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The female physique epitomizes the true sense of a 3D shape in space. It not only features the classic hourglass silhouette, but also profile curves in the form of the breasts and buttocks. Unfortunately, the body lift procedure is a purely one-dimensional correction of the vertical tissue laxity. It does not correct for the circumferential laxity nor for undefined contours and projections. Dr. Agha performs his signature Body Contouring Procedure that aims to return tissue laxity correction to all three dimensions of the body. This involves resolving 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. In most cases, Dr. Agha performs his “High-definition Body Contouring” in 2 stages. This involves about 16 hours of team surgery in total. By using trained physician assistants, Dr. Agha is able to execute each stage of the procedure in around 7-8 hours. Depending on the patient’s wishes or what produces the best outcome, one stage will focus on the lower body and another stage the upper half. He performs his lower body lift with a three-dimensional depiction of the female body in mind. He begins the procedure at the patient’s back. First the upper back rolls are liposuctioned. This liposuctioned fat is then collected in a sterile container, cleansed with antibiotics and processed for injection into the buttock regions as small droplets for buttock lipoaugmentation (otherwise known as the Brazilian Butt lift)or Brazilian Butt lift. In this manner, the contour and projection of the lower buttock regions are enhanced. Then, incisions are made on the lower and upper buttock for the circumferential abdominoplasty. Between the two incisions, the tissue of the lower back is then mobilized as flaps for correction of the upper buttock region. Pockets of an appropriate size are then created under the upper buttock regions to accommodate these flaps. The buttock is then lifted and the incisions are closed through absorbable sutures that are placed internally. 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. Thus buttock projection that defines feminine beauty and sensuality is restored and at times even enhanced. Many patients discover a fuller and curvier buttock than ever before. Dr. Agha then continues 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 elevated and secured at a higher position with deep stitches. Next, he focuses on the thigh region below the buttocks. To correct laxity of the thigh back, Dr Agha has formulated an innovative procedure that he has termed the Spiral thighplasty. This procedure corrects for the thigh laxity starting below the buttock area. The excess upper thigh tissue is excised at the buttock fold, and the thigh is elevated to a higher position. Once the thigh is secured to the underlying tissues in this new position, the buttock fold is carefully reconstructed. All skin incisions are then closed, and the patient is rotated on the bed and placed on her back with ample help. Dr. Agha next 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 placement of symmetrical incisions that are placed low on the abdomen and obscured by a bikini. This combination of procedures can require from 7 to 8 hours of surgery. During the subsequent stage, 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 done as a vertical incision on the outer chest, or a horizontal incision on the back. The choice depends on the degree of back tissue laxity, the orientation of the laxity and the patient’s personal preferences and aversions of scars. Finally, he 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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