I routinely see tons of patients that want to have an hourglass shape, and many times they comment that other surgeons believe that injecting fat in the hip is not a procedure that will provide with the best hourglass shape. I have to respectfully disagree, and I have been performing hourglass hip procedure for many years. In the hourglass hip procedure, fat is injected in the hip area. To understand how it works, you need to understand the anatomy of the hip area. When we talk about the hip area, we talk about the hip bone and all the surrounding soft tissue. This bone is essentially on the lower side of the abdomen. The hip bone has a downward slope. There are some muscles that attaches to the hipbone. Over the hip bone there is the superficial fascia as well as the skin. The hip area by itself, not the bone, is what you see with an hourglass shape. It starts at the most superior aspect of the hip bone and extends and blends to the thigh below. If we draw a line from the groin thigh junction, this is the area of maximum projection that needs to be accentuated for the ultimate hourglass shape. Now, you need to understand that the space of the hip area is very limited, and there are many factors that will determine if you are going to have wider hips versus a smaller hip. In the hip, the tighter your skin is, and the tighter the superficial fascia, the less width of the hip you will have. When it comes to hip augmentation, you need to understand the anatomy of the hip, the space available for fat transfer, and your skin tone among other things. If you have very tight hip anatomy, your roundness will be much less than somebody having looser anatomy. When you come to the consultation, I will discuss all these factors with you and we are going to come up with a plan to provide you an hourglass shape that is realistic, taking into consideration your expectations as well as your underlying anatomy.