Looking for hip/buttock augmentation. Recommendation?

[archlord]

Hello, i am currently looking for my last surgery and i wanted to get some information.

When i am visiting surgeons website, most of them are performing Brazilian Butt Lift for  cis womans . Usually most of girls arent asking for larger hips but for a bigger butt because it is flat.   In my case i would really like to have larger hips and i want something safe ( no sillicone injection). My butt has already a good size but its never  to much    Its really the hips width that complex me.


Are there any recommendation of surgeon that are used to work with trans  for buttock/hip augmentation? 

I am located in Montreal, but i dont mind going to USA/Mexico if its for a better result ( at the price it cost !)

[Harley Quinn]

https://www.susans.org/forums/index.php/topic,180220.msg1802379.html#msg1802379

This thread has a lot of good information on fat transfer to hip and bum.

[Sophia Sage]

Researching this on RealSelf, there are plenty of surgeons who are familiar with increasing the width of the pelvic area, especially those who specialize in BBL in the first place.  As always, results will vary. 

The important considerations are 1) having enough fat to transfer and 2) maximizing fat cell survival rates. 

The first is easy enough -- in general, having a BMI of at least 23 should ensure there's enough to harvest.  For the second, though, it really depends on how viable the target site is.  The transferred fat cells need to establish a new blood supply to survive.  The best indicator for that is having good musculature underneath the target areas.  The muscles in question are the gluteus medius, the tensor fasciae latae, and the iliotibial band.  They can be built up using various hip abductor and glute exercises (and working the gluteus maximus certainly won't hurt, either). 

The other thing that goes into the second consideration is a well-planned recovery.  For the first three weeks at least, one must minimize any pressure on the target areas, while maintaining compression on the harvest areas (the harvest reduces waist size, increasing hip/waist ratio).  The compression is easy, there are garments for that.  The hard part is not sitting for at least three weeks, nor sleeping on your back or your sides.  Most BBLs aren't as difficult because they're focused on rear projection, but for those of us who want to increase side projection, it's much more complicated.  Me, I never sleep on my stomach, and I don't know I'd be able to guarantee I'd never turn over in my sleep.  I'm wondering if holing up in a motel room with two beds, pulled together such that there's a gap of sufficient size for my derriere and hips to "hang out in" will do the trick.  Regardless, though, the recovery will be difficult, and as with most cosmetic surgeries it takes months for bruising and swelling (and pain) to subside enough to see what the final results will be. 

From my initial survey of the field, the names that I keep hearing with strong results are Dr Hughes in California and Dr Jimerson in Atlanta.  There are also a lot of practices in Florida, but in Florida they're only allowed to harvest a maximum of 4L from your donor areas; in the rest of the country, the max is 5L, so I'm ruling out Florida for the time being.  In general, after the purification process, about a third of the initial harvest's volume will be available for transfer.

I haven't had any consultations yet -- I'm spending the next year getting to my target weight, and working out my glutes like crazy. 

[chicken2356]

Researching this on RealSelf, there are plenty of surgeons who are familiar with increasing the width of the pelvic area, especially those who specialize in BBL in the first place.  As always, results will vary. 

The important considerations are 1) having enough fat to transfer and 2) maximizing fat cell survival rates. 

The first is easy enough -- in general, having a BMI of at least 23 should ensure there's enough to harvest.  For the second, though, it really depends on how viable the target site is.  The transferred fat cells need to establish a new blood supply to survive.  The best indicator for that is having good musculature underneath the target areas.  The muscles in question are the gluteus medius, the tensor fasciae latae, and the iliotibial band.  They can be built up using various hip abductor and glute exercises (and working the gluteus maximus certainly won't hurt, either). 

The other thing that goes into the second consideration is a well-planned recovery.  For the first three weeks at least, one must minimize any pressure on the target areas, while maintaining compression on the harvest areas (the harvest reduces waist size, increasing hip/waist ratio).  The compression is easy, there are garments for that.  The hard part is not sitting for at least three weeks, nor sleeping on your back or your sides.  Most BBLs aren't as difficult because they're focused on rear projection, but for those of us who want to increase side projection, it's much more complicated.  Me, I never sleep on my stomach, and I don't know I'd be able to guarantee I'd never turn over in my sleep.  I'm wondering if holing up in a motel room with two beds, pulled together such that there's a gap of sufficient size for my derriere and hips to "hang out in" will do the trick.  Regardless, though, the recovery will be difficult, and as with most cosmetic surgeries it takes months for bruising and swelling (and pain) to subside enough to see what the final results will be. 

From my initial survey of the field, the names that I keep hearing with strong results are Dr Hughes in California and Dr Jimerson in Atlanta.  There are also a lot of practices in Florida, but in Florida they're only allowed to harvest a maximum of 4L from your donor areas; in the rest of the country, the max is 5L, so I'm ruling out Florida for the time being.  In general, after the purification process, about a third of the initial harvest's volume will be available for transfer.

I haven't had any consultations yet -- I'm spending the next year getting to my target weight, and working out my glutes like crazy. 

Sophia, what if you're skinny? Will your hips still grow/become curvaceous? My guess is no since there's no fat to redistribute.

Also, archlord, you are beautiful. I saw other photos of you and, well, I was blown away, tbh. lol

[Sophia Sage]

Sophia, what if you're skinny? Will your hips still grow/become curvaceous? My guess is no since there's no fat to redistribute.

Being thin doesn't preclude building muscle.  While genetics certainly matter, it's first and foremost a matter of targeting the appropriate musculature and supporting that growth with a proper diet -- and in particular, a diet that includes enough protein and enough calories (in excess of your basal metabolism).

As for being skinny and not having enough fat -- suppose your BMI is 20, and there just isn't enough fat to harvest to deliver the results you need.  Well, if you want to have fat on your hips, you'll have to grow some fat, which means again consuming more calories than you burn.  While you might get fat in all the right places just from HRT, that's not often the case in practice.  That doesn't mean I'm advocating becoming overweight -- but having some fat on your bones isn't unhealthy.  Regardless, whether you're building muscle or fat or both, a calorie surplus is required. 

Also, be aware that BMI is an imperfect measure; if you have a lot of muscle to begin with your BMI will be higher than your body fatness actually is. 

[archlord]

Yes, this is exactly why i decided to keep my bodyfat high.   I could reduce my weight easily by 35-40 lbs right now ( 172lbs)   . This will be used to transfer fat to hip and buttock and only 70% will survive according to surgeons.   Im still unsure if i want to get implants

[chicken2356]

Thank you for the information Sophia. 

[Miss Lux]

I've consulted with  several surgeons and they told me that I don't have enough body fat to transfer and it it would be a waste... I am 5'3 and is between 92lbs to 104lbs... In other countries they do hip implants or hydrogel which is not safe and heard many horror stories so stick with the fat transfer or paddings .....Goodluck!

[Harley Quinn]

Yes, this is exactly why i decided to keep my bodyfat high.   I could reduce my weight easily by 35-40 lbs right now ( 172lbs)   . This will be used to transfer fat to hip and buttock and only 70% will survive according to surgeons.   Im still unsure if i want to get implants

I would stay away from implants... they look good but I can't imagine the possibility of rupturing one or it shifting if I ever fell.

[Sophia Sage]

I would stay away from implants... they look good but I can't imagine the possibility of rupturing one or it shifting if I ever fell.

Agreed.

Well, except that they don't always look good.  They become visible in certain body positions, and all the more so given they'll be placed in areas that have a lot more motion to them than, say, breast implants. 

What would be ideal is increasing the width of the iliac crest using some kind of titanium implant attached directly to the bone.  But I've not found anything like this.  It may entirely impractical given how various muscles are attached. And such an invasive surgery would also leave some not-good scars. 

[Angélique LaCava]

I think your hips and butt is fine. Get lipo in your waist and see if it makes a difference.

[Sophia Sage]

I think your hips and butt is fine. Get lipo in your waist and see if it makes a difference.

If she's gonna get lipo, might as well have it transferred someplace else rather than waste it (pun intended). 

[PrincessCrystal]

There are exercises you can do that will make your butt and waist and all that look more feminine.  They work even if you're not on hormones, and they'll probably work better on them.  Maybe you should try to beef up your butt muscles at the gym before you go get invasive surgery...

[chicken2356]

There are exercises you can do that will make your butt and waist and all that look more feminine.  They work even if you're not on hormones, and they'll probably work better on them.  Maybe you should try to beef up your butt muscles at the gym before you go get invasive surgery...

What are the exercises?  And have you tried them?

[Sophia Sage]

What are the exercises?  And have you tried them?

I've been doing a number of specific exercises for a couple of months now, on and off, but I'm already seeing results.

--------------------

Glute Press -- it's a machine at some gyms that isolates the glutes, with secondary impact on the quads.  It's basically a kind of kick-back exercise.

Glute Bridges and Hip Thrusts -- easy enough to find online. Still haven't done this "single leg" style but I plan on adding that to my routine at some point. 

Leg Press -- for isolating the glutes, I find it's easier to do "short" versions of this machine's capability: I put my feet high on the platform and just push a couple inches, first at the beginning of the movement when the glutes are fully stretched, and again at near full extension, when the glutes are maximally contracted. I avoid doing the full long movement because I don't want to overdevelop my quads and hamstrings.

Hip Abductions -- I do two different kinds.  One is with the formal machine, where you sit and spread your legs.  I go to the highest weight where I'm really pressed to get in 10-12 reps.  The other is standing, with a weight resting on the outside of one leg or another, and I lift my leg to the side as high as I can, pushing against the weight.  This I do for lower weights and higher reps, sometimes without weight at all.

Reverse Leg Lifts -- from your hands and knees, cross one leg back over the other one, and then lift up in the air as high as it can go.  No weights, but high reps. 

Elliptical Machine -- some of them, or similar machines, have adjustable inclines.  I'll go to max incline during a cardio workout several times as a way of doing high intensity intervals, then back to base level to catch my breath and keep going with my cardio.  Stairmasters would also work for this, but those leave me gassed!

Next I want to add Cable Kick Backs.

There are all kinds of other glute exercises, google your noodle. 

[Inarasarah]

I have been playing roller derby for 8 years, it has helped me develop a derby butt, a term most of us refer to as a well rounded posterior

Since losing some weight, I am planning on adding specific glute and leg workouts to my regimen as they do help.  Just waiting for the post surgery period to elapse before I start.