Buttocks Fat Transfer with Thigh Liposuction for Gluteal Contouring in Korea

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Patient Registration Info

Age Weight Height BMI
30s
50kg
161cm
19

Surgical site

Surgical site

Thigh, buttocks fat transfer

liposuction aspirate volume

3,700cc

fat transfer

1st fat transfer: Right – 200cc, Left – 200cc
2nd fat transfer: Right – 170cc, Left – 160cc

As summer approaches,
more women are turning to exercise and body care
to prepare for the season of skin exposure.

Even with consistent effort
to achieve a feminine body line,
results often appear slowly—
and sagging or flat buttocks,
influenced by genetics,
can be difficult to improve
with workouts alone.

In such cases, body fat transfer procedures
can help reshape the figure
by removing excess fat
from the abdomen or thighs
and transferring it to areas
in need of volume.

The patient featured in today’s case
underwent thigh and hip line liposuction
to reduce stubborn fat,
and then received fat transfer to the hip line
to enhance her curves,
resulting in a more balanced lower body silhouette.

Let’s examine the transformation
in the before-and-after case review below.

[Patient Information]
Age: Mid-30s
Occupation: Unemployed (on break)
Height: 161 cm
Weight: 50 kg
BMI: 19

Even with similar body types,
liposuction results may vary by individual.

This patient had previously undergone
abdominal liposuction and pelvic fat transfer
at another clinic about a year ago.

Despite those procedures,
she remained concerned about her lower body line,
which still appeared relatively bulky,
and the lack of volume in the pelvic area,
which made her lower half seem unbalanced.

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According to her body shape analysis,
this patient exhibited the following characteristics:

1. She had a fat-dominant body type,
with excess fat concentrated in the inner thighs
and saddlebag area.

2. The hip dip was not prominently visible
and did not appear to require aggressive correction.

3. She had undergone a pelvic fat transfer
at another clinic a year earlier,
and the hip line still retained
a sufficient amount of fat.

4. Her calf fat volume was moderate,
but her muscle mass was relatively prominent.

Based on this evaluation,
we proposed the following buttocks fat transfer surgery plan:

1. To improve lower body balance,
we planned liposuction targeting the inner thighs,
saddlebags, and hip line,
removing fat from unflattering areas.

2. To enhance her feminine silhouette,
we designed a buttocks fat transfer procedure
using the harvested fat,
layered three-dimensionally across the hip line
and pelvic region.

3. For the second session,
we planned to assess fat survival
from the first buttocks fat transfer,
and perform an additional transfer
to refine overall lower body symmetry.

4. As for the calves,
rather than liposuction,
we proposed calf botox treatment
to reduce muscle bulk,
creating a straighter and more balanced leg line.

Below is the comparison photo
taken before surgery and
5 months after buttocks fat transfer.

[Red line – Before surgery]

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thigh-liposuction-02_03_240503
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thigh-liposuction-02_05_240503

[Surgical Area & Fat Volume]
Treatment Areas: Thigh liposuction, Buttocks fat transfer, Calf Botox
Liposuction Volume: 3,700cc

Buttocks Fat Transfer
1st Session – Right: 200cc, Left: 200cc
2nd Session – Right: 170cc, Left: 160cc

Calf Botox: 8cc

This patient underwent thigh liposuction
to improve lower body balance,
and used the harvested fat
for buttocks fat transfer
to enhance volume in the hips,
achieving a more feminine and slender leg line.

Since her hip dip was not severely pronounced,
we advised that the second fat transfer
be scheduled depending on how much fat survived
after the first procedure.

After 3 months, the patient observed
a natural retention of fat volume
in the buttocks and proceeded
with the second fat transfer.

As seen in the photos taken 5 months post-op,
excess fat was removed from the thighs
and strategically placed in the hip line,
resulting in a visibly more balanced
and aesthetically pleasing lower body contour.

To ensure successful fat graft retention,
we advised the patient to avoid pressure
on the buttocks for at least one month post-surgery,
by sleeping on her stomach or in a neutral position.

We also emphasized the importance of avoiding
alcohol and smoking to prevent inflammation,
and encouraged her to focus on nutritional recovery
instead of dieting,
to support proper healing and fat cell survival.

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