Filling hip dips for a continuous side line

This illustration was created with AI to aid understanding and does not show an actual surgical result.
A hollow on the side of the pelvis, between the buttock and the outer thigh, that makes the side line look interrupted is often called a hip dip. It is usually caused by the shape of the bones, muscles and the way fat is distributed, so it may not change with exercise or diet alone.
Hip fat grafting purifies fat harvested by liposuction from the waist, flanks or thighs and transfers it to this hollow to smoothly connect the side line from the waist through the hips to the thighs. When the waist is contoured at the same time, the waist-to-hip proportion changes as well.
In a standing position, we mark the extent and depth of the hollow and any asymmetry. Because hollows caused by bone shape can only be filled to a limited degree, we explain this as well.
Under tumescent local anesthesia, fat is harvested from the waist, flanks and thighs while the waistline is contoured.
Only fat suitable for grafting is prepared.
Centered on the deepest point of the hollow, fat is placed in multiple layers within the subcutaneous layer above the muscle, parallel to the skin, using a blunt cannula.
1. Never into the muscle. The side of the pelvis is continuous with the buttocks. As with the safety guidelines for buttock fat grafting, fat is injected only into the subcutaneous layer, not the muscle, in a direction parallel to the skin. A study analyzing more than 1,000 patients also reported injecting into the subcutaneous layer under this principle.
2. Respecting the limits of bone shape. Hollows caused by the shape of the pelvic bones themselves are difficult to eliminate completely with fat. Overfilling can increase lumps, calcification and absorption, so our goal is a naturally continuous contour.
3. Graft survival varies. How much of the transferred fat remains differs from person to person, so additional grafting is considered, if needed, after the volume has settled.
Q. Is it possible if I am slim?
The key is where and how much fat can be obtained to fill the side of the hips. We first check the available donor areas and amounts through examination.
Q. Can it be combined with buttock fat grafting?
The sides of the hips and the buttocks are continuous, so they are often planned together. The principle of placing fat only in the subcutaneous layer, not the muscle, applies to both areas.
Swelling and bruising may occur at the hips and donor areas, and a compression garment is worn over the donor areas. We will advise you not to lean on the grafted area or lie on your side for long periods.
※ Possible side effects include bleeding, infection, hematoma, variable fat graft survival, asymmetry, calcification and swelling. Results may vary from person to person.
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