Introduction The remodeling of the body with the help of the patient’s own fat tissue is a delicate but very popular procedure frequently performed in the United States and all over the world. The procedure targets different areas and reshapes and contours the body to make it more aesthetically pleasing. Fat transfer procedures are often a good solution to fight the signs of aging on the face and body and also to create moderate augmentations. The procedure consists of three steps: liposuction, the centrifugation of fat, and the transfer of the fat to different areas of the body. A procedure that has seen a considerable increase in demand over the last ten years is fat transfer to the buttocks, often performed in combination with fat transfer to the hips. Patients prefer this procedure as it is completely natural, minimally invasive, and it can help them achieve the hourglass shape they have always dreamt of. In this article we will discuss fat transfer to the butt and hips, post-operative protocols, and working out after the procedure. Benefits The hourglass figure is the most revered feminine body shape. It has been the trademark of many celebrities over the years and is without a doubt the sexiest body shape for a woman. The hourglass figure entails a waist that is at least 15-30% smaller than the hips and shoulders (the hips and shoulders should have similar circumferences). But the hectic lifestyles of the modern world often lead to an accumulation of fat in the middle area. Moreover, most women have narrow hips and wide shoulders, which is not a very attractive look for a woman. A sedentary lifestyle can change the shape of the body into one that is less feminine and alluring. Moreover, there is little that women can do to achieve the beautiful hourglass body shape, aside from undergoing plastic surgery. Nowadays there are many procedures developed and performed with the aim of helping the patient achieve the hourglass shape. Among them, a popular procedure is fat transfer to the buttocks with hip augmentation. If there are things we can do to make the waist slimmer such as diet and physical exercise, the appearance of narrow hips can only be corrected with the help of fat transfer. The main advantage of using fat transfer to the hips and buttocks is that by using the patient’s own fat tissue, the body won’t reject it and the results achieved are completely natural. The procedure is performed with the patient under general anesthesia so there is no pain and discomfort during the operation. Recovery period After the procedure, the patient will stay in a recovery room at the hospital for a few more hours, just so the medical staff can monitor the recovery. Complications are rare to occur after this procedure is performed, so the patient will be discharged from the medical facility after a few hours. Upon the return home, it is recommended to get more rest for at least the next 24 hours or so. The body has gone through surgical trauma and even if the procedure is not highly invasive, the body needs time to heal and restore. After the first 24 hours, the patient can start resuming normal activities, but not intense physical activities. During the first week, it is normal for the patient to feel a certain level of pain and discomfort, and this is why the plastic surgeon will prescribe pain medication as well as antibiotics to keep infections at bay. The compressive garments are mandatory to be worn around the clock for at least three weeks as they have a role in promoting fast healing and reducing the swelling that can occur in the areas treated with liposuction and fat transfer. Another important recommendation that the patient needs to follow is not to sit on the buttocks nor lie on the back or sides of the body for at least three weeks. This is the one thing that could make the recovery period more tedious for patients seeking this procedure; however, it is crucial to follow this instruction for the success of the procedure. Putting unnecessary pressure on the areas where fat was grafted can cause the fat to die and be reabsorbed by the body. After the first three weeks, the patient can sit on the buttocks and also lie on the sides as the fat transferred should have developed a new blood network by then that would ensure its survival in the new environment. Many patients also want to know when they can start working out after the fat transfer procedure and how will this affect the results. Working out after fat transfer As we have just discussed, the fat transfer procedure involves the harvesting, processing and reinjection of fat into the buttocks. This is why a very common question people ask is whether this fat will survive in the new environment if they start working out after the procedure. You should know that the fat that was transferred to the buttocks will be just like the fat that was initially in the buttocks before the procedure was performed. It takes about three weeks for the fat to get a new supply of blood that will ensure its nutrition and the fat cells that came from the donor areas will start acting just like the other fat cells that were originally in the buttocks. This means that if you put on weight, the cells transferred will increase their volume just like the other fat cells in your buttocks. If you lose weight, their volume decreases accordingly. However, there is another important aspect you need to keep in mind. Each body reacts differently to the same factors. For example, there are patients who will accumulate fat preponderantly on the midline when weight gain occurs while others will have them on the thighs or buttocks. The way your results of the procedure will be impacted after you start working out after fat transfer depends on your anatomy and particularities, and the plastic surgeon can’t make estimates in this sense. Generally speaking, the recommendation is to not resume working out for at least a month after the procedure and when you do, take things gradually. Avoid working the buttocks and hips directly for a few months so as not to alter the results. At the same time, working out will certainly help you sustain the results achieved, especially in the areas treated with liposuction. Also, keep in mind that during the first two to three months after fat transfer, the body will absorb about 30% of the fat cells that were transferred. This is a normal occurrence and nothing to be worried about. Working out on a regular basis is a good idea for your health and to improve your body to keep a fit appearance. When fat transfer to the butt and hips is performed, by the end of the first month the fat that was grafted should already develop a new support network that will ensure its survival. The percentage of fat cells that don’t survive will be reabsorbed by the body. While it is important not to exercise before you get the green light from the plastic surgeon, physical exercises performed months after the procedure won’t affect the survival rate of the fat grafted. Conclusion Fat transfer to the butt is commonly performed nowadays to improve the shape, size and contour of the buttocks. The procedure is often done in combination with a fat transfer to the hips to improve the overall appearance of the body and to help the patient get closer to the hourglass body shape that is so desired nowadays. The recovery period after fat transfer to the butt and hips is not overly long or difficult for the patient, as long as she follows the recommendations of the plastic surgeon. There is a minimal risk of complications from occurring, and within the first month the fat that was grafted already develops a new blood network. Working out after fat transfer won’t affect the results of the procedure when performed after the recovery period is over and the plastic surgeon has given you the green light.