This athlete learns the hard truth that there are certain things that women may have to trade off for getting a lean body by exercising: boobs and butts! Fat is needed in certain areas, notably the breasts and buttocks, in order to give women their womanly figure. However, when one exercises, one has no control on how one’s body is going to burn fat. Unfortunately for most people, facial fat, breasts fat, and buttocks fat are the first to go. To make matter worst, it seems that no matter how hard one works out, the stubborn fat still remains! Hence, one has to realize one big limitation of exercising and dieting: you canNOT spot-reduce! Exercising and dieting help to burn overall body fat, but you have no control and cannot order the body to burn fat only from specific areas, while retaining fat in other areas! This is where a combination of liposuction and autologous fat grafting procedures become God’s greatest gift to women! You can now turn unfavorable fat to become favorable fat, by shifting them around!

Wanting to get bigger breasts, this athlete in her late-30s had seen quite a number of surgeons in Florida and New York, who all advised her that it was impossible to harvest fat and perform autologous fat grafting breasts augmentation on someone who weighed just 97 lbs (44 kg)! She was offered breast implants, but she did not like the idea of putting foreign materials into her body. She scoured the internet and upon learning about Dr Arthur Tjandra of Elixir de Vie, she  set out on a 2-day journey in the air, changing flights 4 times, in order to reach Medan from Miami!

Upon assessing her body, Dr Arthur Tjandra of Elixir de Vie, advises her that not only can he harvest enough fat for autologous fat grafting to her breasts, but she has so much fat all over her body, that it is possible to harvest fat for at least 4 to 5 sessions of autologous fat grafting to her breasts! Unfortunately, in the American and European continents, two thirds of the population are either overweight or obese. The remaining one third may even be considered overweight if they come to East Asia. Hence, surgeons in those continents have hardly any chance and experience to work on slim patients, such as this patient who weighs just 97 lbs. Naturally, she was turned away, although she has plenty of fat which can be used for autologous fat grafting not only for breasts, but also buttocks augmentation!

While assessing her body, Dr Arthur Tjandra of Elixir de Vie, also finds that there is plenty of room for improvement for this patient. Dr Arthur Tjandra of Elixir de Vie points out in video 4 below, that while she may be extremely slim, she has stubborn and ugly pockets of fat over her “love handles”/lower back as well as saddle bags, which produce a sunken appearance of the mid-hip/mid-buttocks. A combination of bulges over her lower back/love handles and saddle bags, also make her entire hip area appears squarish and manly, completely devoid of the beautiful arch of her lower back and waist, which define a womanly figure. To make matters worst, her saddle bags make her buttocks appear droopy and sagging, a condition which Dr Arthur Tjandra of Elixir de Vie refers to as the “granny butts”! Although exercising and dieting are good, but as we have shown here, there are certain limitations which exercise and dieting cannot achieve!

Video 1: Pre-operative whole body assessment.

Video 2: Pre-op marking of the breasts.

Video 3: Pre-op marking for inner thighs liposuction.

Video 4: Hip dips and sagging buttocks due to bulging love handles and saddle bags.

Video 5: Awake syringe liposuction under local anesthesia.

Video 6: Completion of autologous fat injection to left breast. A comparison between right and left breasts, before and after fat injection.

Video 7: Completion of left inner thigh liposuction.

Video 8: Completion of inner thighs liposuction.

Video 8: Completion of autologous fat transfer to both breasts.


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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