LOWER BODY LIFT BEFORE AND AFTER PHOTOS – PATIENT 20

This patient presented to Dr. Siamak Agha to undergo a lower body lift. The patient was unhappy with her lower body hanging skin and tissues of her abdomen, thighs, and buttocks. The patient had lost weight as a result of exercise and diet.

On examination, the patient was found to have more skin laxity and excess (seen as wrinkles on her thighs and buttocks) than hanging tissue. However she did have a significant degree of thigh looseness vertically and thigh excess circumferentially. This means her thighs carried a large amount of her previous weight and thus had stretched circumferentially and drooped vertically. Of course, this is not an uncommon observation in weight loss patients. If a patient carries a large amount of their excess weight in their buttocks and / or thighs, then these areas will be stretched more and thus will have more drooping after the weight loss. That is why each patient presents with different problems and thus different needs. In fact, in a study that Dr. Agha conducted on his patients several years ago, concluded that virtually every weight loss patient will have vertical laxity of their thighs and will benefit from a complete thigh lift. However only 40 percent of the patients had moderate laxity and excess of their inner thighs. This is horizontal or circumferential laxity and thus it requires a thigh reduction, a procedure commonly known as a vertical thighplasty or vertical thigh lift. The latter term is misleading since there is no “actual lift” in a vertical thigh lift. The thighs are only made thinner and slimmer.

This patient would have benefited from a thigh reduction, lower body lift and buttocks enhancement. However, she did not wish to have vertical thighplasty incisions and desired only a lower body lift with buttocks enhancement.

During a 7 ½ hours surgery, Dr. Agha performed all the components of his signature high-definition lower body lift on this patient. This included tummy tuck with abdominal