3-WEEK FOLLOW-UP TRANSCRIPT:

So I wanted to give you an update on our patient before she goes back to Hong Kong. She's been here for three weeks, healing really well. Yay. And she's been taking a bunch of peptides. So far, so good. We are not out of the woods. Recovery takes about six weeks, but so far, very nice.

Tell us what you had had before you came to us. I'd had an abdominoplasty, which was slightly extended to come around here. Yes. I had also had a BBL done to try and, again, lift the skin through putting fat here, but didn't get the results I wanted. And I'd had the inner thigh lift, and again, that had migrated down through the labia, so down the inner thigh and also at the back as well.

Yeah. So she had her inner thigh lifted, back of thigh cut, BBL to really fill her buttocks up, and a tummy tuck. So what we ended up doing is to convert everything into a high-definition tummy tuck. We obviously didn't have to do her tummy tuck again, but we did a scar revision in the front there. And look at how beautifully she's healing.

I didn't have to cut her inner thighs again, so we lifted the inner thighs through a different procedure that I offer. Sometimes I don't have to cut people. This is the front of her thigh that is elevated, the outer thigh that is elevated. This little hole represents where the drain came. The drain went into her buttocks.

So we put a flap here. The flap will go down. Obviously, right now everything is swollen and bigger, but this flap will go down and will probably end up with this. We put fat into her buttocks, and then I corrected the placement of the posterior thigh.

It's overcorrected so that as the incision drops back and perhaps migrates a tad, it's still going to be covered by the buttock. Meaning that when I do the posterior thigh lift, posterior means back, lifting the back of your thigh, which we did for her, I try to secure that incision and that placement and reconstruct the infragluteal crease, the crease underneath the buttocks.

And this is her prior incision. You see the end of her incision. So I didn't even cut all of this. I tried to keep my incision to underneath her butt, but this is a remnant of the previous work that was done on her on that side and on this side. She scars remarkably well, but the scar comes another inch on each side.

So was it worth coming all the way from the other side of the planet? A thousand percent. And what peptides are you taking? I'm using a mixture, ones which you recommend. BPC-157, GHK-200, and there's a third one, TB-500.

Right. And you believe that it's making a difference, right? I think it makes a huge difference. That, nutrition, following your instructions to the T. Yeah. Your pre-surgery protocol, I think, was really beneficial, all of the nutrients you recommend.

Right. And doing that before and after, I think all of it holistically together makes a big difference. Yeah. Every aspect of this makes a small difference. Once you add it up, it makes a tremendous difference, and it's all important.

And as I tell everyone, recovery is half the surgery. Following instructions is half the surgery, and she's an example of that. Three weeks out, and we are doing really well. Yes. No, I'm super happy. Really happy. Thank you.

SURGERY PLAN TRANSCRIPT:

Today we are planning a comprehensive lower body transformation. Our patient has flown kindly from Hong Kong, where she resides. And many years ago, she lost about 50 pounds of weight and ended up having a tummy tuck about 15 years ago in London. In London. Yes. And then she's had a spiral thigh lift, which is a procedure that we described in 2012 that lifts the back of the thigh and the inner thigh, and that was performed in Los Angeles.

And she's now here to do essentially a lower body lift to tackle the issues that remain. She works out every day, literally every day, because that's her job. And despite that, as you can appreciate, we have some elements of skin looseness, especially on the thigh area and the buttock area.

So the plan of surgery today would be to perform a tummy tuck scar revision, pubic lift, and essentially remove her old scar and utilize that incision to lift the front of the thighs, the outer thighs, and extend the incision to perform a buttock lift and buttock reshaping.

So once we've done that, let me rotate her. Once we've done that, then we can excise. You see her old incision. We can excise these incisions, give her a much nicer incision, and use that access to lift her buttocks. Her buttocks are here and really need to be lifted to here.

And then this is the incision for the posterior thigh lift that was performed in LA six years ago. And what you'll notice is that despite the fact that she has the incision, the infragluteal crease, this crease was not reconstructed as a crease, and therefore it's still very loose.

So today we'll do a revision of this and reconstruct that like this, and then lift her buttocks like that and reshape them. So we are going to remove inches and inches of skin, as you can appreciate she has it, and then utilize all the excess fat that we have to shape her buttocks.

And literally, we will be saving every gram of fat that you can imagine. We won't be throwing anything away because we need it. Are you excited? I can't wait. I can't wait either. Okay. Okay, let's get going.

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