Here's another video from Dr. Hourglass operating room. As you can see, he is performing an Hourglass Tummy Tuck procedure. One of the main factors in having an hourglass shape is for the patient to have small waist, and slightly wider hips. Dr. Hourglass combines the Hourglass Hip procedure which is essential injective fat in the hip with the Hourglass Tummy Tuck. Aside from that, liposuction is performed on the lower back and upper back as well as the waist area and this will essentially decrease the size of the waist.