal Waistline Reduction and Fat Injection Hip Augmentation

Background: Body contouring in the transgender male to female patient is fundamentally about creating curves which is associated with a more feminine appearance. There are a variety of procedures to do so including breast augmentation, waistline reduction and hip/buttock augmentation. Not every patient needs or wants all three areas treated although the best results comes Read More…

Technical Strategies – Screw Fixation of Iliac Crest Implants

Aesthetic augmentation of the hips is largely soft tissue-based. The aesthetic hip area is traditionally perceived as variable locations below the iliac crest bone which at some point becomes the lateral thigh. The iliac crest serves as the superior boundary for hip implants and is often where the location is for their placement incisions. While Read More…

Plastic Surgery Case Study – Modified Custom Hip Implant Replacements for Non-Hip Implants

Background: Aesthetic augmentation of the hips is far more challenging that other body areas for two reasons. First the common use of injection fat grafting, unlike that of the buttocks, has far less predictable results. Fat survives more poorly in the hips than the buttocks for unknown reasons. Second, there are no standard hip implants Read More…

Hip Widening By Iliac Crest Bone Implant Augmentation – Concept and Technique

Hip augmentation is most commonly perceived as the region over the greater trochanter of the upper leg. It is intended to widen the soft tissue hip region as it relates to the same level as the buttocks but more anteriorly located. This can be accomplished by either fat injections or implants, each which has their Read More…

Plastic Surgery Case Study – Maximal Body Contouring with Combined Rib Removals and Custom Buttock and Hip Implants

Background: The mid-body region for contouring can be done by a variety of surgical procedures. The most well known and commonly done are liposuction, fat transfer augmentations and buttock implants. This collection of now standard procedures can satisfy most patient’s needs for a smaller waistline, larger and more shapely buttocks and, in some cases, even Read More…

Plastic Surgery Case Study – Custom Hip Implants in the Thin Female

Background: Hip augmentation remains one of the newer forms of body augmentation. The widespread use of fat injections for buttock augmentation has brought similar attention to the geographically proximate hip region. To some degree they are both anatomically and aesthetically connected as it is hard to see one without the other. Often volumetric and shape Read More…

The Challenges of Hip Implant Augmentation

The interest in the hip augmentation has skyrocketed as the number of adjacent buttock procedures have risen over the past decade. While some buttock procedures can create some degree of a hip augmentation effect (fat injections, subfascial implants), most of the time the resultant hip widening is seen as either short-lived (fat injections) or incomplete/inadequate. Read More…