Patient Details
This patient in her late 50s came to Dr. Siamak Agha at The Aesthetic Centers in Newport Beach seeking fuller, rounder buttocks and a more sculpted lower-body contour. Her transformation was performed in two stages to maximize shape, symmetry, and projection.
During her first procedure, Dr. Agha performed a Brazilian Butt Lift with extensive liposuction of the upper abdominal roll (1,000 mL) and the entire back and flanks (3,500 mL) to harvest high-quality fat. That fat was then purified and used for a BBL, with 600 cc of fat micrografted into each buttock to improve projection and central fullness.
After enjoying her initial results, she returned for a second procedure, which focused on additional shaping. Dr. Agha performed an Extended Tummy Tuck (Abdominoplasty), refined the upper and lower abdominal tissues with 900 mL of additional liposuction, and placed 120 cc of fat into each outer buttock, correcting outer hollowness and enhancing the overall roundness of her silhouette.
Her postoperative BBL photos were taken 4 months after her second procedure, showing a lifted, fuller buttock contour with smoother transitions through the waist and hips. The combination of staged fat transfer and high definition liposuction created a balanced, sculpted appearance that complements her figure from every angle.
This case highlights how Dr. Agha strategically builds shape through staged BBL surgery—prioritizing projection, symmetry, and long-term contour harmony
