This young African princess in her early 30s comes to Dr Arthur Tjandra of Elixir de Vie for arms liposuction. Although she is very slim and lean, she still has flabby arms. She has the typical “wings”, a term which Dr Arthur Tjandra coins to describe the flaring mid-arms of most women. This is especially obvious when viewed from an oblique (45 degrees) angle. Although she has well-developed gluteal muscles as she is an avid runner, her buttocks, nevertheless, still appear sagging. “Granny butt” is another term Dr Arthur Tjandra of Elixir de Vie coins to describe sagging buttocks due to a combination of “hip dips” and saddle bags. On normal circumstances, Dr Arthur Tjandra would remove the saddle bags. But, as this patient is not too keen to get liposuction performed on her thighs, Dr Arthur Tjandra of Elixir de Vie injects fat into the sunken areas, instead, transforming her granny buttocks to bubble buttocks!

Video 1: Pre-operative whole body assessment.

Video 2: Pre-operative marking.

Video 3: Autologous fat injection for “hip dips”.

Video 4: Pre-operative assessment of the upper back.

Video 5: Granny butt: appearance of sagging buttocks due to saddle bags.

Video 6: Awake syringe liposuction under local anesthesia.

Video 7: Completion of fat injection into right buttock. Only limited amount of fat is injected as per patient’s request.

Video 8: Completion of left arm liposuction. A comparison between right and left arms, before and after liposuction.

Video 9: Completion of fat injection into both buttocks.

Video 10: Completion of arms liposuction.

Video 11: Transformation from granny butt to bubble butt with fat injection into “hip dips”.

Video 12: Result of arms liposuction, the next day: A Masterpiece!


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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