Hip Lift Surgery: Which Problem Should Be Addressed First, Sagging or Volume?

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Hello,

I am Director Seong Hyun-joo of Cheongdam OK Clinic,

Hip Lift Surgery

▶ Regular Member, Korean Academy of Cosmetic Surgery (KACS)
▶ Regular Member, Korean Society for the Study of Obesity (KSSO)
▶ Regular Member, Korean Association of Obesity and Aesthetic Body Contouring (KAAM)
▶ Regular Member, Korean Society for Liposuction (KSSL)
▶ Regular Member, Korean Society for Aesthetic Plastic Surgery (KSAS)

When people consider hip lift surgery,

they often think,

“It’s because I lack volume.”

However, in actual consultations,

there are many cases where sagging is also present,

not just a lack of volume.

If these two issues are not distinguished,

the satisfaction level after the procedure may be lower.

So what matters is

a clear standard for determining which problem should be addressed first

in the current condition.

Table of Contents
1. Hip lift surgery: the difference between sagging and volume 2. When sagging comes first: approach 3. When lack of volume comes first: approach 4. Strategy when both are present at the same time

1. Hip lift surgery: the difference between sagging and volume

The hip line is not determined by size alone.

Depending on position and elasticity, a completely different impression

is created.

When volume is lacking, the overall shape appears flat

and lacking dimension.

On the other hand, when there is sagging,

the line below the buttocks drops,

making the legs look shorter or wider.

Even if these two issues look similar on the outside,

the causes are different, so the approach must also differ.

2. When sagging comes first: approach

If the buttocks have dropped downward,

simply adding volume will not solve the problem.

Instead, more weight may be added to the lower area,

which can make the sagging more noticeable.

In this case, it is important to begin with an approach that lifts the line first.

The key is to first set the position of the hips by removing unnecessary loosened tissue

or by redistributing upper volume.

3. When lack of volume comes first: approach

If sagging is not severe but the overall shape is flat,

volume correction takes priority.

In this case, it is important to create dimension

in the upper part of the hips.

By adding volume through fat grafting or implants,

the shape is developed into a curve.

However, the goal is not to make it bigger unconditionally,

but to design it naturally while considering the proportion to the waist,

so that an overly unnatural result can be avoided.

4. Strategy when both are present at the same time

In many actual cases, sagging and lack of volume

are present together.

If the order is set incorrectly in such cases,

the result can look awkward.

In general, it is more stable to take a step-by-step approach,

first organizing the line and then supplementing volume.

Also, rather than correcting too much all at once,

it is important to create balance that suits the body type.

Hip lift surgery is not simply a procedure that increases size,

but a process of designing both position and proportion.

Just by accurately distinguishing whether the issue is sagging or a lack of volume,

the direction of the result can change significantly.

If you understand this standard before proceeding,

you can expect a more natural and satisfying result.

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