5. Woman contouring

Woman body is different from man body, in human form, bone shape, muscle density, and fat distribution. Hormones influence woman body through all life and are responsible for fat distribution changes and shape changes.

Maternity affects body volume and shape as well, with radical changes which need to be addressed in body contouring surgery.

Forty-five-year-old lady had two pregnancies and never regained young body appearance after first pregnancy from preop figure, flanks appear large, abdomen is fatty, and there are no lines, no curvature, and no definition in body shape.

The posterior trunk appears heavy, and back rolls are located in the middle of the trunk.

Figure 13. Planning.

Figure 14. Planning.

Figure 16. Postop.

Figure 17. Planning of fat removal.

Figure 18. Planning of buttocks fat grafting.

Figure 19. Preop.

Figure 20. Postop 3 months.

Figure 21. Pre- and immediate postop result after 1400 ml fat grafting buttocks.

Figure 22. Pre- and immediate postop result after 1400 ml fat grafting buttocks.

Figure 23. Pre- and immediate postop result after 1400 ml fat grafting buttocks.

Figure 24. Pre- and immediate postop result after 1400 ml fat grafting buttocks.

#### Figure 25.

Pre- and immediate postop result after 1400 ml fat grafting buttocks.

Vaser liposuction is planned, with definition of anterior rectus muscle, flattening, and contouring and reshaping back and creating more female lines (Figures 13–16).

About 4000 ml of fat is removed from anterior upper and lower abdomen, back and flanks, and inner thighs.

Buttocks area is one of the most requested by women nowadays. Reshaping means enhancing volume and giving more roundness and projection. Women are often lucky to have enough donor fat areas from abdomen, posterior trunk, and flanks.

This 28-year-old woman asked for body reshaping and buttock enhancement.

Vaser liposuction was performed, 4500 ml removed, and 1500 ml of fat harvested and then grafted to buttocks, outer and top buttock areas.

Results after 3 months are presented (Figures 17–25) [5].

## 6. Conclusion

Body contouring surgery has changed deeply in the last decade—new technologies, more sophisticated technique—and has led to superior result in terms of definition. This is an art and must be considered in this way—plastic surgeon is a sculpturing boy and uses his chisel and talent to shape in a tridimensional space using fat removal and fat enhancement.

## Conflict of interest

The authors have no conflicts of interest to declare.
