Gaining weight after lipo and fat grafting?

[Charlie Nicki]

So I had lipo to mold my waist. I have a feminine shape now and a small waist and toned abs (I've been dieting a lot) and my doctor transferred the small amount of fat that she got from there, to the hips and butt. She told me if I gained 2-3 kg it would directly to my hips first. I know that if I gain more, I'll gain it everywhere, but sometimes I just want to try if I will get a curvier body, I would love to gain weight in my lower region. Has any of you been through this?

[Virginia]

If you gain weight it will go directly to the hips because a male body on estrogen will store new fat in a female pattern. Many people diet before going on HRT for the express purpose of the lost weight returning to their breasts, thighs and buttocks when they resume their normal eating habits on hormones. In your case the accumulation will be the same any female Ectomorph.

I'm not sure whether gaining weight would cause any increase in the grafted fat because it came from your abdomen (typical male pattern fat). My plastic surgeon warned me about this with a recent fat graft to restore cancer surgery on my face. He explained that fat "remembers" where it came from. If I ever gained any weight, it would go right to my face. He doesn't recommend the procedure for people in their 20's/30's because of the tendency of people to gain weight as they grow older.  Fat transferred to the fact would increase disproportionately so there is a significant risk of disfigurement. In your case I suspect the fat transferred to your buttocks and hips would remember it was from the belly and not respond to your new female pattern fat growth from HRT.

I am surprised your doctor did fat transfer to the buttocks as I was under the impression it is generally not successful because the pressure from constant sitting does not allow the graft to taker hold (I was instructed to sleep on my back to avoid putting ANY pressure on my cheeks for the first month after my suregery and had a nearly 100% survival rate for the transfer). Would you mind sharing how long ago you had the procedure and the percentage of fat that survived the graft?

[Charlie Nicki]

If you gain weight it will go directly to the hips because a male body on female hormones will store new fat in a female pattern. Many people diet before going on HRT so when they regain the lost weight it will return on their breasts, thighs and buttucks.

I'm not sure this would cause any increase in the grafted fat because it came from your abdomen (typical male pattern fat). My plastic surgeon warned me about this with a recent fat graft to restore cancer surgery on my face. He explained that the fat "remembers" where it came from. If I ever gained any weight, it would go right to my face. He doesn't recommend the procedure for people in their 20's/30's because of the tendency of people to gain weight as they grow older.  Fat transferred to the fact would increase disproportionately so there is a significant risk of disfigurement.

I am surprised your doctor did fat transfer to the buttocks as I was under the impression it is generally not successful because the pressure from constant sitting does not allow the graft to taker hold (I was instructed to sleep on my back to avoid putting ANY pressure on my cheeks for the first month after my suregery and had a nearly 100% survival rate for the transfer). Would you mind sharing how long ago you had the procedure and the percentage of fat that survived the graft?

The fat in my butt was extremely minimal, due to the fact that I didn't have much fat to begin with and my doctor preferred to focus on my hips to give me a more feminine look. I really love the results, it's been 3 months already and I've lost a ton of weight overall so I'm not sure what percentage survived but the shape is still there.

My doctor said that transferred fat cells actually gain up to 3x more weight than the ones that stay in their natural place, meaning that according to her, if I gain weight it'll go to my hips and butt. But I'm a bit scared to try cuz I really like how the rest of my body looks...smaller back, waist, arms, etc...and I don't want those to increase again.

[Virginia]

I am very happy for you! Does your doctor know you are on female hormones?

[Charlie Nicki]

I am very happy for you! Does your doctor know you are on female hormones?

Yes of course, she knows my entire history. I went full time after my surgeries with her. My endo also told me to gain some weight so it could go there...but honestly I've been on hormones for a year and I didn't see much fat redistribution before, my butt did get rounder but I think that was mostly it.

[Virginia]

I ask because because other than confirming my prescription medications, my doctor never even mentioned the Spironolactone and Estrogen I had listed on my intake form (I am not transitioning and take them for my psychological disorder). And I was also surprised your doctor would tell you to expect the transferred fat cells to gain up to 3x more weight than the ones that stay in their natural place, given a female pattern fat distribution not affecting abdomen fat as drastically as breast, thigh and buttocks because of HRT.

I've been on hormones for a year and I didn't see much fat redistribution before, my butt

I suppose we are often inclined to want we don't have. Many would give a front tooth for an Ectomorph's tendency to a lean body. I have been on a full transition level regimen for 9 years (constant weight) and have seen almost no redistribution of fat. In my case as the male alter of a Dissociative Identity/Multiple Personality Disorder System my biggest fear was hormones would make it impossible for people to see me as guy. The changes I did experience were a happy medium for me and my female alter, Flytrap.

[Allison S]

If you gain weight and it goes to the "wrong" places (even though you had an orchi and that's unlikely) would you consider fat transfer? I know it's not ideal and it's costly but it could be done. I just see gaining weight in your case could be helpful since you're now more likely to gain in lower body. But then again that's just the likelihood of what estrogen does, but genetics plays a big part too.
I think it's orchi>fat transfer>gain weight if needed. In that order.. But don't take my word for it, I just think that makes sense.
Good luck!! [emoji173]

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