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Sculpting the Feminine Form Through Plastic Surgery

By: Julie Smith

The womanly figure embodies the true sense of a 3D shape in space. It represnets not only curves in a 2 dimensional hour-glass form, but also curves that are appreciated as the bust in the front and the buttock in the back. Unfortunately, the body lift procedure only corrects vertical tissue laxity. It does not , however, adjust for the circumferential laxity nor for undefined contours and projections. Dr. Agha performs his signature Body Contouring Procedure that aims to create a three-dimensional correction to the tissue laxity. This involves correction of both circumferential and vertical laxity, as well as the third dimension of projection and contour. The latter is most applicable to the abdomen, breasts, lower back and buttocks.
Typically, Dr. Agha carries out his “High-definition Body Contouring” in 2 phases. This involves about 16 hours of team surgery in total. By using trained physician assistants, Dr. Agha can complete each phase of the surgery in around 7-8 hours. Depending on the patient’s desire or what produces the best outcome, one phase will focus on the lower body and another phase the upper half. Dr. Argha takes a three dimensional approach when performing the lower body lift. He begins the procedure at the patient’s back. First liposuction is performed on the upper back rolls. This liposuctioned fat is then collected in a sterile container, washed with antibiotics and processed for injection into the buttock area as small droplets for buttock lipoaugmentation (otherwise known as the Brazilian Butt lift)or Brazilian Butt lift. In this manner, the projection and contour of the lower buttock regions are restored. The upper and lower incisions of the circumferential abdominoplasty are then made on the lower back and the upper buttock, respectively. The lower back tissue, in between the two incisions, is then mobilized as flaps for enhancement of the upper buttock region. Appropriately sized pockets are subsequently formed under the upper buttock regions to accommodate these flaps. Then, the buttock is lifted and the incisions are brought together by internally placed absorbable sutures. In this way, the buttock sag and laxity are corrected with a buttock lift, and the volume lost is replaced through your own lower back excess tissues. As a result, buttock projection that is closely associated with feminine beauty and sensuality is returned and sometimes even enhanced.
Many patients discover a fuller and curvier buttock than ever before. Dr. Agha then proceeds with the lower body lift procedure by completing the outer thigh lift. The outer thigh tissue is selectively undermined as far as the knee region using a special instrument. It is then raised and secured at a higher position with deep stitches. Next, he turns his attention to the region of the thigh below the buttocks. To correct laxity of the thigh back, Dr Agha has developed a signature procedure that he has termed the Spiral thighplasty. This procedure corrects for the thigh laxity beginning below the buttock area. Excess tissue from the upper thigh is removed at the buttock fold, and the thigh is raised to a higher position. The thigh is then secured to the underlying tissues and the buttock fold is carefully reconstructed. After closure of all the skin incisions, the patient is rotated on the bed and placed on her back with ample help.
Dr. Agha then completes the circumferential abdominoplasty in the front, followed by completion of the Spiral thighplasty. The Spiral thighplasty, unlike other thigh lift procedures, reduces thigh excess both vertically and circumferentially. Most of Dr. Agha’s patients notice a marked reduction in their thigh measurements as well as in their overall size. The hallmark of Dr. Agha’s approach is the restoration contour to the body, as well as carefully placed incisions located low on the abdomen and well-hidden in a bikini. This combination of procedures can take anywhere from 7 to 8 hours of surgery.
During the second phase, the remaining body contouring procedures, including breast reshaping, an upper body lift and an extended arm lift (brachioplasty), are completed. This combination of procedures can take anywhere from 6 to 7 hours of surgery. The second stage is best undertaken once all the incisions of the first stage are fully healed and the nutritional reserves of the patient replaced. In Dr. Agha’s practice, most patients typically wait between 3 to 6 months for the second stage. The extended brachioplasty corrects for the significant laxity of arm skin and tissue. The upper body lift can be performed as a vertical incision on the outer chest, or a horizontal incision on the back. The choice depends on the degree and orientation of back laxity and the patient’s desires and aversions of scars. Finally, Dr. Argha finishes the breast reshaping as described above.
During both the upper and lower body lift, Dr. Argha uses liposuction to contour and sculpt the underlying tissue to a desired three-dimensional form.

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