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!!! 

That really depends on whom you ask that question, where that patient lives, and what the socioeconomic and cultural background is. This patient, who is a model in her mid-20s weighing just 48 kg, comes to  Dr Arthur Tjandra of Elixir de Vie for thighs liposuction. In the United States, where 60% of its populations are either obese or overweight, she would be referred to psychiatrist for requesting a liposuction surgery. In Southern states of the United States bordering Mexico, and South America, where the kinds of J Lo, Kim K and Beyonce are considered sexy, she would be called crazy to request for liposuction of her thighs. They would want to add fat into her thighs and bottoms instead! The thicker the saddle bags and thighs, the sexier she is considered! So, there is no right or wrong answer. It all boils down to personal choice and preference. It all depends on the individual, the owner of the body! If one looks like a king kong even when one is fully-dressed up, one would be happy to look good, with clothes on. That is why there are Plus-size outfits. If one looks average with clothes on, one wishes to look slim while fully-clothed. If one looks slim when one is fully-clothed, one wishes to look sexy with clothes on. Once one looks sexy with clothes on, one wishes to look sexy even when one is naked! That’s called evolution. It is the ultimate wish for anyone to look sexy when he/she is naked. Have you seen your favorite stars in swimming trunks or bikinis and realize how different and good they appear when they are fully-clothed? Have you seen how good a guy or gal looks while working out in a gym, only to drop your jaw when you see him or her half-naked in the locker room?

This patient is a head-turner when she walks into our clinic. In fact, most of our young female patients are! They all look slim and sexy with clothes on. The moment they strip naked, just like this young model, Dr Arthur Tjandra of Elixir de Vie would faint and lose his appetite for lunch! Find out why, by watching through the following videos and listen to his commentaries. You don’t want to date such a nasty guy. He has nothing good to say to women. His words are hurtful, humiliating and belittling: king kong arms, fat armpits, thick love handles, gigantic thighs, granny buttocks, meatball knees, hamburger knees, etc. That is why he is still single. No woman can stand being around him. All his ex-girlfriends almost went crazy having to compare whose buttocks were perkier and whose knees were more defined, with him. But, he is exactly the kind of surgeon you would want to perform your surgeries, because his standard of beauty is ridiculously high! He even adopts the same standard for himself, making sure that he constantly appears good naked! So, it is completely up to you. For most of us, we are happy to appear good when we are fully-clothed. But, some of us have extremely high standard on ourselves, and want to appear good even when we are naked! When you have such high standard on yourself, you would want to look for a surgeon with equally high or even higher standard! You don’t want a surgeon who tells you that your “meatball” knees are OK, or who tells you that there is no fat to aspirate, when you can pinch 2 inches of fat in your thighs!

Although this young model is pretty slim, weighing just 48  kg, she clearly can benefit greatly from lipo-sculpting of not only her thighs, but also her entire body! 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. Watch the transformation from granny butt to bubble butt with 3D thighs liposuction: Another Masterpiece!

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

Video 2: Pre-operative assessment of the torso. Squarish lower half of the body because of thick love handles and saddle bags.

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

Video 4: Thick saddle bags = Granny butt

Video 5: Awake syringe liposuction under local anesthesia by Dr Arthur Tjandra.

Video 6: Completion of left thigh liposuction. A comparison between right and left thighs, before and after liposuction.

Video 7: Completion of thighs liposuction.

Video 8: Transformation from granny butt to bubble butt. Buttocks still appear squarish because of love handles fat above the buttocks.

Video 9: Two millimeter incision in syringe liposuction.

Video 10: Result of thighs liposuction, 1 month later.

Video 11: The importance of performing frontal thighs and back of thighs liposuction, which many surgeons ignore!


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:



3 Comments on “Patient No. 462, Session 1: Does a slim and already sexy (when fully-clothed) young model even need thighs liposuction?

  1. Pingback: Patient No. 462, Session 2: Neck/double chin liposuction – L'Elixir de Vie, by Arthur Tjandra (曾华浚), M.D., FICS (Plastic Surgery)

  2. Pingback: Announcement No. 6: Compulsory 6-month “cooling-off period” for prospective patients who have initial doubts on our credibility – L'Elixir de Vie, by Arthur Tjandra (曾华浚), M.D., FICS (Plastic Surgery)

  3. 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)

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