Lower Body Lift Redo with Vertical Thighplasty & Fleur-de-lis Scar Revision to Correct Previous Surgery From Elsewhere- March 2025

Okay, guys. It's Saturday, and we are in the middle of her surgery. The back part of her corrective surgeries has been completed. The back part always takes a few good hours, and it's about half the surgery, and it's an area that many plastic surgeons don't really pay a lot of attention to in terms of buttock reshaping and enhancement. Our patient wanted fuller buttocks, so every ounce, every cell of fat was placed back into her buttocks to create roundness and fullness. We also did a flap augmentation of her buttocks with lower back fat pads. You see this crease on the outer thigh. This is an area that had been previously liposuctioned. I placed some fat in it, but unfortunately, I'm somewhat limited by what I can do there. I will try to add additional fat into the crease from the front. Hopefully, we'll get more fat. I've liposuctioned these areas. You can already see the shadow. Once the swelling goes down, we'll get a more hourglass look on her back. But already substantial correction has been performed, and it's time to turn her and continue with the rest of the work on the front.

So we are now finished with our surgery. It took me about eight hours to do a complete lower body transformation, revision, redo, and correction. She had surgeries elsewhere over the course of two years, and most of the surgeries were suboptimal, to say the least. Not enough skin was removed. She ended up with a fleur-de-lis incision, aggressive liposuction of her thighs resulting in internal scarring, depressions of the mid-thigh, too much fat in the upper thigh, too much fat around the knees, lots of skin laxity of her thighs in the front, in the outer aspect, and five to six inches of excess skin of the butt. So a lot was done, and a lot was done poorly. And not only did we have to revise and redo this and tighten her, I was faced with an anatomy that was already altered and deformed to some degree, which makes it even harder. Today, we were pulling up here. There were multiple vectors, a lift for the thighs, a reduction for the thighs, so they work against one another, and it makes the surgeries even more complex. And then liposculpting, creating a three-dimensional look for the buttocks, buttock projection. So a lot had to be done, and a lot had to be done at the same time to get the best results, but different vectors working in different directions. So every one surgery affects the next one. So you have to take all of this into consideration, and this is why not many plastic surgeons in the world can do these surgeries. These are extremely complex. In a nutshell, I did buttock lift, buttock enhancement, liposuction, flap augmentation of her buttocks, outer thigh lift, waist reduction, lower back skin excision, anterior thigh lift, which is the front revision of her tummy tuck. I tightened her abdominal muscles. I lifted her pubic area and removed some fat from it so that it ends up on a beautiful plane. Repositioned her navel higher by about one inch and liposuctioned the upper thighs, liposuctioned the knee areas, and fixed the thighs completely, and performed the thigh reduction, or a vertical thighplasty. And finally, you can see the precision in the placement of the scars, how symmetrical they are, and how perfectly they are placed despite the fact that this was a redo and the challenge was altered and deformed anatomy to some degree that we had to fix and work with.