Lower Body Lift Redo & Spiral Thigh Lift

So the reason she hasn't achieved what she wanted despite having a lower body lift four years ago has to do with the fact that she has had a skin removal surgery. Skin removal and lower body lift means that you cut here, you cut here, or typically a little bit higher, and then you just suture the skin together. Now, as I'm doing this, it's tight. It's already pulling down because the skin is attached to the muscle. So when you do this, over time, it's going to relax again. It's going to get pulled down. In order to achieve a better result, I do what I call structural lift. It's a terminology that I coined to describe what we do, which is lifting the whole structure up. And in order to achieve that, you have to undermine the tissues, you have to lift them up, you have to create more dissection. It's more invasive, it requires more healing, and it's a bigger surgery, but it gives you a better result. The incisions are the same, but we work harder through that incision by lifting, dissociating the fat from the muscle, lifting it up, and suturing that fat back to the muscle. So all these attachments that go from your skin to your muscle, most of them are dissociated, so we can get more elevation, a deep plane lift, and then anchoring sutures are placed in order to keep it there. Otherwise, the results relax pretty soon, and this is only four years out. So today, we'll be going after her navel. We're going to remove all her previous scar. We're going to do a structural lift. We're going to do Renuvion of the inner thighs. She really would benefit from a vertical incision here, but she doesn't want that, so we compromise because at the end of the day, it's her surgery, and she understands that Renuvion will not give her the best result, but she's okay with that. We're going to do an inner thigh lift in addition. On the back, she has these incisions, but you see I'm going to cut another 10 centimeters of tissue, reposition the fat. We're going to do a spiral thigh lift with a posterior thigh lift, Renuvion of the back. This buttock is lower than this one. We're going to adjust that and fix that. So again, four years ago, she has had a lower body lift, but look at the laxity that she already has developed. I am sure it was much tighter after, right? Yes, it was. It was indeed. So it was tight before, but it has relaxed, and it relaxes because it was a skin removal lower body lift rather than a structural lower body lift. Okay. Good luck to both myself and you. You're so cute. Thank you.