The Effects of Hip Dip Sculptra: A Buttock Shape Analysis by a Board-Certified Plastic Surgeon

 

In this session, we will explore the topic of Hip Dip Sculptra. Hello, this is Dr. Kim Yong-woo from Returning Plastic Surgery.

In our last post, we covered the general aspects of Body Sculptra. This time, we will take an in-depth look at Hip Sculptra, which is the most in-demand among all body procedures.

The buttocks are the most frequently treated area in Body Sculptra procedures. As anatomical knowledge is critically important for body treatments, I highly recommend receiving the procedure from a trained, board-certified plastic surgeon.

A "Hip Dip" is the indentation that occurs between the pelvis and the thigh, created by one's natural body shape and the distribution of muscle and fat. While many people try to improve their hip dips through exercise and body shaping, the reality is that it's a difficult area to change.

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Hip Dip Sculptra has gained attention as a non-surgical method to improve these hip dips naturally and for the long term. By injecting Sculptra into the sunken areas on the sides of the buttocks, it's possible to restore a three-dimensional shape and smooth curves that are often unattainable with exercise alone.

What is Sculptra?

Sculptra is an injectable treatment primarily composed of Poly-L-Lactic Acid (PLLA). It doesn't just fill volume; it works by inducing the skin's own collagen production, leading to gradual and progressive results over time. PLLA is a safe, biocompatible ingredient also used in medical sutures, which slowly breaks down and is naturally absorbed by the body.

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Why Do Hip Dips Occur?

A "hip dip" refers to the slight inward curve below the hip bone, along the line that extends from the waist to the buttocks.

• Skeletal Structure The dip is a natural curve created by the skeletal structure at the junction of the ilium (hip bone) and the femur (thigh bone). Specifically, the greater trochanter (the bony prominence on the upper part of the femur) protrudes outward, which can make the area directly above it appear relatively indented.
• Fat Distribution Fat is stored differently throughout the body based on genetics. Some individuals may accumulate more fat on their thighs or buttocks, while the hip dip area accumulates relatively little. This contrast can create a shape where the upper buttocks are full, but the middle area appears sunken.
• Muscle Structure The buttock muscles are primarily composed of the gluteus maximus, medius, and minimus. The hip dip area is located at the boundary between the gluteus medius and the lateral thigh muscles. If these muscles are not well-developed, the dip can appear more pronounced.

The Ideal Hip Shape - The "Apple Hip"

Before performing any body contouring procedure, a thorough anatomical understanding of the ideal shape is essential. Let's look at the ideal buttock shape as described in plastic surgery textbooks, using the classification system from Dr. Mendieta, a renowned plastic surgeon in the U.S. famous for body contouring.

 

 

[Mendieta's Buttock Shape Classification]

• Analysis of Lateral Points (A-C-B) The ideal shape is an "A-shape," where the line from point A to B curves smoothly outward. A concave "C" point indicates a significant hip dip, which can be effectively treated with procedures like fillers or Sculptra.

• Horizontal-to-Vertical Ratio The most ideal ratio of horizontal width to vertical length is 1:1.5.
• Medial Analysis (Inner View) When viewed from the inside, the ideal shape slopes upward, forming an inverted V-shape.

• Lateral Analysis (Side Profile) The widest point of the buttocks should be located in the upper 1/3 of the buttock, with no hip dips present.

• Gluteal Projection (Maximum Prominence) From the side, the point of maximum projection should also be in the upper 1/3, creating what is commonly known as a "lifted" buttock shape.

The Hip Dip Sculptra Procedure

1. Consultation & Design We analyze the patient's body shape, skin thickness, and the extent of the indentation to plan the precise injection sites and the required dosage.
2. Local Anesthesia A topical anesthetic cream is applied to the treatment area. The entry points for the cannula are then numbed with a local anesthetic injection.
3. Injection Using a cannula, Sculptra is injected uniformly throughout the hip dip area. Typically, this involves 3-5 vials per side, for a total of 6-10 vials for both hips.
4. Massage Instruction Post-procedure massage is crucial to prevent nodules. We instruct patients to follow the "Rule of 5s": massage for 5 minutes, 5 times a day, for 5 days.

Effects and Benefits of Hip Dip Sculptra

While the immediate effect of Hip Dip Sculptra is less dramatic than that of fillers, it creates a natural-looking volume over time as collagen is formed. It also improves skin elasticity and helps alleviate sagging simultaneously. Other advantages include the absence of surgical scars and a quick recovery, as the procedure can be performed with only local anesthesia.

The results are said to last around 1-2 years, but even after this period, the newly formed collagen remains. Therefore, periodic treatments for maintenance can be very beneficial.

Precautions and Side Effects

After the procedure, some bruising, swelling, or minor lumpiness may occur, but these are mostly temporary. Nodules can form if the massage protocol is not followed, making self-care extremely important. A complete result is achieved through a gradual process of 1-3 treatment sessions, and follow-up or touch-up sessions may be necessary depending on the interim results.

If you desire natural body contouring but are hesitant about undergoing surgery, Hip Dip Sculptra can be an excellent alternative. It is vital to choose a skilled and experienced specialist with expert knowledge of anatomy for this procedure.

 

Thank you. This has been Dr. Kim Yong-woo, Head Doctor of Returning Plastic Surgery.