How it works
Everything begins with an exam and a conversation. Your surgeon will listen to what you want, examine your hips, assess how much fat there is and how elastic your skin is, and ask about your health and the medications you take. Together, you and your surgeon will clarify what is realistic for your body.
Before surgery, your surgeon usually marks the areas to be treated on your skin while you are standing, because fat sits differently when you lie down. The type of anesthesia (local anesthesia with sedation, or general anesthesia) depends on how much fat is involved and the specific plan.
During the procedure, your surgeon makes a few very small incisions near your hips, usually placed where they are easy to hide. A volume of fluid is injected to make the fat swell and to reduce bleeding. Your surgeon then uses a thin metal tube called a cannula, passed through the small incisions, to remove the fat in a controlled way and shape both sides evenly.
Your surgeon works a little at a time, checking the balance between the two sides throughout. The exact technique can vary from one practice to another. The small incisions are usually closed with sutures or left to heal on their own, and then you are fitted with a compression garment that shapes the area.