Procedure guide · Buttocks & Hip
Hip dip correction fills the inward hollow at the side of the hip, between the pelvis and the top of the thigh, usually by grafting the patient’s own fat. Hip dips come from the shape of the pelvis and how muscle attaches to it, so they are an anatomical feature rather than a fat problem: they can be filled but never removed, and no exercise changes them.
A hip dip is the inward hollow at the side of the hip, between the top of the pelvis and the top of the thigh bone. Its depth is set by the distance between those two bony points and by where the gluteal muscles attach between them. It is anatomy, not a fat problem, and it occurs at every body weight and every level of fitness.
That single fact resolves most of the confusion around this subject. No exercise removes a hip dip, because the hollow is not caused by a missing muscle or by fat in the wrong place. Building the glutes can make the surrounding area fuller, which softens the appearance slightly, but the underlying geometry does not change. Any programme, device or clinic advertising the elimination of hip dips is selling something that cannot work.
Hip dip correction fills the hollow, almost always with the patient’s own fat harvested from the abdomen, waist or thighs. The honest description of a good result is a smoother, rounder outline rather than a straight line from waist to thigh, and patients who understood that before the operation are consistently the satisfied ones.
How complete the correction can be depends on build. Patients with more soft tissue get a smoother blend, because there is more surrounding tissue for the graft to merge into. Lean patients with prominent bony landmarks get the least complete result, and they are frequently the ones most bothered by the dip in the first place, which is an uncomfortable combination a surgeon should address directly.
The thin tissue cover at the hip also shapes the technique. Fat is placed in many fine passes rather than in clumps, because a nodule of fat necrosis that would go unnoticed on the buttock can be felt easily here. It is a reason to accept a modest, well-distributed volume rather than pressing for the largest fill a single session could deliver.
More than one session is common. Part of every graft is absorbed over the first months, and the hollow is a place where the loss is quite visible, so a top-up at around 6 months is planned rather than improvised. For an international patient that means establishing in advance whether it involves a return trip and what it would cost.
Injectable fillers are offered for this area by some clinics. The volumes required are far larger than for facial work, which makes it expensive and temporary, and it places a large quantity of product in a big, mobile area. Fat grafting is the established approach because the surviving volume is permanent and it improves the waist at the same time.
The recovery is governed by one restriction: no lying on your side for 2 to 3 weeks. The grafted hollow is exactly where your weight rests when you sleep on your side, and pressure kills fat before it has grown a blood supply. Sleeping on the back or front with pillows arranged to prevent rolling is the practical answer, and it is worth rehearsing beforehand.
The last point is one a good consultation raises without being asked. Hip dips are extremely common and are not a sign of anything being wrong. Where the hollow genuinely bothers someone and there is fat to graft, the operation is reasonable and usually satisfying. Where the concern has become fixed, or is out of proportion to what anyone else notices, that is worth addressing before surgery rather than after a result that fills the dip without changing how the patient feels.
Surgeons look for these points at the consultation.
Hip dip correction suits adults at a stable weight with a noticeable hollow at the side of the hip that bothers them, enough donor fat to harvest, good general health, who do not smoke, and who understand that the hollow is filled rather than removed.
Reasons a good surgeon will ask you to wait or choose something else.
Hip dip correction is avoided in smokers who will not stop, in patients too lean to provide donor fat, in unstable weight, in a history of blood clots, and where the concern is body image distress out of proportion to a feature that most people have.
Ask your surgeon which technique they recommend for you and why.
Fat harvested from the abdomen, waist or thighs is injected in fine layers into the depression, smoothing the outline from pelvis to thigh.
The hollow and the buttock are filled in one operation, so the whole outline is treated rather than one segment of it.
A soft silicone implant placed beneath the fascia over the outer hip, for patients with no donor fat who want the hollow filled permanently.
Deciding against surgery once it is clear that hip dips are skeletal in origin, extremely common, and not a sign of anything being wrong.
Step by step, from arrival to discharge.
Hip dip correction should begin with the surgeon establishing that the hollow is skeletal in origin, since that determines what the operation can realistically achieve.
How much fat is available and how much soft tissue surrounds the hollow together determine how complete a correction is possible.
The depression is marked while you stand, because it changes shape when lying down and a plan made on the table fills the wrong area.
Fat is suctioned at low pressure from the abdomen, waist or thighs, which both preserves the graft and narrows the waist.
Fat is placed in many thin passes rather than clumps, which matters especially here because thin tissue cover makes any nodule easy to feel.
Garments go over the harvested areas but not over the grafted hips, since pressure on fresh graft reduces how much of it survives.
Frequencies follow published guidance; your personal risk depends on your health and the surgeon.
The most useful thing a consultation about hip dip correction can do is explain what a hip dip is, because the marketing around them frequently does not. The hollow sits between the top of the pelvis and the greater trochanter of the femur, and its depth is set by the distance between those two bony points and by where the gluteal muscles attach. It is anatomy, it is extremely common, and it has nothing to do with body fat percentage or with whether someone exercises.
Two things follow. No exercise, diet or device removes a hip dip, and any clinic or programme implying otherwise is selling something that cannot work. And surgery fills the hollow rather than removing it, so the honest description of the result is a softer, rounder outline rather than a straight line from waist to thigh. Lean patients with prominent bony landmarks get the least complete correction, because there is less soft tissue to blend the fill into. Patients who understood all of that beforehand are consistently the satisfied ones, and a surgeon who explains that a hip dip is normal, and that not operating is a reasonable choice, is doing the job properly.
A third to a half of the fat grafted during hip dip correction is absorbed over the first months, which is why a second session is frequently planned.
Marked at both the hips and the donor sites after hip dip correction, settling over 6 to 8 weeks.
The hollow is softened rather than eliminated, particularly in lean patients with prominent bony landmarks, because its cause is skeletal.
The two hollows differ to begin with and absorb different proportions of graft, so a top-up at 6 months is often needed to match them.
Grafted fat that fails to establish a blood supply dies and can be felt as a firm lump, which is more noticeable here because tissue cover is thin.
Dents or waviness at the waist, flanks or thighs where the fat was harvested, which is a common reason for revision.
The grafted area takes your weight when you lie on your side, so side-sleeping is restricted for 2 to 3 weeks and uncomfortable for longer.
Recovery from hip dip correction is dominated by one instruction: do not lie on your side for 2 to 3 weeks. The grafted hollow is exactly where your weight goes when you sleep on your side, and pressure kills fat that has not yet grown a blood supply. Sleeping on the back or front, with pillows arranged to stop you rolling, is the practical answer and is worth rehearsing before the operation.
The donor sites behave like ordinary liposuction: firm, bruised and swollen, with compression worn for around 6 weeks and firmness that softens over 2 to 3 months. Do not judge the fill early. The hollow looks well filled immediately after surgery and then loses some of that as swelling resolves and part of the graft is absorbed, which is normal and is why surgeons plan for a possible second session rather than treating it as a failure.
Days 1-3
Usually a night in hospital. Sleeping on the back or front rather than the side. Compression on the donor sites. Walking encouraged from the first evening.
Days 4-7
Donor site bruising peaks and settles. Side-lying still avoided. Flying is usually cleared at around day 7.
Weeks 2-4
Desk work at around 10 days. Side-sleeping resumes gradually at 2 to 3 weeks. Compression continues on the donor areas.
Weeks 6-8
Swelling settles enough to see how much graft has survived. Exercise resumes gradually. Any asymmetry becomes visible.
Months 3-6
Graft survival is established. Hip dip correction should be judged now, and any second session is planned from this point.
Hip dip correction produces a smoother, rounder outline from waist to thigh, with the hollow softened rather than eliminated.
The narrowed waist from the harvest contributes to the effect, sometimes as much as the fill itself does.
Volume settles over 3 to 6 months as part of the graft is absorbed, which is why a top-up at 6 months is common.
Lean patients with prominent bony landmarks get the least complete correction, because there is less surrounding tissue to blend into.
Hip dip correction is priced as liposuction plus grafting, and it is rarely quoted alone because it is usually combined with wider hip or buttock work in the same operation.
Because a top-up at around 6 months is common rather than exceptional, the realistic cost frequently covers two sessions. For an international patient that means two trips, which is worth settling before the first operation.
Injectable fillers are sometimes offered as an alternative and appear cheaper per session, but the volumes needed here are large and the effect is temporary, so the cost over time compares poorly with grafting.
Why quotes for the same procedure differ, so you can compare packages fairly.
Options to weigh before deciding, surgical and non-surgical.
The same grafting aimed at overall width rather than at the hollow specifically, and usually part of the same operation.
Where the complaint is a narrow outline overall rather than the hollow alone, the fill is distributed differently.
Filling the hollow while leaving the buttock untreated can create a mismatch, so treating both gives a more continuous curve.
A legitimate and common outcome. Hip dips are a normal skeletal feature that a great many people have, and surgery fills rather than removes them.
Ask the same questions at every consultation so you can compare answers.
Hip dip correction exists because hip dips are caused by the relationship between two bony points, the top of the pelvis and the greater trochanter at the top of the thigh bone, and by where the gluteal muscles attach between them. The hollow is the soft tissue spanning that gap.
That makes them anatomy rather than a fat problem. They are extremely common, they occur at every body weight and fitness level, and they are not a sign of anything being wrong. Understanding that is the difference between a realistic consultation and a disappointing one.
No exercise removes a hip dip, because the hollow comes from the shape of the skeleton rather than from a lack of muscle or an excess of fat in that spot. Building the gluteal muscles can make the surrounding area fuller, which softens the appearance slightly, but the hollow itself remains.
Any programme or device advertised as eliminating hip dips is selling something that cannot work, and the claim is worth recognising as a signal about the seller. Hip dip correction by grafting is the only route that changes the contour meaningfully, and it fills rather than removes.
Hip dip correction softens the hollow rather than eliminating it, and the honest description of a good result is a rounder, smoother outline. Because the cause is skeletal, filling the soft tissue over it can only do so much.
Lean patients with prominent bony landmarks get the least complete correction, since there is less surrounding tissue to blend the graft into. Patients with more soft tissue get a smoother result. A surgeon who says the dip will disappear entirely is overpromising.
Hip dip correction frequently needs more than one session. Part of every graft is absorbed over the first months, and the hollow is a place where the remaining volume is quite visible, so a top-up at around 6 months is common rather than a sign that the first session failed.
Surgeons plan for this by grafting slightly more than the target, and by discussing a second session from the outset. For an international patient it is worth establishing before the first operation whether a top-up means a return trip and what it would cost.
Injectable fillers are offered by some clinics instead of hip dip correction by grafting, but the volumes needed to fill a hip dip are far larger than for facial work, which makes it expensive, temporary and carries its own risks in a large, mobile area.
Fat grafting is the established approach because it uses your own tissue, the volume that survives is permanent, and it improves the waist at the same time. Where a clinic proposes large volumes of filler in the hips, asking what product, how much, and what happens if it migrates is reasonable.
Side-sleeping resumes 2 to 3 weeks after hip dip correction, and it is the restriction patients find hardest. The grafted hollow is exactly where your body weight rests when you lie on your side, and pressure kills fat before it has established a blood supply.
Sleeping on the back or front is the alternative, and arranging pillows so you cannot roll over in the night makes a real difference. It is worth practising the position for a few nights before the operation rather than attempting it for the first time while sore.
The fat that survives the first 3 to 6 months is permanent, because it is your own tissue and develops its own blood supply. It behaves like the rest of your body fat from then on.
That means weight change moves it. Significant weight loss after hip dip correction reduces the fill and the hollow becomes more apparent again; weight gain increases it. A stable weight is what protects the result, which is a reason to be at your intended weight before surgery.
Hip dip correction is very often done with buttock grafting, because the hip and buttock read as one outline. Filling the hollow while leaving the buttock untreated can create a smooth upper contour above a buttock that no longer matches it, and treating both gives a more continuous curve.
The practical cost is that both restrictions then apply: no sitting directly on the buttocks and no lying on your side. Between them those leave very few comfortable positions for the first fortnight, and the combination also needs considerably more donor fat.
Hip dip correction needs a donor supply, and lean patients frequently have less than they assume, particularly when the hips and buttocks are being treated together. A surgeon assesses this by examining you rather than from photographs.
Where there is not enough, the honest options are to gain some weight deliberately before surgery, to treat one area rather than both, or to accept the anatomy. Hip implants exist but sit in a thinly covered area with a high revision rate, and few surgeons recommend them lightly.
Firmness in the first weeks after hip dip correction is normal as swelling resolves and the graft settles, and it softens over 2 to 3 months. Lumps persisting beyond that can be fat necrosis, where grafted fat failed to establish a blood supply and died.
Necrosis is more noticeable at the hip than elsewhere because there is little tissue cover, so a nodule that would go unnoticed on the buttock can be felt here. Larger areas sometimes need draining. Report a lump that is growing, hot or increasingly painful rather than waiting.
Flying home after hip dip correction takes 7 days as a rule, and the flight itself is easier than after buttock grafting because an aircraft seat does not press on the hips.
Wear the compression garments for the journey, walk the aisle regularly and follow the clot prevention advice, since the operation involves liposuction and a period of reduced mobility. Where the buttocks were grafted at the same time, the buttock timetable governs and a cushion is essential.
Declining hip dip correction is entirely reasonable, and a good consultation makes that an explicit option. Hip dips are a normal anatomical feature that a large proportion of people have, they are unrelated to health or fitness, and the surgery fills rather than removes them.
Where the hollow genuinely bothers someone and there is fat to graft, the operation is reasonable and usually satisfying. Where the concern has become fixed or is out of proportion to what others notice, that is worth addressing before surgery rather than after a result that fills the dip without resolving the feeling.
Neither, and that matters for anyone considering hip dip correction. Hip dips occur at every body weight and every level of fitness, because they come from the distance between two bony points on the pelvis and femur and from where the gluteal muscles attach between them.
Very lean and very athletic people frequently have pronounced hip dips, sometimes more visibly than heavier people, because there is less soft tissue spanning the gap. Treating them as a fitness failure is both inaccurate and the basis of a great deal of misleading marketing.
The underlying skeletal geometry does not change, so the dip itself is constant. What changes is the soft tissue around it, so weight loss can make a hollow more obvious and weight gain can soften it.
That is also why a patient planning significant weight loss should complete it before hip dip correction. Grafting into a body about to shrink wastes the fat, and the hollow will look more pronounced again once the surrounding tissue reduces.
Hip dip correction lasts because the fat surviving the first 3 to 6 months is permanent: it is your own tissue with its own blood supply, and it behaves like ordinary body fat thereafter.
Weight change moves it, so significant loss will make the hollow apparent again. The skeletal cause never goes away, which means the fill is what maintains the correction and protecting it means keeping your weight reasonably stable.
Hip dip correction can be done on one side, and it is occasionally appropriate where one hollow is markedly deeper than the other, which is more common than patients expect.
More often the surgeon grafts both sides with different volumes, because filling one alone tends to draw attention to the difference rather than resolve it. Photographs taken standing from the front are the best way to see what the asymmetry actually is before deciding.
Hip dip correction needs less fat than buttock augmentation, since the hollow is a defined area rather than a whole region, but more than patients assume once absorption is accounted for. The exact amount depends on how deep the hollow is and how much soft tissue surrounds it.
The practical constraint appears when the buttocks are being grafted in the same operation, which is common. A lean patient may not have enough donor fat for both, and choosing which to prioritise is a conversation worth having before the day of surgery.
Slight firmness in the first weeks after hip dip correction is normal and softens over 2 to 3 months. Because tissue cover at the hip is thin, any residual firmness is more noticeable here than it would be on the buttock.
Persistent hard nodules are usually fat necrosis, where grafted fat failed to establish a blood supply. Most are small and settle; larger ones occasionally need draining. Report anything growing, hot, red or increasingly painful rather than waiting for a review.
For hip dip correction, look for images taken standing, from the front, at 12 months rather than 6 weeks, in patients with a build like yours. Hip dips only read properly from the front, and a gallery of rear views tells you very little about the correction.
Be wary of photographs where posture or camera angle differs between before and after, which can create or hide a hip dip entirely. Consistent lighting, distance and stance across a series is a better indicator of an honest gallery than any individual result.
Hip dip correction with an implant is possible and hip implants can fill the hollow, but the outer hip has very little soft tissue cover, so the implant edge is frequently palpable and sometimes visible, which rather defeats the purpose of smoothing an outline.
Lying on that side is uncomfortable and the revision rate is high. Few surgeons offer them, and for a patient with no donor fat at all the honest options are usually to gain some weight deliberately or to accept the anatomy.
Exercise after hip dip correction means walking from the first day, light cardiovascular work at around 3 to 4 weeks, and full lower body training at around 8 weeks. Anything that compresses the outer hip, including some machines and floor exercises, waits longest.
The restriction protects the graft rather than the muscle. Pressure, heat and heavy blood flow through the area while the fat is establishing a blood supply all reduce how much survives, so a timetable by exercise type is worth asking for.
Training helps slightly and is worth trying before considering hip dip correction. Developing the gluteus medius and maximus adds bulk above and behind the hollow, which softens the transition, though it does not fill the dip itself.
The hollow remains, because its depth is set by the distance between two bony points rather than by muscle size. Anyone told that a specific programme will eliminate hip dips is being sold something that cannot work, but training is free, reversible and good for you regardless.
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