Arm liposuction - Straight arms vs square shoulders, finding the golden ratio within your muscle line
Hello, this is Dr. Pyongrim Choi
from Lesarts Plastic Surgery.
In your 20s,
body shape could be maintained
with minimal effort.
However, entering your 30s,
the abdominal and waist line
often begin to change.
Many patients
experience gradual loss
of their body contour.
A recent case involved
a 30-year-old female
with a tall frame.
Despite her proportions,
increased abdominal fat
became a major concern.
She mentioned
that her waist looked longer
and her pelvic line had faded.
She was considering
liposuction
for improvement.
In cases like this,
with visceral fat
and mild scoliosis,
simply removing
a large amount of fat
does not create dramatic results.
In such situations,
precise anatomical design
becomes the key factor.
“Why does my waist look long and flat?”
1. Anatomical analysis
1) Reason the waist
appears longer: loss of pelvic contour
When the waist line
becomes unclear,
visual focus spreads.
This makes the entire torso
appear longer.
Especially, fat accumulation
in the external oblique area
between the lower ribs
and pelvic bones
eliminates natural curves.
This creates a straight,
boxy waist shape.
By refining this area
to create a concave contour,
the pelvis appears wider.
This produces a visual effect
of a shorter waist.
2) Flattening the lower abdomen
despite visceral fat
Many patients ask
whether visceral fat
limits surgical results.
Although visceral fat
cannot be removed
through surgery,
strategic reduction
of subcutaneous fat
in the lower abdomen can
create significant visual improvement.
By evenly refining
fat around
the rectus muscles,
the skin adheres
more closely
to the muscle layer.
This helps offset
protrusion caused
by visceral fat,
creating a firmer
and flatter
abdominal contour.
3) Considerations
with scoliosis
When the spine
is curved,
waist contours
become
asymmetrical
on each side.
One side
may appear deeper,
while the other flatter.
If equal amounts
of fat are removed,
the asymmetry increases.
– Customized design:
considering the curve direction,
adjusting removal volume
to achieve
visual symmetry
is essential.
– Refined technique:
uneven tissue spacing
requires delicate control
when using
the cannula
during surgery.
Preoperative photos of an asymmetric abdomen with scoliosis
2. Line transformation process
based on a real case
Profile: 30-year-old female
168 cm / 66 kg / BMI 23.4
Target area:
full abdominal liposuction
Goal: improvement of the protruding
lower abdomen and creation
of a defined waist line
In this case,
the focus was placed
on the lower abdomen
and the posterior
love handle area,
rather than the upper abdomen.
Before-and-after difference of abdominal liposuction in your 30s – Dr. Pyongrim Choi, Lesarts Plastic Surgery
1) Restoration of the S-line
The external oblique line
was deeply refined
to create inward waist curvature.
2) Maximizing pelvic volume
By removing
waist fat
and connecting the contour
toward the pelvic line,
hidden volume
was revealed.
This resulted
in a silhouette
closer to a coke-bottle body.
Correction of asymmetry with flank liposuction – Lesarts Plastic Surgery
3) Asymmetry correction
Due to scoliosis,
the abdominal center
appeared shifted.
Through selective liposuction,
the contour was adjusted
to appear more centered.
However,
structural limitations
from bone alignment remain.
This was explained
to the patient in advance
before proceeding.
Abdominal liposuction before-and-after comparison – Lesarts Plastic Surgery
Before-and-after of abdominal liposuction with visceral fat – Dr. Pyongrim Choi, Lesarts Plastic Surgery
Liposuction is not simply
a procedure
for weight reduction.
It is a process
of sculpting the body
within individual limitations.
Factors such as
visceral fat
and spinal structure
must be considered
to achieve
optimal proportions.
Your 30s
are still a time
for meaningful transformation.
If you are concerned
about your body condition,
do not hesitate.
Consult with a specialist
who understands
anatomical design.
A long waist
that once felt
like a concern
can be transformed
into your most
beautiful curve.
