High-Definition Lower Body Lift™ with Bra Line Upper Body Lift - March 2026

Happy Monday, everyone. Today we are doing an arm lift and a breast reduction and lift. Our patient is 69 years old, and she has done a few procedures prior to us, including a periareolar lift many years ago, and then a limited arm lift. You see the scar that starts here and comes down here and then continues all the way down here. This is a limited arm lift, and I really, really hate this procedure. I can't say how bad this procedure is, and the reality is that it doesn't work. Not only it doesn't work, it really changes the contour, the shape of your armpit forever, and this is an example of it. So not only she's lost the concavity of her armpit, but also she hasn't got any correction. Um, was it like this always, or you think it's getting worse? Oh, it's getting worse with age. Yeah. Yeah, and it's getting worse with age. So this arm lift, I don't do it in my practice. When people come and ask for it, I just tell them it doesn't work. I explain it to them. One of the problems is that after it's done, it's tight, but as you lift the arm, you pull that scar, so you get scar migration and then loss of correction. And arm skin always drops this way, so lifting it up this way doesn't really help much. So today we're gonna be correcting this. What really bugs her... Put your arm down, sweetheart. Mm-hmm. Is this, she tells me. More than anything else, she wants this gone. And in order to correct that, we're gonna correct it from here like that. Now put your arm down. Mm. There you go. So you're gonna get that corrected. And then obviously we're gonna correct the contour of the arm as well. Then we're gonna do, um, a dermal bra suspension breast lift with reduction. She wants her breasts to be higher and also smaller, so we're gonna make the breasts narrower, shape them, uplift them, make them round and perky, and reduce them all at the same time. Okay. You ready? Ready.

So we started our surgery with her bra line upper body lift redo. We obviously excised her previous scar as well as all the excess skin that she had, tightened the whole back unit. Subsequently, I performed a buttock lift with buttock enhancement. We used all the excess tissue off the lower back up to here to put a flap here, and then also fill the hip dips with another flap. So she's got two flaps for her buttocks. And then I liposuction her waist area in this section and transferred all of that fat into the lower buttocks to create fullness that goes this way and this way. So this is circumferential perking and filling up the buttocks with flaps and fat transfer.

So we are now finished with our surgery on the front. We continued with the outer thigh lift on the back and lifted the front of the thighs and then revised her previous tummy tuck incision and pulled the pubic area higher and made it a little bit less wide than it used to be prior to our surgery. I also liposuctioned her flanks in these areas, her upper abdominal region here, and then continued with the bra line upper body lift incision on the back, did a little bit of a reverse tummy tuck in the front so that we get tightening of her flanks as a result of the contour irregularities that existed in that area. And then utilized all the excess fat and essentially cleaned it up and added about 90 cc of fat into the purple areas so that we get more projection and fullness of the breasts. There you go.