![]() Some women might not appreciate the aesthetic necessity of a liposuction of the hips and waist. Liposuction of the hips usually helps a woman’s body look younger, at least from the perspective of the backside. Photographs of the backsides of women ages 20, 30, 40, 50, and 60 can often be ranked according to age based on size and shape of the hips. When viewing a woman from her backside, it is not difficult to assess her approximate age hip size provides a good estimate. The fatty content of the female hips increases with advancing age. In contrast, proximal to the hips, fat pads of the waist and subscapular back are increasingly fibrous. ![]() The fat of the hips has relatively little fibrous tissue content. The distal margin is typically defined by the lateral gluteofemoral dell, located between the hip and the lateral thigh at approximately the level of the maximum concavity of the lateral gluteus muscle (Figure 33-2). The proximal extent of the hip fat pad is the costal margin. The hips typically extend over the posterolateral torso, bounded above by the waist and anteriorly by the anterior iliac crest. As a degree of obesity increases, the waist and abdominal girth expand, and the greatest circumference of the torso becomes the waist. In slender persons the waist is typically the smallest circumference of the torso. Patients often consider the waist as the entire circumference of the midtorso, including the abdomen. In defining areas targeted for liposuction, the waist is regarded as the bilateral portion of the torso between the costal margin and the iliac crest. ![]() ![]() For the purposes of liposuction, surface anatomy of the back can be subdivided into the following clinically important subsets (Figure 33-1): The surface anatomy of the female hips and back is the visible manifestation of the local fat compartments. ![]()
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