Pelvic Fat Grafting with Full-Body Liposuction for Perfect Upper–Lower Balance in Slim Body Types
Patient Registration Info
| Age | Weight | Height | BMI |
|---|---|---|---|
|
– |
42.1kg |
154cm |
17.8 |
Surgical site
Arm, Armpit, Accessory breast, Inner thigh, Pelvic fat grafting
1600cc
–
A woman’s pelvic line is a key point
in creating the ideal S-line figure,
highlighting the body’s natural curves.
Even with lower body workouts to increase pelvic volume,
many women find it hard to achieve
the desired shape due to genetic factors
and naturally narrower pelvic bones than Westerners.
As a result, more patients are now considering
pelvic fat grafting surgery
to enhance their body contours.
This procedure uses fat from areas
with excess volume, such as the abdomen or thighs,
and transfers it to the pelvis—
reducing bulk in one area while adding volume and shape where it’s lacking.
It helps create a narrower waist,
a more voluminous pelvic curve,
and slimmer thighs—
resulting in a well-balanced and curvier silhouette.
In pelvic fat grafting,
designing the fat placement is crucial,
but just as important is ensuring a high survival rate
for long-lasting volume.
To avoid the issue of grafted fat
being reabsorbed too quickly,
it’s essential to plan the surgery carefully
through a thorough consultation
and choose a technique that maximizes fat retention.
The patient had a height of 154cm,
weight of 42.1kg, and a BMI of 17.8.
She previously underwent abdominal liposuction at our clinic,
with the goal of creating a more defined waistline,
and was satisfied with the results.
Following this improvement,
she began to feel more aware of her flat pelvic line,
which now appeared more noticeable by contrast.
She visited us again to ask whether fat grafting
using fat from the arms and abdomen
could enhance pelvic volume
and improve lower body balance.
The pinch test showed that the patient’s lower body fat
was not excessive.
We recommended inner thigh liposuction only,
focusing on line refinement rather than fat reduction.
For the arms,
there was visible fat on the back side,
which the patient was concerned about.
However, we explained that removing fat from the entire arm
could create a “bony arm” appearance,
especially compared to only targeting the upper bulge.
To improve upper body balance,
we also suggested adding liposuction to the axillary breast area
and armpits.
Regarding the flat pelvic line,
we found a clear hip dip—a hollow around the hip joint.
We proposed fat grafting to that area,
using fat harvested from the arms and thighs,
to create a natural pelvic curve.
Since the amount of fat available was limited,
we informed the patient that the result would be
a subtle correction, not a dramatic volume increase.
Ultimately, we removed 1,600cc of fat
from the arms, axillary breast, armpits,
and inner thighs,
and grafted it evenly into both hips.
The fat survival rate can vary
depending on the patient’s body type,
the quality of harvested fat,
the surgical technique,
and the level of postoperative care.
In this case,
the patient did not have a severe hip dip,
so even a small amount of fat
led to a noticeable volume improvement.
The previously sunken hip area
was gently filled through pelvic fat grafting,
creating a result that looked
naturally her own from the start.
Over time,
as we monitored fat retention in the pelvis,
the patient expressed interest in a second grafting.
At 4 months after the first procedure,
we performed a small-volume secondary graft
to enhance the results further.
Pelvic Fat Grafting & Upper and Lower Body Liposuction – 6-Month Progress Observation
[ Surgery Date: June 1 / Second Graft: October 1 / Follow-up: February 10 ]
Lower body liposuction targeting the arm line and inner thighs
can help remove stubborn fat
and allow for hip dip correction,
creating a more balanced upper and lower body shape.
In autologous fat grafting,
the most important factor is the fat survival rate.
To improve retention and maintain results,
patients should avoid intense exercise
or strict diet control
for about one month after surgery.
For compression garments,
the areas where fat was removed
should receive firm compression,
while areas where fat was grafted
should be left uncompressed as much as possible.
In the early stages of pelvic fat grafting,
it’s also important to avoid uneven pressure
on specific areas to prevent asymmetry.
Maintaining good posture and healthy habits
is key to achieving a successful, long-lasting result.
