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 woman in her early-30s had thighs liposuction in Bangkok a year ago and ended up with thighs which appear like they had been bitten by wild animals in the jungles, with irregular dents here and there. Why? Because like most patients, she chose to get only inner and outer thighs liposuction done, ignoring the rest of her thighs. Unfortunately, just like kebab, the thighs are cylindrical in shape, therefore it is impossible not to get lopsided kebab and dents if you decide to cut the kebab just in the center and not throughout the entire length and the entire circumference of the kebab. Dr Arthur Tjandra of Elixir de Vie has previously published a case study of a young teenage girl who had only inner and outer thighs liposuction done in Seoul and ended up with “hour-glass” thighs!

And most unfortunately is that most surgeons do not explain to patients that they would never get good result if a 3D liposuction is not being performed! Why would surgeons not tell their patients upfront about this risk? There are 3 possible reasons:

  1. 3D liposuction costs a lot more. By offering 3D liposuction and explaining the risk of not getting 3D liposuction, a surgeon is basically taking the risk of not getting even a single cent if the patient cannot afford the cost of 3D liposuction. Since a patient is already willing to pay for inner and outer thighs liposuction, why not just take the money and do it for her? After all, all she wants is inner and outer thighs liposuction. She never says she also wants to get her hips, saddle bags, frontal thighs, back of thighs and knees done!
  2. It is much more dangerous to perform circumferential liposuction as the risk of extremely bad swelling is high, especially if the liposuction is performed with machines. Excessive swelling may lead to blood stasis, which results in blood clot, which may eventually result in these clots traveling to the lungs, causing pulmonary embolism, and death! We have explained about the mechanism of this on our website: Liposuction Case Studies, as well as our Vlog: L’Elixir de Vie. Fortunately, using just a plastic syringe to perform liposuction is extremely safe and the risk of excessive swelling and blood clot formation is almost non-existent. Dr Arthur Tjandra of Elixir de Vie has performed more than 10,000 cases of liposuction in the last 15 years with nothing but a plastic syringe, and he has not a single case of complication! He has published thousands of photographs on his website, as well as thousands of videos on his YouTube channel, and this Vlog. It is therefore not recommended to perform 3D liposuction if it is not done with just a syringe, which produces the least trauma. Unfortunately, it takes a lot of strength and endurance to break and aspirate liters and liters of fat with nothing but a syringe! Not many surgeons can do that. Only endurance athletes like Dr Arthur Tjandra of Elixir de Vie can do such thing!
  3. The surgeon has received no training and is not experienced in performing 3D liposuction.

As this patient has spent all her money in Bangkok and does not have enough to pay for 3D liposuction, Dr Arthur Tjandra of Elixir de Vie is going to perform revision liposuction on just the obvious lopsided/prominent areas: upper inner thighs, knees and back of thighs.

Video 1: Result of incomplete, non-3D liposuction performed in Bangkok

Video 2: A-shaped sagging buttocks due to saddle bags and love handles

Video 3: Pre-operative marking

Video 4: Botched result resulting from non-3D liposuction. Think of kebab!

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

Video 6: Result of left upper inner thigh and left knee liposuction. Comparison between right and left sides, before and after liposuction.

Video 7: Result of revision inner thighs and knees liposuction

Video 8: Result of back of thighs and saddle bags liposuction

Video 9: Result of revision thighs liposuction, the next day


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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