The term "hourglass figure" refers to a female body form as having measurements of "36-24-36" inches, and is based upon important biological and hormonal factors. These ideal female proportions invoke an image of a youthful, attractive, and sexually enticing woman in our modern day society. A widely used technique that reliably measures the attractiveness of the female figure is known as the waist-to-hip ratio (WHR), where the typical range for a healthy, attractive, premenopausal woman has been shown to be 0.67 to 0.80, with 0.7 being ideal. Therefore, cosmetic surgeons who understand these anatomical proportions are better able to provide their clients with a youthful and more attractive figure.

Buttock augmentation can be accomplished in various ways--either with silicone buttock implants or by performing a surgical butt lift. However, a more innovative surgical procedure involves large-volume fat transfer into the buttock muscle--a procedure known as a "Brazilian Butt Lift". This advanced form of buttock augmentation involves a "two-in-one" surgical approach and requires three separate steps:

1) Your own fat is removed through standard liposuction techniques from your abdomen, flanks and back, thus leaving you with a narrowed and more proportionate waistline.
2) The harvested fat cells are processed and stored.
3) The fat cells are finally transferred or "transplanted" into your buttock region and artistically sculpted, thus providing you with more projection and fullness.

The transfer of your own fat cells into your buttocks is performed layer by layer, first starting deep within the muscle and slowly becoming more superficial.

This "two-in-one" procedure--liposuction along with fat transfer--results in rounder, fuller, and firmer buttocks along with a slimmer waistline, thus restoring your waist-to-hip ratio to more feminine proportions. Nonetheless, one of the paramount goals of a Brazilian Butt Lift is to reestablish your feminine waist-hip-ratio of 0.7 in order to accentuate important anatomical landmarks of the buttock, hip, and waist anatomy. Not everyone is a candidate for a Brazilian Butt Lift, as the most common contraindication is not having enough fat for liposuction harvesting and fat transfer.

Michael L. Thornton, D.O., FACOS, Cosmetic Surgeon, Mansfield Cosmetic Surgery Center, Mansfield, TX, http://www.mansfieldcosmeticsurgery.com

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