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Addressing Hip & Thigh Concerns for Women with a Pear Body Shape

The Pear Body Shape (Triangle body shape) aka Gynoid Obesity

Characteristics of a pear body shape

  • Lower body fat
  • Shoulders are narrower than hips
  • Tend to have small breasts
  • Full hips
  • Chunky thighs
  • Weight gains tend to first be visible around the hips, thighs and lower midriff

Gynoid obesity, or "pear-shaped" obesity, is when a person has more fat in the lower body compared to the upper body. This is mainly influenced by hormones, especially estrogen, which helps store fat in the lower body. In contrast, testosterone, which is more common in men, leads to fat being stored in the upper body. Factors like genetics and metabolism also play a role in this type of obesity[1].

The Pear Body Shape (Triangle body shape)

Men can have pear body shape too

Women generally have a higher percentage of body fat than men, with more fat located in the hips and thighs. This "female" fat distribution helps protect against diseases like type 2 diabetes and buildup of fats, cholesterol and other substances in and on the artery walls[2].

While early studies revealed that the pear-shaped fat distribution is mainly found in women[3], about 40% of women between the ages of 30 and 79 have more fat stored in their abdominal area, leading to similar metabolic issues as men[4].

For the same BMI, women have about 10% more body fat than men[5, 6]. As we age, women continue to have higher body fat percentages throughout their lives[7].

At similar BMI, women tend to have more subcutaneous adipose tissue both in the abdomen and in the hips [8,9,10,11]. During puberty, boys primarily gain weight from muscle mass, whereas girls gain weight from fat. This is when distinct fat distributions (android for men and gynoid for women) emerge. After menopause, women's fat tends to move to the abdominal area due to decreased estrogen levels.

Common frustrations and health risks of pear-shaped women aged 40 to 60

Anxiety and depression

Studies found that women aged 40 to 60 with a pear body shape tend to have lower symptoms of anxiety and depression. However, after menopause, when women's body shape shifts to an apple form, this relationship weakens[12].

Chronic health risks: Type 2 diabetes, heart problems, and high blood pressure

A pear body shape also carries health risks, such as an increased chance of Type 2 diabetes, heart disease, and high blood pressure[13].

Low self-confidence and difficulty finding complimenting clothes

Those with a pear body shape usually face challenges like self-body shaming, problem finding clothes that fit well or not participating in water activities to avoid wearing swimming costumes. This can lead to feelings of low self-esteem, exclusion and a reduced quality of life.

Modern Aesthetic Solutions for Pear Body Shape: Hip & Thigh Concerns


Solution Pros Cons
Waist compression garment Immediate results with slightly reduced waist circumference

May fit into clothes better
Temporary results

Breathing difficulties

Uncomfortable

Hot, especially in our climate

Organ & bone damage

Weakened core muscles
Thigh shapewear Immediate results with slightly reduced thigh circumference

May fit into clothes better
Temporary results

Breathing difficulties

Uncomfortable

Hot, especially in our climate
Non-invasive treatments Affordable single session

Variety of treatment choices

Minimal downtime

Can target multiple areas
Unpredictable results, if any

Not all devices have undergone sufficient clinical testing

Can be expensive in multiple sessions

May cause side effects like Paradoxical Adipose Hyperplasia from cryolipolysis

Can be expensive in multiple sessions

Some devices are not HSA approved to be used for fat burning or body contouring

Device may not be operated by a licensed doctor

May cause blisters and hyperpigmentation on skin
Fat-burning machines Affordable single session

Variety of treatment choices

Minimal downtime

Can target multiple areas
No scientifically-proven results

Can be expensive in multiple sessions

Device may not be operated by a licensed doctor

May cause blisters and hyperpigmentation on skin
Modern liposuction with the MDC-Sculpt® Lipo Technique Immediate permanent results

Targeted fat removal

Can target multiple areas in one session

Customised body sculpting surgical procedure.

Simultaneously tightens the skin in the treated area

Minimal scarring

Minimal downtime

Controlled sculpting in the thigh and hip area for natural-looking results
Soreness can last for 7 to 14 days

Resume work in a couple of days

The treated area may be bruised and tender but the discomfort is manageable

Incisions may itch as they heal

Temporary scar discolouration

Dr Ivan Puah, MOH-accredited liposuction doctor with more than 20 years of body sculpting surgery with high patient satisfaction

"Liposuction is 30% science and 70% art form. When carrying out Liposuction, it is essential that the doctor knows and has a deep understanding of the patient's unique fat anatomy to achieve natural-looking results," shares Dr Ivan Puah, Chairman of Lipo Peer Review Committee Singapore.

Unlike traditional liposuction, modern liposuction is an art form in this era. The results for patients are influenced by not just the unique anatomy but also the liposuction doctor's ability to work and shape the fat anatomy to accentuate the patient's underlying musculoskeletal anatomy.

Patients should choose a liposuction doctor based on the doctor's artistic flair, experience, and a consistent track record of good results.

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