A 360-Degree Anti-Cellulite Lift
In the 1970s, cosmetic procedures like facelifts were largely reserved for celebrities. Today, aesthetic surgery has become widely accessible, empowering individuals everywhere to enhance their appearance and confidence. Much like facial rejuvenation, body rejuvenation has evolved dramatically and more and more people want to keep their body in the best shape that advanced medicine offers. This is where body lifts come into play.
Body lifts are a holistic approach to lower body restoration. Historically, body lifts were performed on patients who experienced significant weight loss and were left with excess, hanging skin. Over the past two decades, however, the field has been transformed—largely due to the pioneering work of Dr. Siamak Agha, Dr. Peter Rubin, Dr. Al Aly, and Dr. Dennis Hurwitz. With more than 20 years of experience and over 600 lower body lift procedures performed—one of the highest volumes by any single surgeon worldwide—Dr. Agha is internationally recognized for advancing body lift surgery beyond traditional techniques. His vast experience redefines how he restores body shape and form following aging, weight loss, pregnancy, and previous cosmetic procedures, attracting patients from across the globe seeking his expertise.
Aging Body and Cellulites
As women age, the body undergoes gradual and natural changes in skin texture, fat distribution, muscle mass and even bony structure.
As we age, our fat, skin and bone, and muscle all undergo natural changes that show signs of our age. During the 40s, hormonal changes, reduced collagen, and slower metabolism can make cellulite more visible and soften tissue contours. In the 50s, menopause often accelerates these changes, leading to thinner, drier skin, increased abdominal fat, deeper cellulite, and less-defined body shape. By the 60s, collagen loss and reduced tissue support typically cause greater skin laxity, softer contours, and more noticeable folds, rolls, and looseness in several areas.
These changes are accelerated by dramatic weight loss whether through diet or GLP-1 medications. Despite these changes, body shape remains highly individual, influenced by genetics, activity level, nutrition, and overall health.
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Lower body lift surgery requires a careful balance between removing excess skin, reshaping the lower body, and preserving natural body proportions. Dr. Siamak Agha approaches the high-definition lower body lift with a comprehensive 360-degree strategy that addresses the abdomen, waist, hips, outer thighs, buttocks, mons, and lower back together. By combining advanced body contouring techniques with precise incision planning and tissue support, he is able to create a smoother, firmer, and more sculpted lower body shape while maintaining results that look balanced and natural.
Patients who choose Dr. Agha’s Newport Beach practice benefit from a highly personalized surgical experience focused on refined, long-lasting outcomes. Every lower body lift plan is tailored to the patient’s anatomy, skin laxity, weight history, and aesthetic goals. With decades of experience in complex body contouring and an emphasis on precision, safety, and proportion, Dr. Agha helps patients restore a more confident lower body silhouette at The One Plastic Surgery Center.
A lower body lift is a circumferential body contouring procedure designed to remove excess skin and tighten underlying tissues of the abdomen, mons (pubic area), waist, hips, buttocks, and outer thighs. By removing a band of tissue around the lower torso, the procedure reshapes and smooths the body’s contours. A standard lower body lift, as performed by many surgeons, is also commonly referred to as a circumferential tummy tuck or belt lipectomy.
However, not all lower body lifts are created equal.
While traditional standard lower body lift techniques focus primarily on skin removal of abdomen, waist and buttocks, Dr. Agha has pioneered a far more comprehensive and restorative approach: the High-Definition Lower Body Lift™. This innovative procedure delivers a three-dimensional transformation of the entire lower body that goes far beyond skin removal. The High-Definition Lower Body Lift™ is a culmination of 20 years of evolution and unlike a standard lower body lift, it is a Structural or Foundational or Deep-Plane Body Lift™ —making it especially effective for patients experiencing skin laxity and cellulites due to aging or weight loss, including those on GLP-1 medications.
Through decades of surgical refinement, Dr. Agha has elevated the lower body lift into a transformative, artistic, and highly precise procedure. His High-Definition Lower Body Lift™ is designed to produce natural-looking, athletic, and long-lasting results by addressing both superficial and deep structural layers of the body.
Unlike standard skin-removal techniques, Dr. Agha’s approach is based on what he terms a Structural or Foundational or Deep-Plane Body Lift™. This method focuses on restoring the body’s foundational anatomy. During surgery, the deeper fat layer is carefully separated from the muscle, lifted, and secured at a higher position with anchoring sutures before excess skin is removed. In this manner, a structural lift is performed. This creates more durable, elevated, and aesthetically refined outcomes.
Key components of Dr. Agha's High-Definition Lower Body Lift may include:
All of these procedures are individually performed one by one through a single circumferential incision, allowing for comprehensive, 360-degree reshaping.
What makes the high-definition lower body lift different from other body lift surgeries out there is the comprehensive, yet structural, approach of Dr. Agha in tackling all lower body problems through one circumferential incision. Depending on the patient’s needs, these procedures typically include the following:
This procedure removes excess abdominal skin and tissues while also tightening your abdominal muscles. It is a pretty popular procedure not just for those who lost weight but also for women who recently gave birth. Pregnancy expands your abdominal muscles way beyond what the connective tissues can endure, causing the abdominal muscles to separate in a condition known as diastasis recti. Thus, a tummy tuck with abdominal muscle tightening can transform your midsection from bulky to flat and toned. Dr. Agha typically performs his signature High-Definition Tummy Tuck that not only removes excess abdominal tissue but also restores your natural abdominal definitions.
Also known as a pubic lift, monsplasty removes the fullness of the mons pubis—the fatty hair-bearing area above the genitals—and tightens its skin and tissues by lifting the pubic area. It results in a lower profile mons that bulges less in the clothing you wear, giving you the freedom to wear anything you want.
This procedure removes excess skin and tissue on the waists to give you a contoured, hourglass figure.
The anterior thigh lift is made specifically for solving issues on the front of the thighs. It was pioneered by Dr. Agha for his patients, as many of them have problems in this area. This procedure uses an incision over the thigh front through which the thigh skin and fat are loosened up using a specialized instrument. The thigh skin and underlying fat are then lifted by 1.5 to 2 inches and anchored to the pelvic bone at multiple locations. This results in a smoother thigh contour.
Also called lateral thigh lift, the outer thigh lift , the outer thigh lift removes inches of outer thigh and waist skin. It smoothens the contour of the outer thigh as it flows into the waist concavity.
Dr. Agha first excises the excess tissues of the waist and upper outer thigh. He then partially detaches the outer thigh skin and fat from the thigh muscles using a specialized instrument. In this manner, the outer thigh tissue is loosened up. The outer thigh tissue is then lifted and anchor sutured back to the thigh muscles at a higher position using multiple anchoring sutures. The incision is then closed in three layers, just like in a tummy tuck or lower body lift.
The lower back skin excision is a complementary procedure to a lower body lift.
It removes sagging skin of the lower back while a buttock lift is being performed to create a tighter back-buttock junction.
A Structural Buttock Lift™ involves removing excess skin of the upper buttocks and lower back, detaching the buttock skin and fat layer from the gluteal muscles, lifting your buttocks, and suturing it at a higher anatomical position. It results in an anatomical buttock repositioning, smoother buttock skin with less visible cellulite.
You can have a butt lift surgery on its own, but you also have the option of pairing it with a reduction or augmentation procedure.
If you have rolls of fat in your lower back, love-handles or waist, liposuction can help get rid of the excess bulge and smoothen out the transitions from one area to another.
Waist liposuction helps you achieve a feminine figure by removing unwanted fat pockets in your waist, accentuating your hips and buttocks. It is employed to create a more pleasing hour-glass physique by enhancing the waist concavity.
The exact steps in an HD lower body lift depend on the specific needs of the patient.
For most patients, Dr. Agha starts the procedure on their lower back, performing gentle liposuction of the saddlebags and love handles. The liposuctioned fat is then washed and processed for buttocks fat transfer later on as needed.
Dr. Agha then places two perfectly curved V-shaped incisions on the lower back and upper buttocks. The upper incision is located over the waist and on the flanks, while the lower incision continues over the outer thigh. Dr. Agha makes sure to mark these locations during the preoperative marking session. He uses these incisions not only for removing excess skin of the lower back and upper buttocks but also for excess tissues on the waist and outer thighs.
Once these two incisions are made, Dr. Agha removes the skin of the lower back between these two incisions while preserving the underlying fat. He then develops the lower back fat on each side of the midline as a fat pad.
Next up are the buttocks. Dr. Agha uses the lower incision to create a pocket over the buttock muscles. To do this, he lifts the butt skin and fat off of the butt muscles. He mobilizes and rotates the lower back fat pad into the created buttock pocket, then secures it while lifting the buttock tissue over it. This way, Dr. Agha enhances your butt projection by using excess lower back fat molded as fat pads. He completes the buttock lift by bringing the two incisions together and using three-layer closure for all his incisions.
Dr. Agha then proceeds to work on the outer thighs and waist.
He uses a Lockwood dissector, a special instrument invented by Dr. Lockwood, to elevate and partially detach the outer thigh tissue from the outer thigh muscle. He then sutures the outer thigh tissue back to the muscles at a higher position using anchoring sutures. These sutures prevent the lifted tissues from sagging further.
Dr. Agha finally closes the incisions at the sides to complete the outer thigh lift and waist skin incision, resulting in a smoother outer thigh skin contour and waist concavity. To complete all the back procedures, Dr. Agha transfers the liposuctioned fat into the lower buttocks to create a rounder and more natural butt shape.
Dr. Agha turns the patient over to continue working on the front. The outer thigh incision is continued over the front of the thighs and onto the pubic area. Similarly, the upper incision is continued over the waist area towards the navel. To do the tummy tuck, the excess tissue between these two incisions is next excised over the abdominal muscles. Once the abdominal muscles are tightened, the anterior thighs are lifted and anchored to the pelvic bone in a similar manner to the outer thigh anchoring.
Next, the two incisions are closed with three layers of sutures, completing the anterior thigh lift, tummy tuck, and monsplasty. The final part of the high-definition lower body lift involves liposuction of the waist areas.
Lower body lift results are typically visible immediately, with a more contoured and lifted appearance in your buttocks and thighs. However, swelling and bruising are common for several weeks. Final results can take up to 18 months as swelling subsides and scars mature.
Post-treatment involves wearing a compression garment and following a specific incision care plan. Maintaining a healthy weight and exercise routine is crucial to sustain your sculpted physique.
Your journey begins with a personalized consultation at The One Plastic Surgery Center in Newport Beach, California. During this in-depth evaluation, Dr. Siamak Agha—an internationally renowned, board-certified plastic surgeon—will assess your anatomy, discuss your goals, and design a fully customized surgical plan for your body transformation with you.
Patients travel nationally and internationally to seek Dr. Agha’s expertise, particularly for body lifts and revision procedures. His meticulous approach, artistic vision, and commitment to innovation have positioned him as a global leader in advanced breast reshaping and body contouring.
During your consultation, you’ll have the opportunity to review before-and-after results, ask detailed questions, and gain a clear understanding of how a High-Definition Lower Body Lift™ can restore youthful contours and confidence.
If you’re looking to rejuvenate your midsection, thighs, and buttocks with a comprehensive, cutting-edge approach, Dr. Agha’s signature technique offers a truly transformative solution.
Schedule your consultation today and take the first step toward a sculpted, balanced, and revitalized silhouette.
A lower body lift will likely result in noticeable scars. Lower body lifts typically leave a circumferential scar around the lower body, following the bikini line and buttocks. These scars can be quite noticeable right after surgery, appearing red, raised, and prominent. However, they will fade and flatten over time. It's important to remember that factors like genetics, age, scar care, and how your skin heals affect how noticeable your scars become.
A lower body lift can be a good option if you have sagging skin and laxity in your buttocks, thighs, and abdomen. It's ideal for those seeking a more toned and contoured lower body. During a consultation, your surgeon will assess your individual anatomy, goals, and medical history to determine if a lower body lift is the right procedure for you.
Please follow us @drsiamakagha to learn what makes Dr. Agha unique and special, learn from his educational podcasts and consults, and view precision surgery after surgery.
