Patient No. 356

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 very slim Chinese Singaporean mother of 2 children in her early-30s, came to Dr Arthur Tjandra of Elixir de Vie after she was advised by another surgeon in Singapore that it was impossible to harvest fat from someone as slim as her to perform fat transfer breasts augmentation. He recommended her breasts implants, instead. However, having read about implant illnesses and aware of the unnatural look of breasts implants, she decided to scour the internet to look for a surgeon who is experienced in performing liposuction on slim patients. Please read “breast implants” case studies we have published on this Vlog to find out more about issues with breast implants. The fact is, it is much more difficult to perform liposuction on a slim, rather than a fat person, because there is no room for error at all in a slim person. In someone who has only thin layer of fat, the slightest over-suctioning, or uneven suctioning is going to show immediately as unevenness and depressed areas, or even hills and valleys, on the skin!

Luckily, she found Dr Arthur Tjandra of Elixir de Vie who advised her that not only it was possible to harvest fat from her already slim body for the purpose of breasts fat transfer, but it was even possible to perform at least 3 to 4 sessions of breasts fat transfer for her! She eventually got 2 sessions of autologous fat grafting breasts augmentation. Fat was harvested from her thighs over 2 different sessions. During the first session fat was harvested from her outer thighs, which included her saddle bags and lower buttocks. This essentially transformed her buttocks from A-shaped “granny butt” to O-shaped “bubble butt”! Most women, no matter how slim they are, have thick saddle bags, which make their buttocks appear A-shaped, hence appear drooping down. This is why Dr Arthur Tjandra of Elixir de Vie calls it “granny butt”. During the second session 2 months later, fat was harvested from her inner thighs. Although this patient was pretty slim, besides thick saddle bags, she also had thick fat knees! Pay attention on how her fat bulging knees were transformed into beautiful defined knees, which appeared like inverted triangles, after liposuction! Remember, beautiful knees are the ones which are tapered from thighs down, shaped like inverted triangles, not the ones which are bulging and round!

One should note that even when the main intention of a patient is to get breasts or buttocks fat transfer done, Dr Arthur Tjandra of Elixir de Vie always recommends getting 3-dimensional liposuction done for the donor areas for fat harvesting. Most surgeons harvest fat from one particular area, ignoring the aesthetic appearance of the fat donor site. In this case, fat may be harvested from just one inner thigh for instance, which would cost much less compared to a 3D liposuction of the entire length and circumference of the thighs. However, the fat donor thigh would end up looking like it had been bitten by wild animal, because a chunk of fat suddenly went missing.

Therefore, we would like to advise patients who have limited budget, that if you intend to get breasts or buttocks fat transfer done, but cannot afford to pay for proper 3-dimensional liposuction for the fat donor sites, it is best not to get it done until you have saved up. If you can only afford to pay for fat transfer, most surgeons would just aspirate fat from any area he likes, usually from just one area, then inject the fat into your breasts or buttocks. But, can you imagine what your thighs would look like if the surgeon aspirated 300 cc of fat, typically the minimum volume required, from just your right upper inner thigh, instead of getting that 300 cc from the entire length and circumference of your thighs? Therefore, if you would like to get fat transfer done, either to your breasts or buttocks, think about the aesthetic appearance of the fat donor sites also, instead of focusing on only the fat recipient sites. Unfortunately, most surgeons would not bring this up to your attention, especially if they knew that you did not have enough funds to get both fat grafting and proper liposuction done. By bringing this up, you might decide to wait till you have saved enough for the liposuction part. When you have saved enough, you may not go back to him.


Before and after autologous fat grafting breasts augmentation by Dr Arthur Tjandra of Elixir de Vie
Transformation from A-shaped to O-shaped buttocks after outer thighs liposuction by Dr Arthur Tjandra of Elixir de Vie
Before and after 3D thighs liposuction by Dr Arthur Tjandra of Elixir de Vie

Video 1: Pre-operative whole body assessment

Video 2: Pre-operative marking of outer thighs

Video 3: Completion of fat injection into left breast

Video 4: Completion of fat injection into both breasts

Video 5: Completion of outer thighs liposuction

Video 6: Result of fat transfer breasts augmentation, 2 months later

Video 7: Result of outer thighs liposuction, 2 months later

Video 8: Awake syringe liposuction under local anesthesia by Dr Arthur Tjandra

Video 9: Completion of fat injection into left breast

Video 10: Completion of left inner thigh liposuction

Video 11: Completion of fat injection into both breasts

Video 12: Completion of inner thighs liposuction

Liposuction Case Studies @ Elixir de Vie

Before and After Surgery Photos @ Elixir de Vie

Whole Body Transformation with Liposuction and Fat Transfer Breasts and Buttocks Augmentation

Elixir de Vie Patients’ Blogs

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