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Surgery Journal - 2021

360 Degree Mommy Makeover including Internal Dermal Bra Breast Lift, High-Definition Tummy Tuck™ & Brazilian Butt Lift – May 2021

SURGERY INFORMATION:

LEARN MORE ABOUT: 360 Degree Mommy Makeover, Internal Dermal Bra Breast Lift, Liposuction, High-Definition Tummy Tuck™, Brazilian Butt Lift

PATIENT AGE: Early 40s

SURGEON: Dr. Siamak Agha MD, PhD, FACS

SURGERY PLAN TRANSCRIPT:

Happy Monday, everyone. It's a warm day. It's a warm room. But at least you're nice and warm. Yeah. So today we have a 360-degree mommy makeover planned. Our patient comes from out of town and came up to see me about three, four years ago? Yes. Yes. And then has come back to actually do her surgery now.
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The plan of surgery is as follows. We're going to make one incision here in the bra line and one here. Through these two incisions, we're going to liposuction her upper back, mid-back, break these adhesions or connective tissues, and then liposuction the love handles, lower back, and sacrum.

Then we're going to wash the fat, clean it, get rid of all the medications and the blood, and then process it so it becomes like cottage cheese. And then we're going to inject the cottage cheese into these hollow areas that I see on both sides first, then these two triangles that kind of actually represent connective tissue attachments and try to loosen those up. And then finally, overall, centrally to give her buttock enhancement. And she wants to be moderately enlarged and naturally, the way we normally do it.

Once that's done... Let me have your arms. I'm going to rotate you, sweetheart, put your arms behind you. Then we're going to rotate her, and then we're going to start with her breasts. She has had a prior vertical mastopexy, which is a lollipop incision, and breast implants that now have been removed. So that makes it a little bit challenging because we are always worried about the blood supply to the nipple.

I'm going to try to do the vertical again and actually anchor it at a higher position, combining it with dermal bra. And then for the upper pole, which is going to be still empty, we're going to liposuction this pannus and put fat here and here. So we're going to do a breast lift redo, essentially with fat transfer to the breasts. And that should make her breast cup about one, one and a half cup sizes larger. And with that, the whole point of this is really to reshape her breasts more than anything else.

And then we'll finish our surgery with a high-definition tummy tuck, liposuctioning her sides to bring these in more. As you can appreciate, she's got a good amount of fullness above her hips. We're going to transfer her upper chest to her hips, and then we're going to put a low-cut incision, do a pubic lift, remove this tissue, tighten her abdominal muscles, and complete our high definition internally. So all the work. Let's do it.

14 MONTH FOLLOW UP TRANSCRIPT:

Ta-da. You look really amazing. Yes. Let me do that even more. We can see the whole three-dimensionality. Yeah. Shall we take this off? Sure. Okay. So tell me, 14 months ago, what did we do? You did a beautiful tummy tuck as well as lipo, 360 lipo, breast lift with fat transfer to the breast, fat transfer to the buttocks, and it's amazing.
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I am so happy everything went so well, and I appreciate you. Oh, thank you. That's so sweet. That's really incredibly sweet. So can we start from the front? We did a high-definition tummy tuck. Fourteen months later, you can still see her beautiful definition, her abs. We created a beautiful navel, elliptical, vertically oriented innie.

Her scars have healed incredibly well. I'm going to just stick my coolness down, and they're very symmetrical. Okay. You want me to rotate her towards you a little bit? So her scars are symmetrical. Her breast scars, same thing. She's got the anchor incision. We did the dermal bra suspension breast lift for her with breast fat transfer.

And on the backside, I'm going to show them your scar. And on the backside, just look at that. I'm going to bring her beautiful hair to the front with it. Just hug yourself. With the liposuction of her upper back, we used this entry point to do liposuction of upper back, mid back, lower back, love handles, sacrum.

And then we used the fat to reshape and make her buttocks rounder and perkier and more of a reshaping than necessarily augmentation. And you can see how the back view looks from the top to the bottom. And a lot of times I talk about the back view, meaning that you can't just get liposuction of one area, because then the rest of the back doesn't look as beautiful, and the whole thing has to go together.

Because when you're in a bikini and walking on a beach, you want the whole back view to be improved, not just certain elements or parts of it. And that's why I believe that the whole back needs to be liposuctioned together, even with the outer chest, creating an hourglass look, and using that fat again to enhance the buttocks, reshape the buttocks, and also complement the beautiful back by creating hips to certain degrees, obviously, and enhancing the hourglass look. And she has it. There you go. Thank you. You're welcome.

Before & After Surgery Photos

Surgical markings on torso for medical procedure.
Post-operative view of surgical scars and markings.
Surgical markings on torso in preparation for procedure.
Post-surgery torso showing stitches and healing.
Patient's back marked for a surgical procedure.
Patient's lower back after medical procedure.
Body marked for surgical procedure preparation
Lower back view under medical draping.
Body contouring markings on patient’s side.
Patient lying on operating table with surgical drape.

Surgery Results - Back

TRANSCRIPT

So we are now done with our liposuction of her upper back, mid back, lower back love handles, and fat transfer to the buttocks. We liposuctioned over 3,700 ccs of fat from her entire back and love handles and transferred that fat into her buttocks. I want to remind you of what we started with. This is what we started with. So as you can appreciate, she didn't have much fullness to her buttocks, especially of the lower buttocks. She had more fullness on the upper portion, so I tried to balance her buttocks using the liposuction fat, which was cleaned out and processed as we do normally. But look at the roundness. This is what we strive to achieve. Liposuctioning her entire back creates lower back concavity. That's medically known as lordosis. So this is the lordosis that we are talking about. Look how beautiful it is. And then liposuction her outer chest, upper back, as I said, entire back, and that fat went into making her buttocks rounder, not only in terms of profile, but also rounder in terms of width. There you go. Beautiful. Now I'm going to rotate her. If I get any extra fat from the front, I actually plan to put that into the outer buttocks and the hip area to give her more of an hourglass look. But we need to have the fat. So we'll see.

Surgery Results - Front

TRANSCRIPT

So here you go, everyone. Look how amazing our today's patient looks. Today, I did a high-definition tummy tuck. Well, actually, I started with the back. Some of you may have followed our story. We started with liposuctioning the patient's back and transferring the fat into her buttocks. I placed about 500 cc's of processed fat into each buttock and then turned the patient and started the rest of her surgery, which is a breast, which was or is almost finished. But anyhow, which was a high-definition tummy tuck with pubic lift and then a breast lift redo because she had already had done one, at which time they had removed her implants. So she had deflated breasts this morning and breast lift incisions, and I had to work through the same incisions, and I also converted her breast lift into an inverted T incision, made her areola smaller, removed all the scar tissue around the areola, and completed her internal breast lift with fat transfer to her breasts. And on each side, we placed 300 cc's of fat into the upper pole of the breast and somewhat to the inner or medial aspect of the breasts to create cleavage and then the outer aspect of the breast to create fullness. And essentially what I wanted to achieve today, which was an hourglass look, and you can see that in this view here. So once her swelling is gone, I think she's going to be super hot for the summer. See you guys tomorrow. Tomorrow, I have a very, very hard and challenging body lift. And then I guess on Wednesday, the same thing, another hard and challenging body lift redo. They're both redos, actually. So we'll see you guys tomorrow, I hope.

Check Out Her Internal Dermal Bra Breast Lift Revision & Outer Thigh Lift!

Surgery Journal - 09/2026 | Internal Dermal-Bra Breast Reduction & Lift Revision, Abdominal Liposuction & Outer Thigh Lift