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 extremely slim young woman in her mid-20s who weighs just 46 kg, comes to Dr Arthur Tjandra of Elixir de Vie because she is troubled by her thick thighs. Although she has gone on a crash diet and lost 10 kg of weight, there is still so much fat in her thighs. The worst thing is, like most women, most of the fat is concentrated around her lower buttocks and saddle bags, making her buttocks appear droopy and sagging. Dr Arthur Tjandra of Elixir de Vie points out that most women, even the very slim ones, naturally have A-shaped bottom. He has seen thousands of naked women in his career, many of whom are young and slim women, many of whom are models, and none of them has naturally-round and perky buttocks with no saddle bags. All women, unfortunately, have saddle bags! All women, unfortunately, have A-shaped, not round bottoms! And unfortunately, this problem cannot be addressed with exercise and dieting, because exercising and dieting cannot “spot-reduce”. You can slim down the entire body with exercise and dieting, but you cannot target only particular areas. This problem, can only be addressed with targeted liposuction.

Another very good example, is this very slim young model whom we have featured in Case No. 462. Round, perky bottoms can be created by liposuction of the 2 bulges above and below the buttocks: the love handles and the saddle bags. Case No. 461 is an example of another extremely slim woman with squarish buttocks because she has thick love handles.

Video 1: A slim woman with A-shaped bottom.

Video 2: A young woman with old, sagging, granny butt.

Video 3: Awake syringe liposuction under local anesthesia by Dr Arthur Tjandra.

Video 4: Completion of left thigh liposuction. A comparison between right and left thighs, before and after liposuction.

Video 5: Result of thighs liposuction.

Video 6: Transformation from granny butt to beautiful bubble butt (BBB)!

Video 7: Result of thighs liposuction, the next day: Round, perky, beautiful, bubble buttocks: 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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