WARNING: This is a medical blog intended ONLY for medical professionals!!!! This blog contains nudity and graphic images of cosmetic surgeries. If you are offended by nudity and graphic images, or if your religion does not allow you to look at such images or to get cosmetic surgery done on yourself, please leave NOW!!!!!!!!!!!!

It is common practice for many surgeons to offer only inner and outer thighs liposuction. Dr Arthur Tjandra of Elixir de Vie, however, has different approach. When Dr Arthur Tjandra of Elixir de Vie performs thighs liposuction, he performs liposuction on the entire length and circumference of the thighs, from hips all the way down to the knees. In the past, many patients challenged his approach, telling him that other surgeons advised them that it is not possible to perform lipsosuction on the frontal and back of thighs, because they are made of mainly muscle mass. Therefore, only inner and outer thighs need to be lipo-ed. The following video shows how important it is to remove fat from the back of the thighs and lower buttocks to “lift” your buttocks without actually performing a buttocks lift surgery! Without removing the saddle bags, the hips appear sunken in, which is also called “hip dip”. Saddle bags also produce the “granny butt” appearance.

One patient thought that all plastic surgeons are created equal, and that as long as one is a plastic surgeon, one can perform any cosmetic surgeries with good result. She showed her Taiwanese surgeon Dr Arthur Tjandra‘s video, and requested for her saddle bags and lower buttocks fat to be removed, the way Dr Arthur Tjandra does it. The surgery ended up with disaster: Case No. ……. (to be published soon). She eventually flies to Medan to get a revision surgery done.

She has blogged about her experience: My liposuction and fat grafting to the breast by Dr Arthur in Medan.

Video 28: Inner thighs liposuction 7 months later, and left outer thigh liposuction 3 months later. The importance of removing saddle bags to transform granny buttocks to become bubble buttocks.

Comparison between right and left buttocks: the importance of removing fat from back of thighs and lower buttocks to produce the effect of “lifted buttocks”!

“Droopy” buttocks before back of thigh liposuction.

“Lifted” buttocks after back of thighs and lower buttocks liposuction.

Video 29: Comparison between right and left buttocks, with and without saddle bag.


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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