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!!! 

This 20-year-old flight-attendant turned model flies all the way from New York to look for Dr Arthur Tjandra of Elixir de Vie, changing flights 3 times, spending more than 48 hours in the air and in transits at airports, because all the surgeons whom she has seen in New York advised her that it was impossible to perform liposuction on such a skinny woman like her. All of them advised her that she had no fat to be aspirated! As a matter of fact, one of the surgeons wanted to refer her to a psychiatrist because he thought that this young model had body dysmorphic disorder. It is understandable that in a country where 60% of its population are either obese or overweight, slim and healthy people are often seen as anorexic or having body dysmorphic disorder. J Lo and Kim K are considered sexy in North America. In South East Asia and Far East Asia, they are considered fat! As the populations are mostly obese and overweight, trainee surgeons naturally do not have the opportunity to train and practice on slim patients, hence do not have the confidence to perform liposuction on very slim patients. As a matter of fact, performing liposuction on a very slim patient is technically more challenging as there is virtually no room for error at all. Any slight error may present as dents and imperfections on the skin surface. Any slight burns by a laser or ultrasound device may present as burns on the skin and bad scarring. Any slight error may result in death, as the cannula perforates the intestines or other internal organs underneath the muscles, especially if the surgeon is performing liposuction with a powered-device. You may read how deaths occur in liposuction in our Liposuction Case Studies.

Upon assessing her body, Dr Arthur Tjandra of Elixir de Vie advises her that not only it is possible to harvest fat for autologous fat grafting breasts augmentation, but she has a lot of fat all around her body, which is sufficient for multiple sessions of fat grafting procedure. Although she is so slim, weighing just 103 lbs, she can still benefit greatly from lipo-sculpting of her entire torso, which she is getting during this visit. Most women, no matter how slim they are, have ugly chunks of fat in their love handles and saddle bags. Unfortunately, most women do not have any idea how they look like viewed from behind and from certain angle from the sides (oblique view). Therefore, most surgeons’ approach of performing only anterior abdominal liposuction (upper and lower abdomen only) may give you flat tummy but not hour-glass figure. A combination of thick love handles and saddle bags make the entire lower half of the body appear squarish instead of curvaceous, and the buttocks appear sagging. The presence of fat in the lower back (the lack of lower back arch) also makes the buttocks appear droopy and sagging, as what Dr Arthur Tjandra of Elixir de Vie  shows in the following videos. Dr Arthur Tjandra of Elixir de Vie flies on Singapore Airlines most of the time, and has been observing the figures of the stewardesses clad in body-hugging kebaya. Nine out of 10 stewardesses have this problem, although they may not realize it. Unfortunately, many women think “saddle bags” are beautiful because they make their lower body appear more curvaceous. What they do not realize is that to appear curvaceous, the “curves” should be at hips level, not at the lower buttocks level where the saddle bags are. Thick layer of fat in the saddle bags make the buttocks appear droopy and sagging!

Go ahead and watch the videos of the transformation below. These videos show you that even the slimmest girls may still have a lot of fat in all the wrong places, and may benefit from lipo-sculpting. What a beautiful hour-glass figure she has after the transformation: A Masterpiece!

She has blogged about her experience: Liposuction and fat grafting in Medan.

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




Video 2: Pre-operative assessment of the torso.





Video 3: Pre-operative assessment of the lower body.





Video 4: Pre-operative marking of the torso.




Video 5: Pre-operative marking of the breasts.


Video 6: Thick love handles/lack of lower back arch making buttocks appear droopy and sagging.


Video 7: Awake syringe liposuction under local anesthesia by Dr Arthur Tjandra.


Video 8: Completion of fat injection into left breast. A comparison between right and left breasts, before and after fat injection.


Video 9: Completion of liposuction on left side of the torso. A comparison between right and left sides, before and after liposuction.



Video 10: Completion of fat injection into both breasts.


Video 11: Completion of abdominal liposuction. Notice the buttocks no longer appear so sagging with removal of “love-handles” fat?


Video 12: Result of autologous fat grafting breasts augmentation, the next day.


Video 13: Result of 3D-abdominal 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:





6 Comments on “Patient No. 461: Autologous fat grafting breasts augmentation and abdominal liposuction on an extremely slim and flat-chested young model from New York: A Masterpiece!

  1. Pingback: Patient No. 490: Thighs liposuction on a skinny young woman with granny buttocks – L'Elixir de Vie, by Arthur Tjandra (曾华浚), M.D., FICS (Plastic Surgery)

  2. Pingback: Patient No. 488: Result of outer thighs liposuction, 5 months later – L'Elixir de Vie, by Arthur Tjandra (曾华浚), M.D., FICS (Plastic Surgery)

  3. Pingback: Patient No. 506: Autologous fat grafting breasts augmentation and abdominal liposuction on a mother of 2 kids – L'Elixir de Vie, by Arthur Tjandra (曾华浚), M.D., FICS (Plastic Surgery)

  4. Pingback: Patient No. 488: Result of fat transfer to breasts: from B to D cup with just 1 session! – L'Elixir de Vie, by Arthur Tjandra (曾华浚), M.D., FICS (Plastic Surgery)

  5. Pingback: Patient No. 488: Result of thighs liposuction, 6 months later: A Masterpiece! – L'Elixir de Vie, by Arthur Tjandra (曾华浚), M.D., FICS (Plastic Surgery)

  6. Pingback: Patient No. 488, Session 3: Arms liposuction: A Masterpiece! – L'Elixir de Vie, by Arthur Tjandra (曾华浚), M.D., FICS (Plastic Surgery)

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