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Surgery Journal - 2026

Post Bariatric High-Definition Lower Body Lift™ with Partial High-Definition Tummy Tuck™, Thigh Lift, & Buttock Augmentation For an Athletic Body Result - October 2026

SURGERY INFORMATION:

LEARN MORE ABOUT: High-Definition Lower Body Lift™, High-Definition Tummy Tuck, Buttock Enhancement, Thigh Lift

PATIENT AGE: Late 50s

SURGEON: Dr. Siamak Agha MD, PhD, FACS

SURGERY PLAN TRANSCRIPT:

Happy Thursday, everyone. Back in the OR, our favorite place, and today we are doing a lower body transformation. We're going to create a beautiful high-definition lower body lift for our patient. Where is home for you? Tennessee. And why are we doing such a big procedure for you? It's something that I have wanted for a very long time.
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Right. As you can see, there's a lot of sagging, and I'm embarrassed by it. I spend a lot of time on the water, and I live on a lake, and it's almost like a sick joke that that's what I do with my spare time, and then I'm in a bathing suit and shorts all the time, and I want to look better for that. Wonderful. You're in the right place.

So, another weight loss patient, and we do a lot more body lifts nowadays. They are more accepted, they are more effective, and more and more patients are seeking lower body lifts because they are a true comprehensive transformation and correction of the front, the sides, the butt, the thighs, everything in unison. So you get a lot out of them, and that's why I love doing them.

So in the front we'll be doing our high-definition tummy tuck. Her navel is very high, as you can appreciate, and I can't cut this much skin out. So I have to cut around the navel, close this opening on itself, pull it down, create a tiny scar this way, and then create a new opening for her. So she's going to get a partial high-definition tummy tuck. The rest of it is exactly the same.

We're going to lift the front of the thighs, the pubic area. We're going to sculpt her sides. And then we're going to do an outer thigh lift like this, removing several inches of skin.

And coming to her backside, I'm going to liposuction her flanks to deepen up her waist concavity and do a substantial buttock lift and buttock reshaping and remove several, literally half of her buttock and lower back skin, and place some of this fat into the buttocks to create what she wants, which is an athletic-looking butt.

So it's not going to be a major augmentation. It's just going to be more of a reshaped, lifted, and more athletic-looking backside so she can enjoy her bikinis and her lifestyle. Ready? Yes. Let's do it.

Before & After Surgery Photos

Marked abdomen in a surgical setting.
Surgical site with sutures on abdomen.
Surgical markings on abdomen for procedure preparation.
Surgical patient in recovery with visible incision.
Patient preparation for procedure at plastic surgery clinic.
Surgical site on patient's back with catheter.
Patient preparation for plastic surgery procedure.
Surgical site on abdomen post-operation, covered.
Patient in surgical prep with markings on skin.
Post-surgery recovery with bandage on skin.
Body markings for surgical procedure preparation.
Surgical view of patient recovering post-procedure.
Pre-operative marking on patient's lower back.
Post-surgery recovery on a patient’s lower body.
Body markings for medical procedure preparation.
Post-operative view of plastic surgery procedure.
Body marking for a cosmetic procedure preparation.
Post-surgery procedure on lower body area.
Body contouring markings on a patient's thigh.
Post-surgery recovery of a gluteal procedure.

Surgery Results - Back

TRANSCRIPT

So guys, just look at the side profile that we've created for our patient. Isn't this gorgeous? She's got beautiful lower dorsals. Fifty percent of her lower back and upper buttock skin was removed, a beautiful buttock lift, buttock enhancement with her own tissues, some liposuction of her waist to create concavity, and then rounding of the buttocks with her own lower back flaps and then transferred fat. There you go. What we also did was to really elevate this area up so that we can get more elevation of the infragluteal creases for our patient, which is something new that I'm trying to do for our patients. But overall, she's got a beautiful shape that has been restored for her.

Surgery Results - Front

TRANSCRIPT

So we are now finished with our surgery, and I could not be happier for our patient. Just look at her results. Our patient is not a weight loss patient but desired restoration of her body. And in order to achieve that, we performed our high-definition lower body lift that attends to the buttocks, outer thighs, flanks, abdomen, pubic area, and thigh front all in one day. And what you'll notice is that our patient has a beautiful contour and definition. The shadows and the light reflection represent essentially the alcohol that we spray on her skin, and we do that so that we can show you what we've been able to accomplish, which is a three-dimensional correction of her abdominal contour. The tiny vertical incision that you see above her navel represents the closure of the old navel opening, and the tiny indentation that you see here is a deep suture whereby the thigh fronts were lifted. Those sutures will absorb in about six weeks and will be gone. But in the interim, she will have a lifted thigh that will heal at a higher position and will give her a permanent thigh elevation. This is her front view, so you can appreciate the symmetry of our incisions.