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Surgery Journal - 2026

High-Definition Lower Body Lift™ with Circumferential Thigh Lift and Buttock Lift & Reshaping - October 2026

SURGERY INFORMATION:

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

PATIENT AGE: Late 30s

SURGEON: Dr. Siamak Agha MD, PhD, FACS

SURGERY PLAN TRANSCRIPT:

Happy Wednesday, everyone. Today, we are doing a lower body lift and a circumferential thigh lift on a patient from LA. Believe it or not, we have a local patient. She has had a beautiful tummy tuck done prior to us, and they have done a great job, but unfortunately, I will have to cut a lot of her incisions and redo them.
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And that has to do with the fact that I have to now go after the thighs, remove all this skin from the front, lift this up like this, and close this against the upper abdominal tissue excision. We will also be doing an inner thigh lift with groin crease reconstruction, a good amount of outer thigh lift, and then obviously, the back has to be done, so the outer thigh lift incisions will be coming together.

If you can appreciate, we are removing about 50% of her lower back and upper buttock skin and then lifting this up in this manner. So she's going to get a beautiful buttock lift, buttock enhancement. We're going to use this tissue to augment her buttocks with, so her buttock size will be restored.

And then obviously we're doing our spiral thigh lift, removing a crescent of skin because this on itself will give you a gorgeous buttock lift, but she still has redundancy and excess tissue of the back of the thighs, and those have to be corrected.

So the back of the thighs are lifted, the inner aspect is lifted, the outer aspect is lifted, and the front is lifted. So she's essentially getting a circumferential thigh lift in this manner. No thigh reduction, obviously, and buttock enhancement and buttock lift today. You ready? Yes.

Before & After Surgery Photos

Surgical markings on patient abdomen for procedure.
Patient preparation for surgical procedure.
Surgical markings on patient's abdomen and thigh area.
Patient preparation for a surgical procedure.
Patient with marked surgical area on thigh.
Post-surgery leg with bandage and swelling.
Plastic surgery preparation with markings and draping.
Post-surgery patient in a medical setting.
Patient preparing for plastic surgery procedure.
Patient's leg with surgical dressings post-procedure
Body contouring markings on a patient.
Post-surgery buttocks after cosmetic procedure.
Surgical markings on patient for plastic surgery procedure.
Surgical knee with stitches post-operation.
Surgical markings on a patient's body.
Surgical site on lower back and buttocks.
Patient preparation for plastic surgery procedure.
Knee surgery patient in recovery position.

Surgery Results - Back

TRANSCRIPT

So all done with the back and just look at that hourglass look. So today, not only did we lift her buttocks, but we made sure that we end up with an hourglass look, and here it is. This work today included a buttock lift, buttock enhancement, fat transfer to the buttocks, buttock augmentation with lower back flaps, some fat transfer to the hips to create that hourglass look, and a posterior thigh lift. Posterior means the back of the thighs were lifted, and several inches of the back of thigh skin and tissue were removed, and the back of the thighs were lifted and the infragluteal crease reconstructed. This is not an easy surgery, and it is our spiral thigh lift that we described in 2012. Sheer beauty.

Surgery Results - Front

TRANSCRIPT

And guys, just look at the perfection that we've created today. Our patient had previously had a tummy tuck, and today we did a circumferential thigh lift and buttock lift and buttock reshaping for her. These procedures are not difficult to perform, but to get a great result you have to obviously be very precise, focused, and execute at an expert level. The hardest part of the surgery is the inner thigh lift and the back of the thighs, where the creases have to be reconstructed. And if you noted, we created her infragluteal crease, and in here, the groin crease has been meticulously reconstructed. There you go. Now she has a beautiful and complete thigh elevation, lifting the front, inner, outer, and side of her thigh, and beautiful buttocks to match it.