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 case study has been previously published on our YouTube channel more than a year ago. We are republishing it on this blog, as the patient returns for a second session of liposuction.

This young Chinese woman in her mid-30s comes to look for Dr Arthur Tjandra of Elixir de Vie after having cheek implants done in Seoul to correct her deep tear troughs and sunken mid-face. Apparently, she does not see any difference as the implants were placed too low down the cheeks and they were not thick enough to raise her cheeks. The problem with implants placement are implants are pre-shaped and it is difficult to create exactly the required space large enough to accommodate the implants, and at exactly the correct height. Most of the time, just like breast implants, the space created is too large and too low. We see this problem with breast implants, too! Currently, there are also no cheek implants which are shaped to fill up the tear troughs. Hence, fat injection is still the preferred method to fill up tear troughs and to augment the cheeks as the surgeon can perform a very targeted injection into the exact locations.

This patient also had liposuction on her anterior/frontal tummy in Shanghai almost a year ago. As the surgeon probably performed ultrasound-assisted liposuction and did it too close to the skin, causing burns, it heals with adhesion scars which cause the “stuck-down” appearance of the skin. This is one of the most common complications of liposuction, especially if performed with machines. It is such a waste as she could have got a perfect result as she already has nice hour-glass figure to begin with. All she needed was just flat frontal tummy, and she ended with scars!

Unhappy with the result of her frontal tummy liposuction which caused a lot of “stuck-down” effects because of burns and adhesion scars formed as a result of ultrasound-assisted liposuction, this Chinese patient eventually comes to Dr Arthur Tjandra of Elixir de Vie to get inner thighs liposuction and autologous fat grafting to her buttocks, as well as autologous fat grafting to mid-face to rejuvenate her look. One can see that although she has big buttocks, the middle part of her buttocks are sunken. As she likes J Lo’s buttocks and relatively huge thighs, liposuction on only the inner portion of her thighs was done. The fat is then injected into her buttocks to produce the lift which she wants, thus the Brazilian buttocks lift!

Video 10: Deep tear troughs and sunken mid-face after cheek implants in Seoul.

Video 11: Fat injection into right mid-face.

Video 12: Autologous fat grafting facial rejuvenation.

Video 13: Result of autologous fat grafting to mid-face, 1.5 years later.


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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