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Surgery Journal - 2021

High-Definition Lower Body Lift™ with Buttock Enhancement & Lift, and Outer Thigh Lift After Previous Tummy Tuck - July 2021

SURGERY INFORMATION:

LEARN MORE ABOUT: High-Definition Lower Body Lift™, Thighplasty, Buttock Enhancement

PATIENT AGE: Mid 50s

SURGEON: Dr. Siamak Agha MD, PhD, FACS

ONE-YEAR FOLLOW-UP TRANSCRIPT:

So we are looking at one of my patients. She is a year after a lower body lift, and I wanted you guys to see her beautiful results. And let's look at the scars in the front. May I? Yes. Okay, I'm going to pull this just a tad lower. So this is her front incision. Come closer, if you may.
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And you can see how perfectly she's healed, how beautiful that scar is after a year. And I promise you, her back scar is just as good. Okay, well, let's show them.

Okay, so the number one thing to notice is how perfectly these scars are placed, so she can wear this thong and completely hide her incisions. In a bikini, obviously, her incisions are completely hidden, but... Oh, let's put it that way. There you go.

So what were you telling me about your backside a minute ago? I love it. I've never had a rear. I now have a rear, and I love it. I have the curve in my back. I love everything about it. I never had one my entire life, but now I do. Now you do. Beautiful.

You look amazing. You feel amazing. I'm super happy for you, and I'm glad that you've done this procedure with us. What do you think about... And we're talking about how wonderful these procedures are in terms of changing the quality of your life.

Absolutely. I feel much better in my skin. Like I said, now I'm trying to move up for other things, but yes, I'm super happy with it. I love it. I love my silhouette. I love it. Yeah. And we'll make it better. I'm always happy with your results. Thank you.

Surgery Plan

SURGERY PLAN TRANSCRIPT:

Today our plan of surgery is slightly different than our normal body lift. Our patient has previously had a tummy tuck, and she's very happy with her tummy tuck results, and therefore we are just going to help her to get her outer thighs and buttock areas lifted. So go ahead and cover yourself with these, sweetheart.
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So the plan of surgery would be to put a low-cut incision in the front, but in the back it's a buttock lift incision. So this is the incision for the upper... I'm sorry, this is our upper buttock lift incision. This is the lower buttock lift incision, and we're going to take this and bring it up here. And with that, you do get a little bit of flattening of the buttocks. And then we're going to go all the way around, complete the buttock lift.

And then what really kind of makes her not super happy with her lower half is her thighs. And we're going to do an outer thigh lift. And here I'm removing about four to five inches, and actually at the time of surgery, probably will remove a little bit more than this. These are always my conservative markings. At the time of surgery, I may deviate by about half an inch or more if I can.

So we're going to be cutting all of this tissue. It's going to be skin and about half an inch of fat underneath the skin will be removed all the way. As a result of which, she's going to get a buttock lift and then outer thigh lift.

And on the front, if you cover your breasts for me. On the front, as we rotate her, we're going to do an outer thigh lift with which she will get waist reduction. This is her previous tummy tuck incision. That's going to get cut out like that. And then as we come to the front, we'll terminate her incisions where her tummy tuck incisions were previously. Very nice incisions.

So we're going to bring these together, and that is going to correct some of the laxity of the thigh fronts. Obviously, when you do an outer thigh lift, you can't just finish the incision here. You have to take the incision forward and remove the excess tissue. And by virtue of doing that, she's going to get some improvement of her thigh fronts.

So we planned this as a two-stage surgery, meaning that today we're going to do her buttock lift and outer thigh lift, and then in the future we're going to come back and do large-volume liposuction of her upper back, mid back, and lower back and actually contour and sculpt her lower back and create a nice, beautiful lower back concavity and waist concavity and use that fat to augment her buttocks.

So normally I would be doing buttock augmentation at the time of a buttock lift, but today we're going to give her a better result by doing a two-stage surgery because once you do the buttock lift and she heals, then I can do more aggressive liposuctioning. And by aggressive, I don't mean really aggressive, I mean more complete liposuctioning of her whole back and use that fat to augment her buttocks. So there you go. Let's get started.

Before & After Surgery Photos

Marked abdomen preparing for surgical procedure
Surgical site with incisions and dressings visible.
Surgical markings on patient's abdomen before procedure.
Surgical incision on abdomen post-operation.
Patient preparing for a surgical procedure.
Surgical incision on patient’s lower back.
Patient preparation with marked surgical guidelines.
Post-surgery view of a lower body procedure.
Patient preparation for surgical procedure on lower back.
Post-surgery view of a patient's lower back.
Outline marked on a patient's lower back.
Post-surgical knee with stitches on skin.

Surgery Results - Back

TRANSCRIPT

So there you go. I'm finished with the buttock lift and a good portion of the outer thigh lift. Most of the outer thigh lift from the back has been completed, and you can already see the immense improvement in her outer thigh shape. The buttock lift has also been completed. Today, we did not use lower back fat pads or liposuctioned fat to augment her buttocks. We just did a buttock lift. A buttock lift, as a result, typically causes a small amount of buttock reduction, so you get smaller buttocks. I preserved a good amount of the fat of her lower back area so that the upper butt continues to be still full. And the plan is to do a second stage on her, whereby we will come back and liposuction the whole back area, do a 360-degree liposuctioning of the abdomen and the back, and transfer all of that fat into her buttocks once it has healed. So that would be about three months from now. But as you can see now, the buttocks are lifted. All the wrinkles and the cellulite and the dimples are smoother, but it is a little bit smaller, and it does need more projection and enhancement and reshaping, which we will do in the future. I'm going to rotate her and complete the rest of the outer thigh lift in the front and do a little bit of her previous tummy tuck scar revision together so that we can get a nicely tapered incision. See you guys in a while. Okay.

Surgery Results - Front

TRANSCRIPT

So we are now done with our outer thigh lift in the front. We actually ended up cutting her old abdominoplasty scar, starting at the pubic area. You see some of the scar from the previous abdominoplasty here. So starting from the pubic area going outwards, we cut the rest of her scar out, and we lifted the front of her thighs and the outer thighs, joining the back and the front incisions together and tapering that incision. As a result of which, she gets enhancement and lift of not only the outer thighs, which was planned, but also the front of the thighs will be lifted to some degree. So that's her new thighs, and you've already seen her back on the previous video. So we are done for today, and there you go. See you guys tomorrow. I think we have upper body contouring tomorrow. Thank you, everyone.