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Surgery Journal -2022

High-Definition Lower Body Lift™ After 100+ lbs Weight Loss - January 2022

SURGERY INFORMATION:

LEARN MORE ABOUT: High-Definition Lower Body Lift™
PATIENT AGE:
Late 50s
SURGEON:
Dr. Siamak Agha MD, PhD, FACS

SURGERY PLAN TRANSCRIPT:

Happy Wednesday, everyone. So our patient has been in and out of our office for how many years? Three at least. Three years. And thinking about doing a body lift, right? Yes. So what happened? I saved my money so I could go to the best. Thank you. That's very kind of you. And that was not prearranged, I guess, honestly. It's the truth. It's the truth. Thank you.
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She's lost 100 pounds of weight. She weighs 170 pounds and... 163. 163. I'm sorry. There you go. And today we're going to be doing a lower body lift on her. So this is the marking for the lower body lift. We're going to remove two inches of pubic hair and skin. We're going to be lifting her thighs in the front. You may notice that I've marked the front of the thighs. This area has more prominence than her outer or inner thighs. So she's essentially storing a lot of her thigh fat in the front, so we're going to liposuction this, and yes, this creates skin laxity, but immediately I'm going to be tightening up her skin laxity by elevating her thighs. So that's the reason I like to do combination of skin excision and fat liposuction at the same time. So liposuction will create laxity, which will be immediately corrected with the thigh lift in the front.

As we come to the sides, we're going to do waist skin excision, outer thigh lift here and here. So we're going to be cutting this much skin. So that's about seven or eight inches of skin cut. You'll notice that my tummy tuck incisions are lower than the standard tummy tuck or the usual tummy tuck, which would be here. But this is because I have to cut this much skin out, and I only have this much skin to pull all the way down. So that's almost impossible. So we'll place the incisions lower. We're going to maximize on skin excision from the abdomen, and then we're going to do abdominal muscle tightening, and then we're going to close the opening around the navel here and pull it down and create a new one and pull it through. That's called a partial tummy tuck. So essentially, she gets all the components of a tummy tuck, but less skin excision because she just doesn't have it. And if she doesn't have it, and if I do it, then she's going to open up, and no one wants that. So she'll get a lesser amount of skin excision from the front, but still super tight.

We talked about the outer thighs and the flanks, and on the back we're going to be liposuctioning all this area and utilizing it to augment her buttocks. We're going to use this fat as a lower back fat pad to augment the upper buttocks. And then we're going to do a buttock lift. And how big do you want to be? A good size. Good size. Good size. Yeah. So we're going to go for a good size buttock enhancement. I think she's going to be fabulous, but let's find out. Okay.

FOLLOW UP TRANSCRIPT:

So we are one year out from a breast lift and arms, and as you can appreciate, our patient has healed beautifully. These are her breast scars with augmentation, and this is her arm scar. Looks really beautiful. We got a good amount of correction. We got an armpit lift through the extension of the incision and removing the armpit excess skin.
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And on the back, she has no incision. Coming to the lower body lift, we can see her beautiful high definition result. And let me just try this out. This is her scar on this side. Again, in an underwear or a thong, you can't even appreciate the scar. Look at this beautiful navel and the fact that she's maintained her results one year out. She looks beautiful. Her abdomen looks defined, and she's working out, right? Yeah. Right. Okay. And then on the back, we just look at her buttock enhancement. She has scars, obviously. These are the scars for the buttock, perfectly and symmetrically placed. But when she wears a nice thong, her buttocks look phenomenal, to say the least. And one year out, so everything is permanent. And what do you think? I'm very happy. Very, very happy. Thank you.

Before & After Surgery Photos

Patient marked for surgical procedure on abdomen.
Post-surgery abdomen with visible sutures and scars.
Patient preparing for cosmetic surgery with markings.
Post-surgery view of stitched abdomen area.
Patient preparation for aesthetic surgical procedure.
Patient post-operative incision on abdomen.
Pre-operative markings on patient's abdomen and legs.
Post-surgical abdomen with visible sutures and bruising.
Surgical markings on patient in medical setting.
Surgical site with visible incision on leg.
Marked back for surgical procedure preparation.
Post-surgery view of patient's lower back area.
Body markings prior to a cosmetic procedure.
Surgical setting with patient on operating table.
Patient marked for aesthetic surgery procedure preparation.
Surgical procedure at aesthetic clinic environment.
Patient preparing for cosmetic surgery procedure illustration.
Patient preparing for plastic surgery procedure.
Patient preparation for plastic surgery procedure.
Post-surgery patient on hospital bed draped in blue.

Surgery Results - Back

TRANSCRIPT

So I'm now finished with our buttock lift and buttock enhancement part of our lower body lift. If you remember, this patient of ours wanted to have fuller and rounder buttocks. So we did buttock augmentation with lower back fat pads as well as fat transfer to the buttocks. So this is a combination of using a flap, which is a pad of fat that has its own blood supply, as well as a Brazilian butt lift. And you can see how perfect she looks. Nicely rounded and augmented vertically and horizontally, and also we liposuctioned her waistline, so she's going to get a beautiful concavity of her waist. We created nice projection of the buttocks during the augmentation as well as lordosis, which is concavity of the lower back. I mean, just look at her lower back. Nice. And then her new buttocks. So now I'm going to turn her and do the rest of her.

Surgery Results - Front

TRANSCRIPT

So we just finished our lower body lift results and just look how amazing our patient looks. As they say, the proof is in the pudding. So I'm showing you the pudding. So our abdomen is a high-definition tummy tuck result, meaning that she appears to be toned and defined, and she has a three-dimensional natural-looking abdominal contour. You can see all her definitions. Thanks to the alcohol on her skin, you can see all her shadows and the result of our abdominal creation. We also, as you know, started this as a lower body lift, and you can see her symmetrical results. I also lifted her mons in the process and the front of her thighs. I'm sure she's going to be super happy with these results.

Check Out Her Arm Lift & Breast Lift!

Surgery Journal - 07/2023 - Arm Lift & Breast Lift