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 skinny woman in her early-30s, weighing just 49 kg, came to Dr Arthur Tjandra of Elixir de Vie for autologous fat grafting breasts augmentation 9 months ago, because every surgeon she has consulted advised her the same thing: there was no fat for them to harvest for fat grafting. They advised her to get breast implants placement. However, she was not keen to put foreign bodies into her breasts.

Upon examining her body, Dr Arthur Tjandra of Elixir de Vie pointed out that not only did she have enough fat for fat grafting to breasts, but she had plenty of fat for multiple sessions of fat injection into her breasts! Not all surgeons are skilled enough to perform liposuction on very skinny patients as there is almost no room for error. Any slight over-suctioning will definitely show up as dents on the skin. Performing liposuction with machines also carries the risk of causing stuck-down adhesion underneath the skin.

As she intended to get multiple sessions of fat grafting done to her breasts, Dr Arthur Tjandra of Elixir de Vie advised her to get only left inner half of her thighs lipo-ed and save the rest of the fat in her thighs for future use.

She now returns for a second session of fat grafting to breasts, and liposuction on her saddle bags and lower buttocks. She is not keen to get 3-dimensional liposuction done on her thighs, as she does not like very slim thighs. Her breasts are much fuller now.

This patient has posted a review on Thank you, Dr Tjandra!

This is a list of her case studies:

First visit:

Patient No. 512, Session 1: Autologous fat grafting breasts augmentation on a skinny, flat-chested woman

Second visit:

Patient No. 512: Result of autologous fat grafting breasts augmentation, 9 months later: from flat-chested to A cups

Patient No. 512: Result of left inner thigh liposuction, 9 months later

Patient No. 512, Session 2: Pa, look! I finally have breasts!

Patient No. 512, Session 2: Saddle bags and lower buttocks liposuction: transformation from granny butt to bubble butt!


Video 16: Result of left inner thigh liposuction, 9 months later

Video 17: Pre-op marking of saddle bags

Video 18: Awake syringe liposuction under local anesthesia by Dr Arthur Tjandra

Video 19: Completion of left saddle bag and lower buttock liposuction. Comparison between right and left buttocks, before and after liposuction.

Video 20: Completion of saddle bags and lower buttocks liposuction: transformation from granny buttocks to bubble buttocks!

Video 21: Result of saddle bags 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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