This young mother of 3 children in her mid-20s comes to Dr Arthur Tjandra of Elixir de Vie for abdominal liposuction. Although she already had breast augmentation surgery by another surgeon using breast implants, she is still not happy with the appearance of her breasts because the top part of her chest is still completely flat! In order to show off her cleavage, she still needs push-up bras! The problem with wearing push-up bras is that it is extremely obvious that you are wearing one! Can you imagine how it feels to find out that you still need push-up bras after spending tens of thousands of dollars on breast implants surgery? This is because breast implants come in only round and tear-drop shapes. As a result of this, although implants placement can enlarge the breasts 2 to 3 cups with just one surgery, it fails to increase the volume where it is needed most: the upper chest! It is the volume in the upper chest which creates the cleavage which many women desire and wish to show off. But because you do not have ample volume in your upper chest, you may have to wear deep-plunging neckline dresses in order to show your cleavage, which may appear slutty. If there is ample volume in the upper chest, your cleavage can show even when you wear a simple round or V-neckline blouse! Patient No. 407 whose case we have published some time ago is one very good example of a woman who was still “flat-chested” although she was wearing D-cup bras after breast implants! Scroll down to the bottom of this page and type: “Patient No. 407” in the search box to find out more. She eventually came to Dr Arthur Tjandra of Elixir de Vie to fill up her upper chest with autologous fat transfer, which is exactly what Dr Arthur Tjandra is going to do for patient No. 420!

Upon examination of her abdomen, however, Dr Arthur Tjandra  of Elixir de Vie finds out that this patient has significant splitting of her abdominal muscles (rectus diastasis) caused by her previous three pregnancies. The skin on her abdomen is also damaged from over-stretching, as evidenced from the presence of stretch marks. She understands that without repairing the split muscles, it is unlikely for her to get a completely flat abdomen. She also understands that stretch marks are permanent damage of her underlying skin, which compromises the elasticity of her skin, hence may affect the result of liposuction surgery. Patients with poor skin elasticity should generally not undergo liposuction surgery because there may be significant loose skin which may be quite unsightly. However, as she is not even fat to begin with, and she intends to get 3-dimensional liposuction of her entire torso, not just aiming for a flat tummy, she can expect relatively good result.

Video 1: A slim woman with fat tummy and a squarish torso because of thick “love handles”.

Video 2: A woman with D-cup breasts who is still “flat-chested”.

Video 3: Hip dips and sunken drooping buttocks due to thick “love handles” and “saddle bags”

Video 4: Awake syringe liposuction under local anesthesia by Dr Arthur Tjandra

Video 5: Autologous fat grafting to left breast.

Video 6: How to tell whether a breast is natural or with implant.

Video 7: Completion of autologous fat transfer to breasts with implants.

Video 8: Result of autologous fat transfer to breasts with implants, the very next day.

Video 9: Beautiful hour-glass figure after 3-dimensional liposculpting.


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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