This petite woman in her mid-20s who weighs just 46 kg, has tried various methods to slim down her thighs without success: exercise, dieting, slimming centers… name it, spending thousands of dollars in the process. The thing about exercising and dieting is that you cannot spot-reduce! The worst thing with exercising and dieting is stubborn fat stays, and fat in the breasts is burnt off, resulting in shrunken breasts!

This woman finally looks for Dr Arthur Tjandra of Elixir de Vie, who helps her not only to slim down her thighs, removing liters of fat, but also to transform her granny buttocks to bubble buttocks!

Video 1: Pre-operative assessment of the whole body.

Video 2: Pre-operative marking of thighs.

Video 3: Do you have meatball knees?

Video 4: Completion of left thigh liposuction. A comparison between right and left thighs: before and after liposuction.

Video 5: Finally, after 4 hours…… Ma, the hamburger knees I inherited from you are gone!!!!

Video 6: Transformation from granny butts to bubble butts.

Video 7: Result of gigantic thighs liposuction, the next day. Transformation from meatball knees to defined knees.

Video 8: Defined thighs are ones which taper down from hips down to knees, hence the need to sculpt the thighs in 3-dimensional way.

Dr Arthur Tjandra of Elixir de Vie has been observing women in mini-skirts and shorts in the past 2 decades, and realize that most women have bulging saddle bags and bulging meatball knees, and they do not even realize it! Most women even think saddle bags are beautiful; they mistake them as hips, without realizing that saddle bags fat make their buttocks flare out at the bottom parts, hence the appearance of sagging, droopy butts: the granny butts! A combination of bulging love handles and saddle bags produce the appearance of hip dips, where the hips and mid-buttocks appear sunken, which we have shown in many of our case studies. Beautiful buttocks are the ones which bulge out at the hips and mid-buttocks level, not at saddle bags level! The widest points of a sexy woman’s lower body should be at the hips and mid-butt level, not at the saddle bags level! When your lower body is widest at hip and mid-butt level, you have bubble butts! When your lower body is widest at saddle bags or lower butt level, you have granny butts! Nice perky butts are the ones with sharp angle between the buttocks and the back of the thighs. If there is no angle and there is only one sloping line from buttocks to the back of the thighs, your buttocks appear droopy. That is why liposuction of the back of the thighs, as well as lower buttocks, is required if you would like to have good result. As a matter of fact, the entire length and entire circumference of the thighs should be lipo-ed at the same time, if you wish to have good result! Unfortunately, lower buttocks and back of the thighs are the areas where complications with dents and unevenness frequently occur, especially if performed by inexperienced surgeons!

Video 9: Pay attention to the angle between buttocks and back of thighs again. Do you see the difference now?


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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