However, with the development of technology and surgery, desire of having shapely butt has increased recently and there has been an increase in those who want to change the deformed hips into a certain form for various reasons. With the entry of social media into our lives, this demand has increased exponentially.
In researches made by including social expectations, 1/3rd of the beautiful hips are described as round and big.
Although many criteria have been defined, two important issues have come to forth.
1. In women’s sides of the hips needs to be full whereas in men’s are sunken.
2. The line in the lower part of the hip, which is called the gluteal sulcus, should be as low as possible.
The lengthiness of this line is associated with sagging. If the line is longer and deeper then it is considered as sagging hips.Another feature is the waist to hip ratio. The waist to be thin and the hips to be wide is desirable.The 90-60-90 measure is a ratio all over the world. Waist 60 cm, hip 90cm or waist / hip ratio 0.65 is an ideal measurements.
Although these features are accepted criterias in all cultures, shape of the hip should be decided in consultancy by a doctor together with patient.
For instance, although the fullness in sides of hip is highly desired in Hispanics, a slight inward curve is more preferred by Caucasian races.Therefore, patient’s choice in hip shape should be determined but still, patient's expectation must be realistic.
Condition of the hip, body structure of the person, the fat tissue, the condition of the hip muscles determine how the hip could be.
The most important causes of deformities in the hips are excessive weight loss and aging. However, there may be genetically small and large hips, also accidents and traumas can cause undesirable hip appearance. Injections to the hip and associated abscesses or atrophies may cause deformity as well.
Operations performed to shape the buttocks are divided into three.
The most popular method for reduction is liposuction. The excess of the hip area that especially bothers women, can be easily corrected with liposuction. It can also be done with perigluteal liposuction to reduce the entire hip.
There are several methods of augmentation. The first of them is hip prosthesis. Prostheses that are used has the same characteristics of breast prostheses. However, as in the breast, there is no pocket that can be prepared naturally on the hips. So, a pocket is created in the hip muscles and a prosthesis is placed in that area.
The incision is in the cavity in the middle of both hips. Although it is hidden by muscle and adipose tissue, problems such as displacement may occur in the prosthesis over time.
The second method is the transfer of fat to the hip area that is taken from different parts of the body. This method is healthier. However, it has disadvantages which are amount of fat that is injected is limited and it would be absorbed over time.
The third method in augmentation is the use of hyaluronic acid. Its use is limited because it causes too many infections and allergies.
In the shaping process, enlargement and reduction operations are combined. Especially when transferring fat to the upper and lateral parts, sometimes the fats taken from the large hips are transferred to the upper parts of the hips.
One of the most important operations in shaping is the hip hanging procedure. Especially with postbariatrics or those who lost a lot of weight with diet, sagging of the hips may occur with aging.
In these cases, the hips are hung up with the help of fat transfer or incisions made in the waist area with hip prosthesis.
Together with butt enlargement and lifting procedures, fat transfers to different parts of the body are a frequently performed procedure nowadays.
In order to be able to do this, first of all, there must be sufficient fat in certain parts of the body and at the same time, these fats must be in areas suitable for removal. Before taking the fat, a specially prepared liquid is injected into the area where the fats are located, thanks to these fluids, the connective tissue between the fats is broken and the fats are taken out more easily.
Fats taht is taken out with specially prepared cannulas are collected in special sterile containers. These accumulated fat then goes through some processes and transferred to special injectors and with those injectors, they are injected into the fat tissue and sometimes into the muscle in the hip area.
But the fat injected into the muscle tissue carries the risk of embolism, therefore the most preferred area is inside the adipose tissue.
Compared to other materials injected into the hip area, adipose tissue is very safe, and the risk of infection is lower since it is taken from the person's own tissue, and there is no allergy or rejection reaction, as we transplant a living tissue.
The adipose tissue which later to be transfered to the hip should be removed with cannulas as small as possible in order to obtain a smoother finish. There are very important issues that the patient should pay attention to after the transfer.
First of all, it is necessary that not to lie on the hips for at least three weeks and for patients lying on their back, waist and leg pillows should be used which will leave the hips in the air, otherwise a square hip appearance may occur due to sliding of the transferred fat to the sides. To prevent this happening, special corsets could be used which uncovers the hips.
Apart from this, transferred fat may cause small shrinkage on the hips and to stop this, massage is recommended at certain periods. In order to be able to transfer fat for bigger hips, there must be enough fat in certain parts of the body. It is not appropriate for patients to expect large hips if they do not have enough fat. In such cases, gluteal prostheses or injections can be combined.
After fat transfer surgeries, patient should be active an moving around in the early period and walk as much as possible in terms prevention of both vein thrombosis and fat embolism.
The transferred fat would be nourished, revitalized and shaped in the hip area. This completely depends on the nutritional status of the person and the body structure and blood supply of the area. Unfed fat cells would be absorbed and over time, hips may shrink again. If this happens then a fat transfer is possible again.
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