Introduction The obsession with the female anatomy is not new. In fact, the female figure has remained at the center of attention for centuries now. Men are more fascinated about the size and shape of a specific area of the female body because they have a natural and genetic tendency to prefer to mate with women having certain physical features. The most critical aesthetic areas of the female body include the breasts, buttocks, waist, and hips. Women look more feminine, fertile, beautiful, and sexy with fuller buttocks, wider hips, smaller waist, and a prominent bust. It is for this reason that many women desire to get these features because not all women get these desirable features naturally. Fortunately, different plastic surgery procedures can be used to carve the female body into the desired shape. Many women wish to get the hourglass body along with fuller buttocks. The combined use of hourglass procedures and butt implant surgery can help you achieve these physical features. Fuller buttocks, wider hips, and smaller waist Many women having smaller buttocks, narrow hips, and bigger waists suffer from lower self-confidence and have a poor quality of life. These aesthetic flaws and shortcomings in the body not only affect their self-esteem but also cause physical and mobility problems for them. During youth, the female body generates higher levels of estrogen, which helps the excess fat to get deposited in the buttocks and hips instead of the abdomen and waist. As a result, the buttocks become fuller and the hips become wider. But as you age, the estrogen production in the body plummets, which results in accumulation of the excess fat in the abdomen, sides, flanks, etc. As a result, the waist size increases and the buttocks decrease in size. The condition also causes the hips to narrow down. When the above-explained phenomenon takes place in the female body, it affects their overall anatomy and figure. There is no doubt that buttocks, hips, and waist are extremely important in defining the overall appearance of a woman. When these areas are not in shape and are out of proportion, it makes the woman look aesthetically unwelcoming. As such, the patient starts to experience self-esteem issues. Butt implant surgery can be used with the hourglass procedure to sculpt the female body into the hourglass shape and make the buttocks fuller. This is a modern approach to contouring the female body. The good news is that this combo procedure, which has been developed by Dr. Wilberto Cortes, has a history of effectively enhancing the female body and delivering the desired improvements. If you are considering undergoing the combined operation, you must choose your plastic surgeon carefully because not all plastic surgeons can perform this combo procedure. Make sure the surgeon is highly experienced in the combo surgery and can show you before and after surgery pictures of his past patients. Candidacy for the combined procedure Combining butt implant surgery with the hourglass procedure is a major plastic surgery procedure that involves risks and surgical trauma. As such, not all women will qualify. This procedure is recommended only for women who have smaller buttocks and want to get fuller buttocks, besides achieving the hourglass shape. To get the hourglass body, you also need to have enough excess fat in the body that can be used to widen your hips. The plastic surgeon will determine your candidacy during the pre-operative consultation. The surgeon will examine your buttocks, abdomen, sides, flanks, love handles, and the hips. He will also take specific measurements and identify the fat donor sites. Besides examining your body areas, the doctor will also assess your overall health. He will check whether you are having any major health problems and determine if it is safe for you to get the combined operation. If you have any major health problem, be sure to bring it to the knowledge of the plastic surgeon. Not doing so will only expose you to risks and complications. A good plastic surgeon will help you analyze the dangers of the combined procedure against the benefits and then tell you if it is okay for you to get the procedure. How is the combined surgery performed? The combo of butt implant surgery and the hourglass procedure is performed under general anesthesia because it is a highly invasive and traumatic procedure. A board-certified anesthesiologist will administer the anesthesia, after which the plastic surgeon will start the operation. The surgery comprises of two procedures and there are different steps involved in each: – Hourglass procedure o Fat extraction through liposuction and contouring of the waist o Fat processing and purification o Fat injection into the hips – Buttock implant surgery o Making an incision on the buttocks o Inserting and placing the implants into the buttocks o Suturing and closing of the incisions The operation starts with the hourglass procedure. To begin, the plastic surgeon will use liposuction to remove the excess fat from different areas of the body to contour the waist. This step has two goals: to get donor fat for transfer to the hips and to reduce waist size. Liposuction involves tiny incisions on fat donor areas and the use of a hollow tube called a cannula to remove the fat from those areas. After removing the fat from the area, the incision is sutured and closed. The same process is repeated on all fat donor areas until the waist size is reduced to the desired level and enough fat is collected for transfer to the hips. In the next step, the plastic surgeon will use a centrifuge to process and purify the fat collected during the first step. The surgeon will spin the fat at high speed, which will help separate the impurities, dead and damaged fat cells, blood, and fluids from the healthy and live fat cells. Once all the fat has been purified, the plastic surgeon will move onto the next step that involves transferring the fat to the hips. The goal of this step is to make the hips wider. The plastic surgeon will carefully pick each fat cell with a special needle and then inject them into the hips. This step involves meticulous work and calls for attention to detail. The plastic surgeon needs to have an excellent sense of aesthetics of the female body, a deep understanding of the hourglass figure, and the artistry to sculpt the body into the desired shape. The surgeon will carefully inject the fat cells into both hips. One of the most challenging parts of this step is to achieve symmetry between both hips. It calls for greater surgical skills and accuracy that not all surgeons possess. Now that the hourglass procedure has been implemented, the plastic surgeon will move on to the second procedure, i.e., the buttock implant surgery. Buttock implants are artificial objects made of semi-solid silicone material. They are highly durable, resilient, and immune to ruptures and deflations. Butt implants come in different sizes and oval and round shapes. The plastic surgeon can tell you best as to what size and shape are best for you. To augment your buttocks with gluteal implants, the plastic surgeon will make an incision in the fold between the buttocks. He will then insert and place the implants into the buttocks through the incisions. Once the implants are in the desired place, the plastic surgeon will suture and close the incision. The surgery will come to an end at this point, and your recovery will kick in. The recovery process can take many weeks; however, the first 2-3 weeks following the combined procedure are crucial. You must not go to work during this time and avoid sleeping on your back and sitting. Complete recovery can take six weeks and you should avoid strenuous activities during this time. The results will not be immediately visible. Your body will be swollen and bruised for many weeks. The results will not fully emerge unless and until the swelling has disappeared and the incisions have fully healed. Also, the fat cells injected into the hips need many weeks and even months to expand and nurture and deliver the desired outcomes. What this means is that the final results of the combo procedure will take many weeks and even months to be noticeable. When the results ultimately emerge, your waist will look smaller and smoother, the hips will look wider and sexy, and your buttocks will be fuller and more prominent. These features will make you look more feminine, fertile, sensuous, and beautiful. Conclusion Combing buttock implant surgery with the hourglass procedure is a new and more effective approach to introduce all-encompassing aesthetic improvements to your body. The combined surgery is recommended for women who want to get fuller buttocks, smaller waist, and wider hips. In this article, I have explained as to what the combo procedure involves and whether you are a good candidate for the surgery. I have also discussed the benefits and history of the operation.