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Surgery Journal - 2025

Lower Body Lift Redo with Knee Lift, Buttock Lift & Enhancement, & Comprehensive Thigh Lift - January 2025

SURGERY INFORMATION:

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

PATIENT AGE: Late 50s

SURGEON: Dr. Siamak Agha MD, PhD, FACS

3-WEEK FOLLOW-UP TRANSCRIPT:

I wanted you to see how beautifully our patient is healing. She had a lower body lift back at her home area on the East Coast about 14 or 15 months ago, and she presented to us with areas that she wasn't happy with, which were the skin laxity of the thighs, the back of the thighs, the sides of the thighs. The buttocks were not taken care of. There were just two inches of loose skin removed around the circumference of the body with no pull-up or anchoring to make sure that my body was lifted.
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So very disappointing. I'm so sorry to hear that. So she presented to us, and three weeks ago, we did a comprehensive lower body lift redo on her that really went after all the problem areas and every enhancement that she needed. Tell me what the difference is.

Oh gosh, night and day. The front of the thighs, there's no laxity, very tight, very youthful. No wiggling when I walk. The sides of the thighs, there's no saddlebags. Yeah. It's straight, narrow, exactly like I liked it.

And then the buttocks went from, if you imagine a triangle shape where the buttocks were wide and saggy with the saddlebags, now they're tight and round and voluminous, and a very appropriate size for my body figure. Perfect.

So you can see how beautifully she's healing. She's still healing, very bruised, obviously. And some of this bruising has to do with the fact that we did a more comprehensive buttock lift on her, and that creates bruising. Same with the thighs, same with the outer thighs and the front of the thighs.

So the way I do this is that I elevate the fat over the muscle and anchor it at a higher position. So it's very similar to what many people refer to for the face, like a deep plane facelift. This is like a deep plane body lift, restoring the whole fat unit higher and then cutting the skin rather than just cutting the skin and the fat and suturing it, which is more or less a standard lower body lift.

Ours is more comprehensive. More healing is needed. She had sagging of the outer buttocks. Those were also fixed. I put sutures here to create a little bit of a crease here for her.

I've been doing this since 2005. We are in 2025, and it's taken me 20 years to get here and be comfortable with doing really, really comprehensive body lifts. Fantastic.

Surgery Plan

SURGERY PLAN TRANSCRIPT:

So today we are doing a lower body lift redo. Our patient is from New York, and about 14 months ago, she had a lower body lift on the East Coast and is still not 100% happy with her results. Tell me what bothers you. So the skin laxity is still an issue. The buttock sagging is still an issue, and that wasn't corrected. And the outside saddlebags are still visible.
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Right. And you feel that they just cut the roll of tissue and pulled it up without doing a deep plane repositioning of the tissue. That's right. It was just superficial. A couple of inches of skin removed. Didn't do anything for the thighs or the buttock lifting. Right.

So you may not appreciate all her issues, but in person, you can see a lot more. And obviously, it is still bothersome to her to the degree that she's come all the way to the West Coast to have it revised.

And today we'll be doing a comprehensive thigh lift, what I call deep plane thigh repositioning, lifting the tissues higher and repositioning them.

And when it comes to her back, we're going to completely reshape her buttocks. Her scars are low. We're going to bring them higher. We're going to remove an additional 5 to 6 centimeters of fat and skin and reposition the fat.

And she wants to have much narrower buttocks. She really wants to have this. So I'm going to be repositioning her buttock tissue in such a way that it creates narrower but more projected buttocks for her, and hopefully that will achieve her goal.

Before & After Surgery Photos

Surgical markings on patient’s abdomen and thighs.
Post-operative abdomen and legs with stitches.
Surgical markings on patient's thigh before procedure.
Post-surgical abdomen with stitches and bruising.
Patient prepped for surgical procedure on upper arm.
Post-surgery leg with visible incision and bruising.
Patient preparing for plastic surgery procedure.
Surgical site on abdomen with healing incisions.
Surgical markings on patient's torso before procedure.
Surgical incision on patient’s thigh after procedure
Body marking for a cosmetic procedure preparation.
Post-surgery recovery of lower back area.
Body contouring markings on patient’s lower back.
Post-surgical knee area with dressings and sutures.
Patient’s leg marked for a cosmetic procedure.
Surgical knee procedure post-operative recovery image.
Patient preparation for body contouring procedure.
Post-operative surgical site on a patient's thigh.
Patient leg prepared for plastic surgery procedure.
Patient post-surgery recovery with visible incision.

Surgery Result - Back

TRANSCRIPT

So this is the backside of our lower body lift redo. Our patient is from New York and had a lower body lift 14 months ago and was still unhappy with a number of issues. Her lower body lift was done on the East Coast, and then she came to us for a revision. Essentially, she wanted her buttocks to be lifted further, her thighs to be repositioned and lifted further, and she felt that she had essentially had skin excision and suturing, and she wanted more shaping, more contouring, and creation of fuller but narrower buttocks. Specifically, she told me this morning that she wants her buttocks to be narrower and not have really much of an hourglass look, but more of a linear look and smaller hips. So during the surgery, not only did I lift her buttocks, use her own lower back and upper buttock tissue to augment her buttocks, liposuction her, and graft some of that fat into the lower buttocks, but I also made her buttocks narrower. Each buttock cheek is at least three to four centimeters narrower, and this was done because that's what she wanted. And when possible, we follow patients' desires and try to create what they want because they have a vision for their body, and if possible, we would like to comply with their vision and produce what is needed for them to be happier, obviously.

Surgery Result - Front

TRANSCRIPT

So this is the result of the rest of her surgery, which included a comprehensive thigh lift and tummy tuck scar revision. What you'll notice is that the whole thigh unit has been elevated, and even the inner thighs have been improved and enhanced during the work that we did on her thighs on the front. Our patient really, really wanted a comprehensive thigh lift, and unfortunately, that apparently was not performed during her last surgery. So today we complied with her request and performed a comprehensive thigh lift, as you can appreciate.