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Surgery Journal - 2021

Revision High-Definition Lower Body Lift™ with Vertical Thighplasty, & Comprehensive Thigh Lift - April 2024

SURGERY INFORMATION:

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

PATIENT AGE: Late 50s

SURGEON: Dr. Siamak Agha MD, PhD, FACS

10-WEEK FOLLOW-UP TRANSCRIPT:

So we are 10 weeks out from her lower body lift redo, outer thigh lift redo. I'm saying redo, but I think some of the surgeries were not even done, meaning that she had a basic circumferential tummy tuck, which in our practice is not the same as our high-definition lower body lift.
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Anyhow, we lifted the outer thighs, the thigh fronts, repositioned the buttocks again, and did a vertical thighplasty, which is a thigh reduction. It is quite a lot of surgery, given the fact that we also did buttock enhancement, liposuction, a redo buttock lift, removing five or six inches of additional skin.

It is a lot, but when you do a comprehensive correction, you get a comprehensive result. And sometimes if you try to do these in pieces, you'll never get exactly the same result.

So, a couple of questions for you. Was this surgery harder than the first surgery that you had had six months prior to this? Yes, definitely much harder. Much harder, right? And the recovery was harder, right? Yes. Yes. Yeah.

So it's harder because we have done a lot more. If I count the number of procedures that we put into a lower body lift, it's a lot more than your average lower body lift.

Here she had buttock lift, buttock augmentation with lower back fat pads, liposuction, fat transfer, lower back liposuction, saddlebag liposuction, outer thigh lift, front thigh lift, waist reduction, and in her case, vertical thighplasty and thigh liposuction.

So a lot more was put into it, so we get a lot more out of it. And what do you think? I love it. Big change? Big change.

And she's healed remarkably well. I followed all your instructions. I ate plenty of protein, did the vitamins, rested. Yeah. Yes. Thank you. Thank you.

Surgery Plan

SURGERY PLAN TRANSCRIPT:

Happy Monday, everyone. Today, we are on our second case, and we will be doing a lower body lift. This is our patient on the operating room table before we start the surgery. And as you can notice, she's got a ton of outer thigh and waist skin laxity. We have about eight inches of skin laxity when she's stretched.
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These are her markings for her lower body lift in the front and back. We'll be doing a pubic lift, a tummy tuck, a front thigh lift, outer thigh lift, and the usual butt lift.

So we'll be rotating her next on the operating room table and actually start the surgery on the back and then come back and finish the front. But I wanted everyone to notice how much skin we'll be excising today.

Our patient is not a weight loss patient, but she does have a good amount of skin laxity, dimpling, cellulite, and outer thigh and buttock excess that has been bothering her.

This is where we'll actually be starting her butt lift surgery. The plan of surgery is, as you can appreciate, to remove the excess lower back and upper buttock skin, lift her buttocks, and augment her buttocks with lower back fat pads and liposuction fat.

So this is a combination of a Brazilian butt lift and buttock enhancement with her own fat pad from her lower back.

So this is a side profile of her buttocks, and then I'll show you the results after we've completed this part of the surgery.

Before & After Surgery Photos

Medical patient preparation with body markings.
Surgical abdomen with stitches and silicone implants.
Surgical markings on torso before procedure.
Surgical model with sutures and artificial features.
Medical training dummy in surgical preparation.
Surgical procedure with visible incision and sutures.
Surgical markings on patient's lower back.
Post-surgery view of lower back and buttocks.
Surgical markings on a patient's lower back.
Post-surgery view of body contouring procedure.
Patient's side with markings for medical procedure.
Surgical procedure on patient's lower back area.

Surgery Result - Back

TRANSCRIPT

So we are now done with the back portion of the surgery, and look at how beautiful she looks. Beautiful concavity of the lower back, beautiful buttock enhancement and projection. We lifted her buttocks. I did a buttock lift, and look how perfect those incisions are. I kept her hip width still feminine in terms of fullness. Yeah, that's better. I couldn't really see it myself from up there. You see now? Look at those incisions. Perfectly symmetrical, nice buttocks in terms of height and width, beautiful projection. The buttocks were enhanced and augmented with lower back fat pads and buttock fat transfer. She could have probably used a little bit more if we had it, but she wanted a modest augmentation, which is, I think, what we have. We have a nice concavity of her waist and the lower back. So everything that we planned has been accomplished, and I worked very hard not to make her too boxy or linear and to keep her feminine hips and her beautiful hourglass shape intact. So now it's time to rotate her and complete her surgery in the front. See you guys in a few hours.

Surgery Result - Front

TRANSCRIPT

So we are now done with our surgery, and look how beautiful our patient looks. Her lower body lift is done, and just look at how beautiful that abdomen looks. We placed the incision super low on her, so she gets a nice pubic lift, and then her thighs are lifted on the front and outer aspect. And she has a nice high-definition abdominal look with concavity of the waist, an hourglass look, and sculpted, well-defined abs that were built in a matter of six or seven hours of surgery. We lifted everything up, tightened it, tightened her abdominal muscles and skin, removed the excess fat, and just sculpted her beautiful shape and brought out her definition. There you go. I think she's going to be super happy with her results, as I am. So we'll see you tomorrow. Tomorrow we have a tummy tuck with outer thigh lift and liposuction, and a later breast surgery. Take care, everyone. Okay, we're done. Thank you.