This woman in her late-20s visited Dr Arthur Tjandra of Elixir de Vie 2 months ago for abdominal liposuction. As usual, Dr Arthur Tjandra of Elixir de Vie recommended 3-dimensional liposuction where the entire torso which consists of upper abdomen, lower abdomen, waist, flanks and lower back as well as love handles, be addressed. Dr Arthur Tjandra of Elixir de Vie performs liposuction under twilight anesthesia, which is a combination of local anesthesia and sedation. However, not everyone is suited for twilight anesthesia. The very hysterical patients, for instance, or those who cannot stand even the slightest pain or pinch, may be better off having their surgeries performed under general anesthesia. But, due to reasons which Dr Arthur Tjandra of Elixir de Vie has already outlined on his website, he does not offer liposuction under general anesthesia. Not only is it more expensive to do so and carries higher risk of complications, it may also compromise the result of his surgeries, which may tarnish his reputation in return.

This patient opted for 3-dimensional liposuction in the beginning. She was also aware that she might be able to feel some pain under twilight anesthesia. She understood that there was an option to have liposuction done under general anesthesia, however, like most patients, she thought she could withstand some mild degree of pain. Throughout the first part of her surgery she was coping well. However, towards the end, when Dr Arthur Tjandra of Elixir de Vie was half-way performing liposuction on her right flank and right love handle, she became hysterical and insisted that the surgery be stopped. As she was conscious and alert, the surgery was abandoned to fulfill her wish. As her right flank and love handle/lower back were half-done, this becomes a very good case study to show the difference between someone who has fat in her flank and love handle. There are so many women out there who do not realize that they have thick chunk of fat in their flanks and love handles, because they have no idea how they look like from behind. Most women are concerned with bulges of fat in the frontal tummy only. They do not realize that without getting rid of the fat in their flanks and love handles, they will not have the beautiful hour-glass figure. Their torso appear squarish instead!

The woman below is one good example. She wears such a tiny pair of bikini. She must have the confidence to bare it all. But, does she look sexy? Does she look like a woman? After watching all the videos we have published on our YouTube channel, as well as read all our case studies, you should know the answers! By the way, this picture is labelled as stunning latina. Yes, we search for stunning latina in bikini, and we get this!

Hence, the case above is one good example of why liposuction under local anesthesia or twilight anesthesia, is not suited for all patients. Some patients may be better off having liposuction performed under general anesthesia. But, having said that, 99% of our patients who had liposuction performed under local anesthesia or twilight anesthesia were coping extremely well. Visit our Liposuction Case Studies to see photographs and videos of patients having fun while getting their surgeries done! Yes, they were literally having fun, lots of fun, singing along with Dr Arthur Tjandra, taking selfies, etc! On the other hand, we also had one patient, a nursing student from Australia, who actually had major depression after her liposuction surgery! She kept having flashbacks and nightmares of her surgery weeks and months later!

What happens to this patient, then? She is the first patient whose liposuction surgery Dr Arthur Tjandra had to abandoned half-way before it was completed. Luckily, half of the contents of her right flank and right love handle have been removed. As a matter of fact, she was not aware of any difference between left and right, until Dr Arthur Tjandra pointed out to her 2 months later. Yes, she returns 2 months later to have her arms done! And this time round, she sings and laughs hysterically throughout her surgery!

Video 1: I look like I was 3 months pregnant, but I am not!

Video 2: Whole body liposuction, pre-operative video.

Video 3: Awake syringe liposuction under local anesthesia by Dr Arthur Tjandra of Elixir de Vie.

Video 4: Completion of left abdominal liposuction. Comparison between right and left, before and after liposuction.

Video 5: Completion of partial abdominal liposuction. Right flank and right love handle are only partially-lipoed.

Video 6: Result of partial abdominal liposuction, 2 months later.

For more Liposuction Case Studies, please visit our website:

More liposuction before and after surgery photos can be see here:

Combination of liposuction and autologous fat grafting to breasts or/and buttocks can be seen here:

A list of our patients’ blogs:

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