Dr. Pyongrim Choi – Articles & Photos : Liposuction, Tummy Tuck(Lesarts plastic surgery Korea)

Thigh liposuction-Sculpting straight legs for tall body types: preventing sagging and seamless contour

lesartsps — Fri, 03 Apr 2026 05:46:51 +0000

Thigh liposuction-Sculpting straight legs for tall body types: preventing sagging and seamless contour

Hello, this is Dr. Pyongrim Choi
from Lesarts Plastic Surgery.

Recently,
the proportion
of tall women

has been increasing.

As a result,
even with normal weight,
more patients

visit the clinic
with concerns
about their thigh line.

In particular,
protrusion in the
outer thighs (saddlebags)

and inner thighs
often prevents
the legs from appearing straight.

This can make
the legs look
shorter than they are.

Today, we will review
a case of a tall patient
in her late 20s.

We will explore
how thigh liposuction
can create straight legs,

and how detailed design
plays a key role
in achieving refined results.

1. Anatomical sculpting for straight thighs

Removing more fat
does not automatically
create straight legs.

It requires understanding
the muscle and bone structure,
and refining fat evenly.

1) Key of the outer line

Deep fat
in the saddlebag area
must be reduced.

However,
over-removal
can expose bone contours.

A smooth curve
from pelvis to knee
must be preserved.

2) Completion of the inner line

From the most prominent
inner thigh area
to above the knee,

fat must be
evenly refined.

Over-removal
in this area
can cause sagging

or surface irregularities,
so precise control
is essential.

3) Overall proportion

If the upper thigh
is wider
than the lower thigh,

sufficient removal
in the upper area
is needed,

while maintaining
a natural gradient
toward the knee.

This creates
a visually straight
leg silhouette.

2. Detail defines the final result

Even when
a straight line
is achieved,

details determine
the overall quality
of the outcome.

1) Why preserve the banana roll

It acts
as a structural support
to prevent sagging.

Excessive removal
below the gluteal fold
can lead to

loss of support
and downward
displacement of the hip.

This may create
an additional crease,
known as a double fold.

Preserving this layer
is a key
surgical detail.

2) Connecting saddlebags to the hip line

Refining only the saddlebag area
is not sufficient.

A smooth transition
to the outer hip must be created.

This prevents step-offs
between regions, and creates
a visual lifting effect
of the hips.

The result is
longer-looking legs
and a lifted silhouette.

3)Knee area refinement (“Chanel line”)

If inner thigh suction
is not connected
to the knee, a bulky knee
appearance may remain.

Creating a smooth slope
from mid-thigh to the knee
is essential for a true
straight leg line.

[Patient case]

Female, late 20s
172 cm / 63.8 kg / BMI 21.6

Goal: smooth thigh contour
with a slim, straight line

Upper thighs
appear more
laterally spread

compared to
the lower thighs.

The inner thighs
are generally
in contact,

with fat
more concentrated
toward the upper area.

From the side view,
the anterior thigh
appears protruded

due to
muscle and fat.

The hip shows
slight sagging,
with poor connection

to the
saddlebag area.

Before-and-after comparison of thigh liposuction – Dr. Pyongrim Choi, Lesarts Plastic Surgery

Front view: overall refined
into a straight line

The inner thigh is more refined in the upper area,
creating a natural gradual contour
toward the lower thigh.

In particular, the inner knee
has been refined,
enhancing the connection
to the calf line.

Circumference reduction after thigh liposuction – Dr. Pyongrim Choi, Lesarts Plastic Surgery

Side view: fat over the
anterior thigh muscle

was removed, reducing the
protruding appearance.

The contour appears smooth
and natural, without excessive
muscle definition.

Preventing the banana roll with thigh liposuction – Lesarts Plastic Surgery

Posterior view: the area below the hip
and the saddlebag region

are smoothly connected,
creating a natural transition.

Visually, the starting point
of the hip appears higher,
resulting in a relative lifting effect
without fat grafting.

Leg length effect after thigh liposuction – Lesarts Plastic Surgery

Posterior view: removal of
saddlebag fat lifts the outer contour,
creating a visually longer leg line.

Both inner and outer lines
connect smoothly to the knee and calf,
without abrupt indentations.

The gluteal fold
remains stable,
without deepening

or elongation,
as support
below the hip

is preserved
to minimize
sagging.

People often say
to see the forest,
not just the trees.

But in aesthetics,
both the forest
and the details matter.

While many aim
for a straight
thigh line,

simply creating
a uniform shape
is not the answer.

Factors such as
muscle structure,
bone shape,

and skin elasticity
must all be considered
for natural results.

Attention to
these subtle details
leads to higher

satisfaction
and more refined
outcomes.

If you are concerned
about your thigh line,
a professional consultation

can help analyze
your body accurately
and guide optimal results.

▼ Lesarts Plastic Surgery Quick Cost Consultation ▼

More surgery before-and-after photos and selfies to see

Thigh liposuction-Sculpting straight legs for tall body types: preventing sagging and seamless contour

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[Abdominal liposuction]Can you achieve a “coke-bottle body” in your 30s with abdominal liposuction, even with visceral fat and scoliosis?

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Arm liposuction – Straight arms vs square shoulders, finding the golden ratio within your muscle line

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Thigh liposuction – Why does the hip look square? How to create a round silhouette

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Thigh liposuction – Thin body (BMI 19), why are only the thighs a concern?

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[Arm liposuction]Did Your Arms Get Thicker First with Weight Gain? Arm Liposuction Before and After in a Woman in Her 20s

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Abdominal Liposuction – How Much Can Surgery Change a Petite Woman’s Straight Waist?

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[Arm Liposuction] The First Noticeable Change in Before and After Photos of a Slim Body with Disproportionately Thick Arms

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[Thigh liposuction] Common body traits that make you look shorter – saddlebag fat and narrow hips

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[Abdominal liposuction + abdominoplasty] Why results change when abdominoplasty is combined with liposuction

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[Abdominal liposuction]Can you achieve a “coke-bottle body” in your 30s with abdominal liposuction, even with visceral fat and scoliosis?

lesartsps — Tue, 31 Mar 2026 02:43:52 +0000

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.

▼ Lesarts Plastic Surgery Quick Cost Consultation ▼

More surgery before-and-after photos and selfies to see

Thigh liposuction-Sculpting straight legs for tall body types: preventing sagging and seamless contour

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[Abdominal liposuction]Can you achieve a “coke-bottle body” in your 30s with abdominal liposuction, even with visceral fat and scoliosis?

lesartsps2026-03-3187

Arm liposuction – Straight arms vs square shoulders, finding the golden ratio within your muscle line

lesartsps2026-03-2487

Thigh liposuction – Why does the hip look square? How to create a round silhouette

lesartsps2026-03-2486

Thigh liposuction – Thin body (BMI 19), why are only the thighs a concern?

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[Arm liposuction]Did Your Arms Get Thicker First with Weight Gain? Arm Liposuction Before and After in a Woman in Her 20s

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Abdominal Liposuction – How Much Can Surgery Change a Petite Woman’s Straight Waist?

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[Arm Liposuction] The First Noticeable Change in Before and After Photos of a Slim Body with Disproportionately Thick Arms

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[Thigh liposuction] Common body traits that make you look shorter – saddlebag fat and narrow hips

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[Abdominal liposuction + abdominoplasty] Why results change when abdominoplasty is combined with liposuction

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Arm liposuction – Straight arms vs square shoulders, finding the golden ratio within your muscle line

lesartsps — Tue, 24 Mar 2026 01:47:48 +0000

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.

A common request
from patients seeking
arm liposuction is clear.

“Please make my arms
as slim
as possible.”

However, removing
as much fat as possible
does not guarantee results.

It does not necessarily
make the arms look longer
or smoother.

A truly slim
and healthy-looking arm line
requires balance.

It is achieved
by naturally revealing
the underlying muscle silhouette.

Today, from a clinical perspective,
we will discuss
refined techniques.

These are based on
anatomical understanding
of the arm structure.

Anatomical factors to consider for a beautiful arm line

1. Relationship between arm anatomy and liposuction

The arm line
is not determined
by fat thickness alone.

Understanding
the surrounding muscle structure
is essential.

This allows creation
of both a straight arm
and square shoulder line.

1) Shoulder definition: deltoid muscle

The deltoid
surrounds the shoulder
and defines its starting point.

Excess fat here
can make the shoulders
appear round and wide.

However, excessive removal
that hides muscle boundaries
can make the arms look flat.

The key is
a smooth transition
between shoulder and arm.

2) Smooth posterior line: triceps muscle

The sagging area
when the arm is raised
is mostly triceps fat.

This area has
thin skin
and lower elasticity.

Refining the fat
while preserving
the triceps contour

creates a firmer
and more defined
arm line.

3) Axillary and accessory breast area

These areas
must be considered
during arm liposuction.

Proper refinement
around this junction
is essential.

It ensures
a smooth transition
without bulging.

This completes
a clean
square shoulder line.

2. Key considerations for natural results

Sometimes,
what to preserve
is more important than removal.

1) Even fat layer refinement

To enhance
the muscle line,
both deep and superficial fat

must be refined
evenly
and precisely.

Otherwise,
irregular surface texture
may become visible.

2) Skin elasticity and contraction

The arm has
relatively thin skin
compared to other areas.

Proper stimulation
during surgery
helps induce contraction.

This prevents sagging
and allows the skin
to adhere smoothly.

3) Movement-based contour prediction

The arm is
a highly mobile
body part.

The contour must be designed
considering movement,
flexion, and extension.

Predicting changes
in muscle contraction
ensures natural results.

[Arm liposuction case]

Female, 30 years old
160 cm / 51 kg

Concern: prominent
posterior arm bulge,
with a desire for maximum fat removal.

Preoperative condition assessment for arm liposuction

Preoperative photos for arm liposuction
(front / side / back)

The area below
the shoulder line
appears more prominent.

Due to accessory breast
and axillary fat,
the arms appear bulky.

When the arms
are placed close
to the body,

outward protrusion
creates a
heavier overall contour.

Surgical plan:
full arm liposuction,
including accessory breast

and axillary fat removal
for improved
contour balance.

Arm liposuction before-and-after results – Dr. Pyongrim Choi, Lesarts Plastic Surgery

How to achieve a straight arm line – Lesarts arm liposuction

Muscle line comparison after arm liposuction – Lesarts Plastic Surgery

3 months after arm liposuction (front / side / back)

A clean arm line
that drops directly
from the shoulder is visible.

When the arms
are raised,
a natural muscle line appears.

The triceps contour
is not overly exposed,
preventing a curved appearance.

Arm liposuction before-and-after difference – Lesarts Plastic Surgery

Improvement of posterior arm bulge with arm liposuction – Dr. Pyongrim Choi, Lesarts Plastic Surgery

Many patients
wish for a “bone arm”
after surgery.

However, the goal
is not extreme thinness,
but balanced, natural beauty.

Excessive fat removal
that ignores anatomy
can lead to complications.

It may cause
skin adhesion
or asymmetry.

Through preoperative evaluation,
we assess muscle structure
and fat thickness.

Based on this,
we aim to create
the most ideal arm line.

If you are wondering
what suits your body best,
consult with a specialist.

A customized
arm liposuction plan
can be designed for you.

▼ Lesarts Plastic Surgery Quick Cost Consultation ▼

More surgery before-and-after photos and selfies to see

Thigh liposuction-Sculpting straight legs for tall body types: preventing sagging and seamless contour

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[Abdominal liposuction]Can you achieve a “coke-bottle body” in your 30s with abdominal liposuction, even with visceral fat and scoliosis?

lesartsps2026-03-3187

Arm liposuction – Straight arms vs square shoulders, finding the golden ratio within your muscle line

lesartsps2026-03-2487

Thigh liposuction – Why does the hip look square? How to create a round silhouette

lesartsps2026-03-2486

Thigh liposuction – Thin body (BMI 19), why are only the thighs a concern?

lesartsps2026-03-2488

[Arm liposuction]Did Your Arms Get Thicker First with Weight Gain? Arm Liposuction Before and After in a Woman in Her 20s

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Abdominal Liposuction – How Much Can Surgery Change a Petite Woman’s Straight Waist?

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[Arm Liposuction] The First Noticeable Change in Before and After Photos of a Slim Body with Disproportionately Thick Arms

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[Thigh liposuction] Common body traits that make you look shorter – saddlebag fat and narrow hips

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[Abdominal liposuction + abdominoplasty] Why results change when abdominoplasty is combined with liposuction

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Thigh liposuction – Why does the hip look square? How to create a round silhouette

lesartsps — Tue, 24 Mar 2026 01:29:33 +0000

Thigh liposuction - Why does the hip look square? How to create a round silhouette

Hello, this is Dr. Pyongrim Choi
from Lesarts Plastic Surgery.

Even without a higher body weight,
the hip contour from the back
may appear flat and square.

In some cases, it resembles a
“bread-shaped” hip silhouette.

Back view hip contour before thigh liposuction

In this body type,
several characteristics
are commonly observed.

The outer thighs
appear thicker,
affecting overall balance.

The upper panty line
may protrude outward,
creating uneven contours.

There is often
a lack of volume
in the upper hip area.

This can make
the legs appear
shorter in proportion.

In such cases,
weight loss or exercise alone
has limitations.

It is often difficult
to fundamentally change
the body contour.

Therefore, recent approaches
combine thigh liposuction
with upper panty line refinement.

At the same time,
fat grafting to the hip area
is used to enhance volume.

This helps improve
the overall lower body
proportions and balance.

In other words,
it is not simply
about removing fat,

but about redistributing
and refining
the body contour.

1. Why does the hip look like a “square shape”?

The ideal hip contour
from the back
has upper volume.

It then transitions
into a smooth,
rounded curve downward.

However, certain
anatomical characteristics
can alter this shape.

1) Lack of volume in the upper hip area

The outer pelvic region
should have a natural curve
formed by fat and muscle.

When volume is insufficient,
the sides appear hollow,
making the hips look square.

2) Upper panty line fat protrusion

This area lies
between the upper hips
and lower waist.

When fat accumulates here,
the upper hip appears thicker,
and the waist-hip boundary blurs.

As a result,
the hips may appear
wider and flatter.

3) Fat accumulation in the outer thighs

Often referred to
as saddlebag fat,
this area can build up.

When it does,
the outer thighs protrude,
widening the lower hip line.

This creates
an overall
square-shaped silhouette.

Design for improving hip and thigh contours

2. Key design strategies for reshaping the lower body

In these cases,
rather than simply adding volume,
restructuring the contour is essential.

1) Thigh liposuction

By refining
the outer and posterior thighs,
the overall width is reduced.

This enhances
the curve beneath the hips,
creating a more defined line.

As the outer line
is streamlined,
the pelvis appears wider.

2) Upper panty line fat reduction

Removing excess fat
from the upper hip area
clarifies the waist-hip boundary.

This makes
the upper hip lighter,
and improves overall shape.

As a result,
the hips appear
rounder and more balanced.

3) Hip fat grafting

This is not simply
about enlarging
the center of the hips.

Instead, it restores volume
along the lateral hip area,
softening the pelvic curve.

It also enhances
upper hip volume,
completing a rounded silhouette.

3. Why the legs appear longer

When thigh liposuction
is combined with
hip fat grafting,

the change goes beyond
simple fat reduction,
creating structural improvement.

Reduced thigh width,
enhanced pelvic curves,
and increased upper hip volume

occur simultaneously,
shifting the visual
starting point of the hips upward.

This creates
the effect
of longer-looking legs.

4. Why weight loss after surgery can enhance results

Many patients ask,
“If I lose weight
after fat grafting,

won’t the volume
completely disappear?”

In conclusion,
except for the initial
two-month engraftment period,

weight loss
does not significantly affect
fat graft retention.

Creating the contour
through surgery,
then refining it with weight control

is the most effective way
to achieve
optimal results.

[Case example of hip contour design]

Spec: 164 cm / 63.7 kg

Goal: overall reduction
in thigh size,
with concern about saddlebag fat.

Preoperative assessment for thigh + panty line liposuction and hip fat grafting

Preoperative photos
(front / back / side)

Overall, the thighs
show significant fat volume,
with noticeable fullness.

In particular,
hip dips and
a prominent panty line

suggest the need
for hip contour correction
and structural balance.

Final surgical plan:
full thigh liposuction,
panty line fat removal,

and hip fat grafting
to improve
overall contour harmony.

Thigh and panty line liposuction, hip fat grafting before-and-after – Dr. Pyongrim Choi, Lesarts Plastic Surgery

5 months after
liposuction and fat grafting

The hip shape
is not simply
about volume alone.

It is a three-dimensional contour
created by the pelvis,
thighs, and fat distribution.

Pelvic and hip contour changes through liposuction and fat grafting – Lesarts Plastic Surgery

To improve
a wide, flat “bread-shaped” hip,
a comprehensive approach is needed.

Refining the thigh line,
lightening the upper panty line,
and restoring hip volume

are all essential steps
in achieving
a balanced lower body contour.

Thigh liposuction before-and-after results – Dr. Pyongrim Choi, Lesarts Plastic Surgery

Reshaping the hips with liposuction and fat grafting – Dr. Pyongrim Choi, Lesarts Plastic Surgery

Through this process,
a flat and wide
back silhouette

can transform
into a rounded
and balanced hip line.

This creates
a slimmer, longer-looking
lower body proportion.

With proper
postoperative weight management,
the designed contour

can be maintained
more clearly
and consistently.

▼ Lesarts Plastic Surgery Quick Cost Consultation ▼

More surgery before-and-after photos and selfies to see

Thigh liposuction-Sculpting straight legs for tall body types: preventing sagging and seamless contour

lesartsps2026-04-0388

[Abdominal liposuction]Can you achieve a “coke-bottle body” in your 30s with abdominal liposuction, even with visceral fat and scoliosis?

lesartsps2026-03-3187

Arm liposuction – Straight arms vs square shoulders, finding the golden ratio within your muscle line

lesartsps2026-03-2487

Thigh liposuction – Why does the hip look square? How to create a round silhouette

lesartsps2026-03-2486

Thigh liposuction – Thin body (BMI 19), why are only the thighs a concern?

lesartsps2026-03-2488

[Arm liposuction]Did Your Arms Get Thicker First with Weight Gain? Arm Liposuction Before and After in a Woman in Her 20s

lesartsps2026-03-0483

Abdominal Liposuction – How Much Can Surgery Change a Petite Woman’s Straight Waist?

lesartsps2026-02-1984

[Arm Liposuction] The First Noticeable Change in Before and After Photos of a Slim Body with Disproportionately Thick Arms

lesartsps2026-02-0981

[Thigh liposuction] Common body traits that make you look shorter – saddlebag fat and narrow hips

lesartsps2026-02-0290

[Abdominal liposuction + abdominoplasty] Why results change when abdominoplasty is combined with liposuction

lesartsps2026-01-1669

Thigh liposuction – Thin body (BMI 19), why are only the thighs a concern?

lesartsps — Tue, 24 Mar 2026 01:12:38 +0000

Thigh liposuction - Thin body (BMI 19), why are only the thighs a concern?

Hello, this is Dr. Pyongrim Choi
from Lesarts Plastic Surgery.

Even with a low body weight,
some areas may appear
more prominent than others.

In women,
it is common to have
a slim overall body shape,

but relatively
larger-looking
thigh contours.

The case introduced today
also involves
a BMI 19 slim patient.

She visited the clinic
to improve
her proportionally developed thighs.

The patient specifically
wanted a visible
thigh gap when standing.

She also hoped
to refine
the protruding front thigh line.

Rather than simply
removing a large amount of fat,
the goal was different.

The focus was
to create a natural
thigh gap without irregularities.

At the same time,
we aimed to smooth
the anterior thigh contour.

This case emphasized
a refined and natural
thigh line design.

[Patient Case]

Female, mid-20s
158 cm / 48 kg / BMI 19

Procedure area:
full thigh liposuction

Preoperative condition assessment for thigh liposuction

When evaluating the thighs,
the overall line is determined
by three key regions.

The anterior thigh,
medial thigh,
and lateral thigh.

In slim body types,
when thighs appear thicker,
there are common characteristics.

Limited thigh gap
due to inner thigh thickness,
is frequently observed.

Prominent anterior thigh volume
can make the thighs
appear wider from the front.

The lateral line
may not be pronounced,
but the silhouette looks heavy.

[Surgical approach]

Securing the ideal
inner thigh line
is a primary goal.

Rather than creating
a straight, artificial line,
natural curvature is preserved.

The contour is refined
along the muscle line,
from the upper thigh to the knee.

Reducing anterior thigh volume
in a gradual
and balanced manner.

To address
the forward protrusion,
fat over the muscle is refined evenly.

This enhances
the side profile
and overall contour.

The lateral thigh line
is preserved
for natural lower body balance.

Thigh liposuction before-and-after results – Dr. Pyongrim Choi, Lesarts Plastic Surgery

Reducing thigh fat
with liposuction – Lesarts Plastic Surgery

[3 months after thigh liposuction]

Liposuction is not simply
about removing fat,
but requires an aesthetic approach.

It enhances strengths
while correcting
the limitations of body contour.

Thigh liposuction
3-month results – Dr. Pyongrim Choi, Lesarts Plastic Surgery

Thigh liposuction, anterior thigh liposuction, inner thigh liposuction – Lesarts Plastic Surgery

In this case as well,
without excessive removal,
refining the inner and anterior thigh volume

was enough to achieve
a clearly visible
body contour change.

If you are unsure
which line suits
your body best,

we recommend consulting
with a specialist
for accurate guidance.

In thigh liposuction,
what matters is not
how much is removed,

but how naturally
the contour is refined
and balanced.

▼ Lesarts Plastic Surgery Quick Cost Consultation ▼

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[Arm liposuction]Did Your Arms Get Thicker First with Weight Gain? ▶ Arm Liposuction Before and After in a Woman in Her 20s

lesartsps — Wed, 04 Mar 2026 00:42:12 +0000

[Arm liposuction]Did Your Arms Get Thicker First with Weight Gain? → Arm Liposuction Before and After in a Woman in Her 20s

Hello, this is Dr. Pyongrim Choi
from Lesarts Plastic Surgery.

Among female patients
in their mid to late 20s,
many visit the clinic
with a similar concern
about changes in their arms.

“I used to be
generally slim overall,
but after gaining weight,
my arms became noticeably thicker.”

In many cases,
this is not simply
a matter of
overall weight gain.

Instead, fat accumulation
tends to concentrate
around the upper arms
and surrounding areas,
making the arms stand out.

Because of this pattern,
exercise and diet alone
often struggle
to produce meaningful
improvement.

Consultation for Arm Liposuction due to Upper Arm Fat from Rapid Weight Gain

In this article,
we will review a case
involving a woman
in her mid-20s
with recent weight gain.

Over the past
one to two years,
she gained about
ten kilograms
of body weight.

As a result,
fat accumulated
in the upper arms,
axilla, and
accessory breast area.

To improve these areas,
arm liposuction
was performed to
refine the overall
arm contour line.

Through this case,
we will examine
how much visible
arm contour improvement
can realistically occur.

1. Are These Body Types Good Candidates for Arm Liposuction?

Fat developed from
recent weight gain
is usually softer
than long-standing
fibrotic fat deposits.

Because of this,
the fat layer
often responds better
to liposuction removal
during surgery.

In women
in their mid-20s,
two additional factors
often contribute to
better contour outcomes.

First, skin elasticity
is usually well preserved,
allowing the skin
to retract more smoothly
after fat removal.

Second, the duration
of weight gain
is usually relatively short,
making postoperative
line definition clearer.

2. Why the Entire Arm Contour Must Be Evaluated

The key principle
in arm liposuction surgery
is not simply
making the upper arm
appear thinner alone.

Instead, the arm
should be evaluated
as one continuous
upper body silhouette
with surrounding areas.

This includes
the anterior arm,
posterior arm fat,
the axillary line,
and accessory breast area.

If only the
posterior arm fat
is removed during surgery,
fat near the axilla
may remain visible.

In that situation,
the arm contour
may appear visually
disconnected or
structurally incomplete.

For this reason,
refining the arm
together with surrounding
upper arm areas
often increases satisfaction.

3. How Much Improvement Is Actually Possible?

Many patients ask,
“How many centimeters
will my arm
circumference decrease
after surgery?”

However, the most
important change after
arm liposuction surgery
is not simply
a numeric reduction.

The more meaningful
transformation appears
in the overall
arm silhouette shape
and contour balance.

In patients
with similar conditions,
several changes can
typically be expected
after arm liposuction.

1. Reduction in Upper Arm Circumference

Individual results vary,
but in many cases,
a reduction of
about 2–4 cm
in circumference occurs.

However, the more
important change
is not the number
itself, but the
visual contour improvement.

When the arms
are naturally lowered,
viewed from the side,
or seen from behind,
the arm appears slimmer.

The overall arm thickness
and bulkiness decrease
visibly across
multiple viewing angles
after surgery.

2. Improvement of Posterior Arm Fat

The main reason
arms appear thick
is often the volume
caused by sagging
posterior arm fat.

By removing fat
from the correct
anatomical layer,
this volume can
be significantly reduced.

This eliminates
the folded or bulging
appearance when
the arms rest
naturally at the sides.

As a result,
the overall arm line
appears smoother
and more refined
after contouring.

3. Improvement of Axillary and Accessory Breast Line

The axillary area
and accessory breast region
are connected to
the same fat layer
as the upper arm.

Therefore, these areas
should not be
considered separately
during surgical planning.

When refined together,
bulging above the
bra line decreases,
and the side contour
appears much cleaner.

As the upper body width
visually narrows,
patients often notice
a slimmer overall
upper body silhouette.

4. Will the Arms Sag After Arm Liposuction?

For patients
in their mid-20s,
especially when the
weight gain period
is relatively short,

skin elasticity
is usually preserved
well enough to
allow natural contraction
after fat removal.

However, large
future weight fluctuations
can negatively affect
skin firmness
and contour stability.

Therefore, maintaining
consistent weight control
and skin care
remains important
after surgery.

Actual Case Analysis

Female patient
in her mid-20s,
height 160 cm,
weight 61.5 kg,
BMI 24.

Her main request
was maximum size
reduction of the
entire arm contour.

She was particularly
concerned about
sagging posterior arm fat
and overall arm thickness.

The surgical plan
included full arm liposuction
with refinement of
the axilla and
accessory breast areas.

Preoperative Assessment for Arm Liposuction

Before arm liposuction surgery,
there was noticeable
fat accumulation
throughout the entire
upper arm area.

The posterior arm fat
appeared sagging downward,
creating visible volume
along the back
of the upper arm.

In a natural
standing posture,
the outer upper arm
appeared protruded
near the shoulder line.

The axillary area
and accessory breast region
also appeared visibly
bulging outward
from the side.

5 Months After Arm Liposuction

Arm Liposuction Before and After Lesarts Plastic Surgery – Dr. Pyongrim Choi

The previously sagging
posterior arm fat

now appears lifted
and more closely
adhered to the arm.

Arm Contour Refinement After Rapid Weight Gain Lesarts Plastic Surgery – Dr. Pyongrim Choi

The outer arm line
has been clearly refined,
creating a smoother
and straighter
overall arm contour.

Arm Liposuction Before and After Differences Lesarts Plastic Surgery – Dr. Pyongrim Choi

The area just above
the elbow
was carefully preserved
to minimize
a curved appearance.

Posterior Arm, Accessory Breast, and Axillary Liposuction Lesarts Plastic Surgery – Dr. Pyongrim Choi

Removal of accessory breast
and axillary fat
creates a smoother
connection with
the arm contour line.

Fat removal was
carefully designed
considering the
underlying muscle contour
to avoid overemphasis.

Upper Arm Circumference Reduction After Arm Liposuction Lesarts Plastic Surgery – Dr. Pyongrim Choi

Fat that developed
from recent weight gain
in the upper arms
and surrounding areas
often remains resistant to exercise.

In many cases,
diet and exercise alone
have clear limitations
in improving
localized arm fat deposits.

For women
in their mid to late 20s,
both skin elasticity
and fat quality
are generally favorable.

When arm liposuction
is performed together
with refinement
of surrounding areas,
clear contour change appears.

Patients often experience
not only reduced
arm thickness,
but also improvement
of posterior arm fat.

At the same time,
the axillary area
and accessory breast region
can also be refined
for better contour balance.

This process helps
create a smoother
and straighter
overall arm line
after surgery.

Arm liposuction
is not simply
a procedure to
make the arms thinner.

Rather, it involves
redesigning the contour
from the shoulder
through the axilla
to the entire arm line.

Before surgery,
it is essential
to determine whether
the primary cause
is fat accumulation.

It is also important
to evaluate whether
surrounding areas
should be refined
for optimal results.

▼ Lesarts Plastic Surgery Quick Cost Consultation ▼

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Abdominal Liposuction – How Much Can Surgery Change a Petite Woman’s Straight Waist?

lesartsps — Thu, 19 Feb 2026 02:54:23 +0000

Abdominal Liposuction - How Much Can Surgery Change a Petite Woman’s Straight Waist?

Hello, this is Dr. Pyongrim Choi
from Lesarts Plastic Surgery.

“I’m not overweight,
but my waist
doesn’t look defined.”

“Maybe because I’m petite,
my body shape
looks more rectangular.”

Many female patients
who are petite

and have relatively flat lines
visit with similar concerns.

Regardless of their
body weight
or body fat percentage,

they struggle with
a so-called
“straight waist” shape.

The “petite straight waist”
is not simply caused
by excess fat.

In most cases,
it results from a combination of
body structure,

fat distribution,
and the proportion between
the waist and pelvis.

Then how much
can surgery change
a straight waist?

Today, we will explore
the causes of
a straight waist appearance,

and how abdominal liposuction
combined with pelvic fat grafting

can help create
a more defined
waistline contour.

1. Why Does a Petite Frame

Make the Waist Look Straight?

In shorter body types,
a straight waist

often appears more prominent
not because of
the waist itself,

but due to
an issue of
overall body proportions.

Why a Straight Waist Appears More Pronounced

Common Causes of a Straight Waist

1) Minimal Difference

Between Waist and Pelvic Width

Even if the waist
is not particularly thick,

when the pelvic width
and volume are also small,

the waist can appear
visually straight and thick.

2) Fat Along the Flanks

and Lower Back (Love Handles)

In petite body types,

even a small amount
of fat along the flanks
or lower back

can easily diminish
the natural waist curvature.

3) Insufficient Volume

in the Pelvis and Hip Dips

From the front,
the body may appear slim.

However, from the side
or back view,

the waist definition
may seem nearly absent.

In such cases,
removing waist fat alone
has clear limitations.

In other words,
a straight waist

is often less about
excess fat itself,

and more about insufficient
three-dimensional contrast
between waist and pelvis.

2. The Key Strategy: “Reduce and Create”

Many patients ask,
“Isn’t waist liposuction enough?”

However, in petite patients
with a straight waist shape,

liposuction alone
often cannot restore
sufficient curvature.

Therefore, surgical planning
must both refine

the fat that blunts
the waist contour

and build supportive volume
in the lower silhouette.

Creating structural balance
is just as important
as removing excess fat.

Actual Patient Case

Female, early 30s

Height: 154 cm

Weight: 58.5 kg

BMI: 24.7

Her primary concern
was overall abdominal fullness,

but she especially wished
to achieve a defined
waistline contour.

Preoperative Assessment – Abdominal Liposuction and Pelvic Fat Grafting

The upper and lower abdomen
projected forward overall,
creating anterior fullness.

Increased fat along
the flank area

caused the waistline
and pelvic line

to fall straight downward,
forming a typical
straight waist contour.

Surgical Plan for Improving a Straight Waist

Abdominal Liposuction + Pelvic Fat Grafting Plan

Through abdominal liposuction,
the protruding fat of
the upper and lower abdomen
was strategically removed.

Maximal safe reduction
was performed to create
a clearer abdominal line.

However, fullness caused by
visceral fat

cannot be corrected
through liposuction alone
and requires ongoing management.

For the waistline,
liposuction alone

has structural limitations
in creating sufficient curvature.

Therefore, combining
abdominal liposuction

with pelvic fat grafting

was essential to increase
the contrast between
waist and pelvic width.

This approach focuses
on transforming the overall
three-dimensional silhouette,

rather than simply
reducing volume alone.

Results of Abdominal Liposuction Combined with Pelvic Fat Grafting [Lesarts Plastic Surgery – Dr. Pyongrim Choi]

3 Months Postoperative – Front View

A visible waist definition
has formed beneath
the ribcage area.

From that point downward,
the contour gradually widens
toward the pelvis.

The transition from
the waistline

into the pelvic contour
appears smooth and natural,

creating a more balanced
and proportionate silhouette.

Before and After Line Comparison Love Handle Liposuction + Hip Fat Grafting – Lesarts Plastic Surgery

Improving Upper and Lower Abdominal Protrusion with Abdominal Liposuction – Lesarts Dr. Pyongrim Choi

3 Months After Abdominal Liposuction
Combined with Pelvic Fat Grafting – Side View

The anterior–posterior width
has visibly decreased overall.

This results in
a clear reduction
in body size.

The upper gluteal area
appears more elevated,

creating a subtle
lifted silhouette effect.

Results of Abdominal Liposuction Combined with Hip Fat Grafting – Lesarts Plastic Surgery

3 Months After Abdominal Liposuction
Combined with Pelvic Fat Grafting – Back View

The previous straight waist
has visibly diminished.

A natural transition
between the waist,
pelvis, and hip line

is now clearly defined.

In petite women,
a straight waist

is not simply caused
by excess waist fat.

In most cases,
it reflects the three-dimensional
structure and proportion

between the waist and pelvis.

Therefore, the key
to correcting a straight waist

is not only
how much fat is removed,

but which areas
are refined,

where volume is added,
and how the overall
line is connected.

When liposuction
is appropriately combined

with pelvic fat grafting,

a natural and balanced
waist contour

can be achieved
even in shorter body types.

However, factors such as
body frame,

skeletal structure,
skin elasticity,
and existing fat volume

significantly influence
the degree of change possible.

For this reason,
a thorough consultation

with an experienced surgeon
is essential

to establish a
personalized surgical design plan.

▼ Lesarts Plastic Surgery Quick Cost Consultation ▼

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[Arm Liposuction] The First Noticeable Change in Before and After Photos of a Slim Body with Disproportionately Thick Arms

lesartsps — Mon, 09 Feb 2026 08:52:48 +0000

[Arm Liposuction] The First Noticeable Change in Before and After Photos of a Slim Body with Disproportionately Thick Arms

Hello, this is Dr. Pyongrim Choi,
board-certified plastic surgeon at Lesarts Plastic Surgery.

I specialize in liposuction
and advanced fat grafting procedures.

“I’m not overweight, so why
do only my arms look thick?”

Even patients who are petite
and generally slim often ask this.

In photos or sleeveless clothing,
their upper arms appear noticeably thicker.

Although their weight remains
within a normal standard range,

when the arms rest
closely against the torso,

the outer line spreads sideways
instead of falling straight down.

From the shoulder to the elbow,
the contour appears rounded rather than linear.

This leads many patients to wonder,
“Why do my arms look like this?”

In many cases, this is not
simply a matter of weight gain.

Rather, it reflects a difference
in fat distribution over the bone structure.

In these situations, arm liposuction
is not merely about reducing volume.

It is closer to strategically
redesigning the arm contour line.

1. Why do slim patients

still have thick-looking arms?

The common characteristics
of these patients are relatively clear.

Their overall body fat percentage
tends to be on the lower side.

The shoulder and clavicle lines
are usually well defined and visible.

However, localized fat remains
along the posterior upper arm area.

Fat also persists near
the axillary connection zone.

When the arms are lowered,
no visible gap forms beside the torso.

In other words, the arm itself
is not excessively large overall.

Instead, fat remains in areas
that disrupt the intended silhouette.

This results in a subtle
yet noticeable silhouette imbalance.

2. Does “bone arms” mean

removing all visible fat?

When patients mention having
so-called “bone arms,”

they are not referring
to arms stripped of all fat.

Most actually describe
a very specific visual image.

A straight line forms
when the arms rest at the sides.

There is no unnecessary bulging
when viewed from a lateral angle.

Excess volume is minimized,
yet natural muscle definition remains visible.

In these situations, the goal
of arm liposuction is precision.

Rather than aggressive removal,
fat is carefully redistributed and refined.

The contour is adjusted
based on bone and muscle landmarks.

3. Key design considerations

in slim-arm liposuction procedures

For patients with slimmer frames,
arm liposuction can be more challenging.

Because volume is already limited,
every design decision must be precise.

1) Refinement of the Posterior Upper Arm

The most significant cause
of arms appearing laterally spread.

When this area is properly refined,
the silhouette changes immediately
as the arms rest against the body.

2) Defining the Axilla–Upper Arm Boundary

If residual fat remains
near the axillary region,

the overall arm line
can appear visually disconnected.

Precise contouring of this junction
creates a smoother, continuous transition.

3) Avoid Over-Reduction of the Anterior Arm

Excessive reduction of the front area
may cause muscles to appear overly prominent.

This can result in
an unnaturally exaggerated contour.

In some cases,
the arm may even appear slightly curved.

Arm Liposuction Case in a Slim Body Type

Age 30
Height 154 cm
Weight 44.3 kg
BMI 18.9

The patient desired
a defined “bone arm” look,

with visible
natural muscle contour definition.

Before and After Arm Liposuction Slim Body Type Case – Lesarts Plastic Surgery – Dr. Pyongrim Choi

Arm Liposuction Results 154 cm, 44 kg Slim Body Type – Lesarts Plastic Surgery – Dr. Pyongrim Choi

Silhouette with Arms Resting

Against the Body (Front and Back View)

Before Arm Liposuction

When the arms are placed
closely against the torso,

the upper arm appears
to push outward laterally.

There is almost no visible
space between the arm and body.

The overall line looks blunt,
lacking a clean vertical contour.

After Arm Liposuction

When the arms rest naturally
against the sides of the body,

the silhouette falls straight
from shoulder down to elbow.

A natural gap forms
between the arm and torso.

The entire body shape appears
more refined and proportionate.

Before and After Differences Arm Liposuction Results – Lesarts Plastic Surgery – Dr. Pyongrim Choi

Volume Change of the Posterior Upper Arm

Side Profile Comparison

Before Arm Liposuction

Residual volume remained
along the posterior upper arm area.

This rounded fullness
made the arm appear thicker
than it actually was.

The effect became
especially noticeable in photographs.

After Arm Liposuction

Unnecessary fat was carefully refined
along the back of the arm.

The posterior contour appears
smoother and more streamlined.

A subtle, natural triceps definition
is now gently visible.

Rather than looking bulky,
the arm appears firmer and toned.

This is the point
where the concern of
“being slim yet thick-armed”

effectively disappears.

Arm Liposuction Review – Lesarts Plastic Surgery – Dr. Pyongrim Choi

Seamless Line from Axilla to Arm

Before Arm Liposuction

The boundary between
the axilla and upper arm
appeared visually unclear.

The overall arm line
looked disconnected or shortened.

The transition from shoulder
to elbow lacked fluid continuity.

After Arm Liposuction

The line from the axilla
into the upper arm
connects more naturally.

A smooth visual flow now forms
from shoulder to elbow.

The arm appears longer
than its actual length.

This subtle refinement creates
a more elongated silhouette overall.

Arm Liposuction for Sagging Upper Arms Before and After Comparison – Lesarts Plastic Surgery – Dr. Pyongrim Choi

Natural Flow with Arms Extended

Before Arm Liposuction

Compared to the forearm,
the upper arm appeared thicker.

Skin elasticity seemed reduced,
giving a slightly sagging impression.

After Arm Liposuction

The transition from forearm
to elbow and upper arm
appears smooth and natural.

A subtle muscle contour
is now gently visible.

This creates a firmer,
more refined silhouette overall.

The previously sagging area
connecting toward the axilla
appears reduced in volume.

As the size decreases,
the arm looks noticeably tighter.

In slim body types,
arm liposuction

is not about excessive removal
or dramatic transformation.

It requires precise distinction
between bone structure,
muscle, and fat distribution.

When these three elements
are carefully balanced,

a natural, long-lasting
“bone arm line” is achieved.

If your concern is not
that your arms are large,

but that they look
unrefined or undefined,

then arm liposuction
may be a reasonable option
worth considering.

▼ Lesarts Plastic Surgery Quick Cost Consultation ▼

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[Thigh liposuction] Common body traits that make you look shorter – saddlebag fat and narrow hips

lesartsps — Mon, 02 Feb 2026 01:39:03 +0000

[Thigh liposuction] Common body traits that make you look shorter – saddlebag fat and narrow hips

Hello, this is Dr. Choi Pyongrim from Lesarts Plastic Surgery.

Is there a common feature
among body types
that tend to look shorter?

The answer is
saddlebags fat and a narrow pelvis.

In many cases,
it is not about having more fat,
but rather about body proportion.

Especially for those
who already feel self-conscious
about being petite,
and also have a developed lower body,
we often hear comments like these
during consultation.

“My weight isn’t that high,
but my legs look short.”

“My pelvis looks narrow,
and the outer thighs stick out,
so my lower body looks thicker.”

In these cases,
simple weight loss or exercise alone
rarely solves the problem.

Because the key issue
is not the amount of fat,
but the distribution of lower-body fat
and the resulting proportions.

In this article,
we will explain
why legs appear shorter
in petite patients
with a developed lower body,

and introduce
the actual results and changes
achieved through
thigh liposuction
and pelvic fat grafting,

from a professional perspective,
in the simplest way possible.

1.Why do these body types
make the legs look shorter?

When someone is petite
with a heavier lower body,
the following features
are commonly observed:

– Narrow pelvic width
– Protruding outer thighs (saddlebags)
– A low leg starting point,
making the legs appear shorter
– A flat hip line
or hollow lateral contour

The visual effect
created by this combination
is straightforward.

Compared to the upper body,
the lower body looks wider
and heavier,

while the leg starting point
appears positioned lower.

In other words,
rather than actual height
or true leg length,

the pelvic line
and outer thigh contour,
shaped by fat distribution,
ultimately determine
overall body proportion
and visual impression.

Leg length change after saddlebags liposuction and pelvic fat grafting – Lesarts Plastic Surgery – Choi Pyongrim

2. Thigh liposuction – the key is the line, not the amount

In this body type,
the goal of thigh liposuction
is not simply removing fat.

The core focus
is the saddlebags area.

This area makes
the pelvis appear narrower,
widens the lower body width,
and causes the legs to look
shorter and thicker.

Therefore, through
saddlebags-focused thigh liposuction,
it is important to:

– reduce overall thigh width
– create a straight, clean leg line
– achieve a visually longer leg proportion

3. Pelvic and hip fat transfer
– the final step that completes body proportion

However, thigh liposuction alone
cannot solve everything.

One remaining concern is
insufficient volume in the pelvic
and hip line.

Even after reducing saddlebags fat,
the lower body may look slimmer,
but if the pelvis is naturally narrow,
the silhouette can appear flat
and lacking dimension.

This is when
pelvic and hip fat transfer
becomes important.

By adding volume
to the side pelvis and hip area,

– the waist appears slimmer
– the pelvis–thigh transition becomes smoother
– and the starting point of the legs appears higher

In other words,

it is not just about reducing fat.

It is about
reducing the thighs, enhancing the pelvis,
and rebalancing overall body proportion.

Let’s review the degree of change
through an actual clinical case.

[Patient information]
Female, early 30s
145 cm / 42.9 kg / BMI 20.4

Main concerns (Want)

– Concerned about saddlebags fat
– Wanted to correct left–right asymmetry
– Desired a more natural thigh contour overall
– Hoped to improve proportion and leg line balance

Abdominal liposuction consultation and diagnosis – Lesarts Plastic Surgery, Dr. Choi Pyong-rim

– Centralized subcutaneous fat accumulation
in the lower abdomen

– Mild rectus diastasis

– Slightly increased visceral fat

– Somewhat reduced skin elasticity,
but skin excision not essential

– The patient also preferred
primary improvement through liposuction

Preoperative body contour analysis before thigh liposuction and pelvic/hip fat grafting

[Condition assessment]

– Left–right saddlebag asymmetry:
the right side appeared more
narrowly protruded

– Narrow pelvic width,
making the legs look shorter proportionally

– Minimal fat in the inner
and anterior thigh areas

[Surgical plan]

– Full thigh liposuction

– During saddlebag reduction,
more fat removal planned on the right side
with prior notice that
slight skin redundancy may appear

– Pelvic and hip fat grafting

– Because the harvested fat volume
from the thighs is limited,
the first grafting session focuses on
maximizing contour balance and shape correction

Thigh liposuction and pelvic fat grafting before & after – Lesarts Plastic Surgery

How to make your legs look longer – thigh liposuction and hip dip fat transfer

[3 months after thigh liposuction and hip dip fat transfer surgery]

The most noticeable change after surgery
was not simply size reduction,
but an overall improvement in body proportion.

As the outer thigh bulge decreased,
the lower body width became slimmer.

With restored volume along the pelvic side line,
the waist appears more defined,

and the legs look visually longer than before,
creating a more balanced and elongated silhouette.

Leg fat reduction, thigh circumference slimming – Liposuction review – Lesarts Plastic Surgery

For individuals with a shorter height
and a more developed lower body,

simply losing weight alone
often does not create
the desired change.

What truly matters is not
how much you reduce,
but where to slim down
and where to add volume

to achieve the most natural
and balanced proportions.

Thigh liposuction and
pelvic fat transfer
are not procedures meant
to hide your body’s flaws.

Rather, they are surgeries
that reorganize and restore
your original body proportions.

If you are concerned about
your body shape,
focus less on how much to remove
and more on how to reshape it first.

▼ Lesarts Plastic Surgery Quick Cost Consultation ▼

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[Abdominal liposuction + abdominoplasty] Why results change when abdominoplasty is combined with liposuction

lesartsps — Fri, 16 Jan 2026 05:58:23 +0000

[Abdominal liposuction + abdominoplasty] Why results change when abdominoplasty is combined with liposuction

Hello, this is Dr. Choi Pyongrim from Lesarts Plastic Surgery.

After childbirth, many people consider abdominoplasty
due to a stretched abdomen and a contour
that no longer improves with dieting.

Among them, a common question is:
“I’ve already lost weight—do I really need liposuction as well?”

However, in actual clinical practice,
even patients who appear slim on the outside
often have uneven fat distribution in the abdomen
and areas of localized residual fat.

In other words, the reason abdominal liposuction
is combined with abdominoplasty
is not simply to remove more fat.

Rather, it helps facilitate the abdominoplasty procedure itself
and allows the newly created abdominal contour
to be refined more precisely after surgery.

[Limitations of abdominoplasty alone]

Abdominoplasty is a procedure
that tightens loose skin and a relaxed abdominal wall
to create a flatter abdomen.

However, clinically speaking,
skin excision alone is often insufficient
to achieve an ideal abdominal contour.

[Purpose of combining abdominal liposuction]

1. Reducing thickness caused by adhesions and residual fat in the anterior abdomen

By gently releasing overall adhesions
and evenly refining residual fat,
abdominal thickness can be reduced
while creating a more natural contour.

2. Correcting overall balance and proportion

By removing fat along the flanks and waistline,
liposuction enhances the lifting effect of abdominoplasty,
creating a synergistic result
that allows optimal proportions and silhouettes
to be seen from every angle.

3. Preventing contour irregularities and step-offs caused
by fat in the love-handle area

The love-handle area is particularly prone
to contour step-offs caused by residual fat
after abdominoplasty.

By combining liposuction,
the borders can be smoothly connected,
and if pronounced contour irregularities are anticipated,
additional fat grafting to the pelvic or hip area
can be used to further refine the line.

Ultimately, combining liposuction with abdominoplasty helps achieve:

– Release of adhesions throughout the abdomen
– Refinement of areas where lifting alone has limitations
– Overall proportional balance
– Prevention of fat-related contour irregularities

This approach improves not only immediate postoperative satisfaction
but also the long-term stability of abdominoplasty results.

[Actual patient case]

Female in her early 40s
Two children (vaginal deliveries)
Height: 159 cm / Weight: 66 kg / BMI: 26.3

Want: Concern about the lower abdomen folding visibly when wearing clothes

Preoperative body assessment: abdominoplasty × abdominal liposuction

After childbirth, reduced skin elasticity in the abdomen
led to clearly visible sagging,
particularly in the lower abdominal area.

Thick fat accumulation was noted
along the flanks and love-handle regions,
resulting in a poorly defined abdominal contour overall.

During surgery,
abdominoplasty was performed to remove excess, sagging skin
while reinforcing the abdominal wall
to control laxity as much as possible.

At the same time, comprehensive abdominal liposuction
was carried out to release adhesions
and allow the anterior abdomen and waistline
to connect smoothly and naturally.

Before-and-after comparison of combined abdominoplasty and abdominal liposuction – Lesarts Plastic Surgery

Three months after surgery,
the sagging of the lower abdomen had improved,
making the central abdominal line more defined.

With a reduction in overall abdominal thickness,
the abdomen appeared flatter, firmer,
and more contoured overall.

Before-and-after differences of abdominoplasty combined with abdominal liposuction – Lesarts Plastic Surgery

Lesarts case of combined abdominal liposuction and abdominoplasty – recovery, pain, bruising, and scar status

From the side and back views,
the volume along the flanks and love-handle areas
has been refined,
allowing the curve between the abdomen and waist
to flow smoothly and naturally.

When planning abdominoplasty,
it is important to understand that
the skin, fat, and overall contour
do not exist independently.

A comprehensive approach that considers liposuction together
can lead to more satisfying and balanced results.

Determining whether surgery is necessary
and which method is appropriate
cannot be judged by a single photo
or body weight alone.

Above all,
a thorough consultation with a specialist
is essential to establish a surgical plan
tailored to your individual abdominal condition.

▼ Lesarts Plastic Surgery Quick Cost Consultation ▼

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[Body liposuction]Changes in the body after liposuction

lesartsps — Fri, 16 Jan 2026 05:18:19 +0000

[Body liposuction]Changes in the body after liposuction

Hello, this is Dr. Choi Pyongrim from Lesarts Plastic Surgery.

Liposuction is often thought of
as a procedure that simply removes visible fat.

However, in reality,
it is more accurate to understand it
as a process in which the entire body responds
to the stimulus of surgery
and undergoes a variety of changes.

Beyond changes in body contour where fat is removed,
from immediately after surgery through recovery,
multiple physiological changes occur at the same time,
including alterations in circulation, blood markers,
immune responses, swelling, and inflammatory reactions.

The better these changes are understood,
the faster recovery tends to be,
and the higher patient satisfaction with the results.

In this article,
we will clearly explain the actual changes
that occur in the body after liposuction,
including changes in blood values,
in an easy-to-understand way.

1. Overall physical changes after liposuction

1) Swelling and changes in fluid distribution

Liposuction is a procedure
that removes fat by inserting a fine cannula
into the fat layer.

During this process,
the subcutaneous tissue experiences temporary trauma,
which leads to an increase in interstitial fluid
and results in swelling.

– Immediately after surgery to 1 week:
Localized swelling centered around the surgical area

– 1 to 2 weeks:
Fluid shifts spreading downward due to gravity

– After 3 to 4 weeks:
Gradual reduction as lymphatic circulation recovers

During this period,
changes in body weight are often influenced
more by fluid shifts than by actual fat reduction.

2) Skin and tissue readaptation

The space left after fat removal
does not remain empty.

Over time, surrounding tissues are reorganized,
and the skin adapts to the new volume.

– Early phase:
Induration, where the skin feels firm to the touch

– Recovery phase:
Gradual softening as fibrous tissue is remodeled

– Stabilization phase:
The period when skin elasticity and contours settle

This process varies depending on
the amount and extent of fat removal
and the individual’s skin elasticity.

2. Body changes reflected in blood test results

Although liposuction may appear to be a procedure
that simply removes fat,
the body recognizes it as a form of surgical trauma.

As a result,
meaningful changes can be observed
in blood test values
for a certain period after surgery.

Most of these changes
are normal physiological responses
that occur during the recovery process.

1) Changes in hemoglobin levels

What is hemoglobin?

Hemoglobin is a protein found in red blood cells
that carries oxygen throughout the body.

When hemoglobin levels decrease,
symptoms such as fatigue and dizziness
may occur.

Why do hemoglobin levels decrease after liposuction?

After liposuction,
hemoglobin levels often decrease temporarily.
The reasons are as follows.

A) Microbleeding
During the liposuction process,
small blood vessels are damaged,
causing microscopic bleeding that is not visible to the eye.
This leads to a slight reduction
in red blood cells and hemoglobin.

B) Fluid shifts and dilution effect
Intravenous fluids administered during surgery,
along with postoperative inflammatory responses
that draw fluid into the tissues,
can dilute the blood.
As a result, hemoglobin levels
may appear lower than normal.

When does recovery occur?

– Gradual recovery usually occurs
within 1 to 3 weeks after surgery

– In healthy adults,
levels typically recover naturally

– Adequate rest and proper nutrition
are essential for recovery

Points to note

If hemoglobin levels drop excessively,
or if dizziness and severe fatigue persist,
a consultation with your medical provider is necessary.

2) Changes in white blood cell (WBC) count

What are white blood cells?

White blood cells are cells responsible
for immune defense and inflammatory responses.

Their levels increase
when the body experiences injury or inflammation.

Why does the white blood cell count change after liposuction?

A temporary increase in white blood cell levels
after liposuction is a normal part of recovery.

A) Inflammatory response to surgery
Liposuction involves tissue injury.
The body recognizes this as a wound that needs healing,
which activates immune cells
and leads to an increase in white blood cell count.

B) Physiological inflammation, not infection
In most cases, this is not due to infection,
but a normal inflammatory response for healing.
It may be accompanied by fever, pain, and swelling.

When does it return to normal?

– Usually within a few days to one week after surgery
– As recovery progresses,
white blood cell levels decrease naturally

Points to note

If elevated white blood cell levels persist,
or if they are accompanied by
high fever, severe pain, or pus,
evaluation for possible infection is necessary.

3. Why is blood management before and after surgery
an important factor when choosing a clinic?

The recovery process after liposuction
is not limited to visible swelling and bruising.

It also requires careful management
of invisible changes in blood values
that occur within the body.

– Regular monitoring with blood tests

– Customized recovery care based on swelling and bruising progress

– Medication and IV fluid adjustments when necessary

– Early detection of infection and abnormal reactions

All of these steps require
the careful judgment of experienced medical professionals.

Swelling and bruising after liposuction
are a natural part of the recovery process,
but beneath them lie important signals
in the form of changes in blood values.

At our clinic,
we take responsibility not only for surgical results
but also for the entire recovery process,
using a systematic postoperative care system
to closely monitor each patient’s condition.

If you are looking for liposuction
that prioritizes safety and recovery
rather than just the procedure itself,
we recommend choosing a clinic
with experienced, data-driven medical staff
and thorough postoperative care.

▼ Lesarts Plastic Surgery Quick Cost Consultation ▼

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[Arm liposuction]Can changing just the arms make the entire frame look smaller?

lesartsps — Tue, 06 Jan 2026 03:26:47 +0000

[Arm liposuction]Can changing just the arms make the entire frame look smaller?

Hello, this is Dr. Choi Pyongrim from Lesarts Plastic Surgery.

Many morbidly obese female patients
who visit the clinic considering arm liposuction
often ask the same question.

“Even without losing a lot of weight,
can my body shape look different
just by refining my arms?”

In reality, the area that most strongly influences
the visual perception of upper body size
is the arms.

Especially when wearing short sleeves
or sleeveless tops,
the upper arm line is noticed before the face,
and the thicker and more sagging the arms appear,
the larger and heavier the overall impression becomes,
often exceeding the actual body weight.

In women with severe obesity,
the absolute amount of subcutaneous fat is high,
fat spreads widely toward the back of the arms
and the underarm area,
and skin elasticity is often reduced.

For this reason, arm liposuction
can create results that go beyond
simple partial fat reduction,
fundamentally changing how the body frame is perceived.

1. Why do the arms of women with severe obesity
appear thicker and more sagging?
– An anatomical perspective

To understand arm liposuction,
it is important to first understand
the structure of the arm.

The upper arm consists mainly of
the skin,
the subcutaneous fat layer,
and the muscle layer
including the biceps and triceps.

In patients with severe obesity,
the subcutaneous fat layer is thick
and distributed unevenly.

The areas that are particularly problematic are as follows.

1) Posterior upper arm (above the triceps)

-This area is most affected by gravity,
and severe skin sagging combined with fat
creates the characteristic winged arm appearance.

2) Outer upper arm line

-The arms appear to spread outward,
making the overall frame look wider.

3) Front and back underarm fold areas

-Fat protrudes along the bra line,
giving the entire upper body a bulky impression.

As seen here, it is not simply the amount of fat,
but where it accumulates and in which direction,
that ultimately defines body shape.

2. After arm liposuction, how much smaller can you actually look?

Arm liposuction for patients with severe obesity
is not simply a procedure to reduce arm circumference.

It changes arm width, shadowing,
and even how clothes fit and drape.

Clinically, we observe that

-when the arms are lowered,
space appears between the torso and the arms,

-the bulging contour at the back of the arms
becomes smoother, and

-a straighter, more linear line forms
from the shoulder to the elbow.

As a result,

-the upper body appears more than one size smaller,

-even at the same weight,
it gives the impression of significant weight loss, and

-satisfaction with body shape increases greatly
when wearing short sleeves or sleeveless tops.

In fact, many patients say that
even though their weight has barely changed,
people tell them they look smaller overall.

3. Key points that must be considered
in arm liposuction for severe obesity

Arm liposuction in patients with severe obesity
is not simply about adjusting the amount of fat removed.

The following factors must be considered together.

1) Separation and balance of fat layers matter more than volume
Excessive suction can actually worsen irregularity and sagging.
In particular, the fat over the triceps requires a design approach
that leaves a smooth, even layer.

2) Evaluation of skin elasticity
Patients with severe obesity often have reduced skin contraction.
To achieve natural results, the suction volume, depth,
and expected skin recovery must be considered in the design.

3) Continuity of the arm line
If only the arm becomes thinner,
the boundary with the shoulder or armpit can look unnatural.

For this reason, upper arm liposuction should focus on
a connected line design that includes

-the shoulder line,
-the armpit fold area, and
-the scapular region.

[Patient case]

Female in her 30s, 163 cm / 82.2 kg / bmi 30.9

Concern:
With an upcoming wedding, the patient felt her arms looked bulky
and wanted an overall reduction in circumference,
hoping to appear smaller and more proportionate overall.

Lesarts Plastic Surgery arm liposuction before surgery

[Surgical scope]

Maximum upper arm liposuction
while avoiding excessive muscle definition

Adjacent areas treated: accessory breast, axilla, scapular area

Postoperative arm-extended view after arm liposuction at Lesarts Plastic Surgery – Dr. Pyongrim Choi

[Three-month before-and-after comparison following arm liposuction]

When the arms are extended,
the sagging wing-like fat is visibly reduced

Lesarts arm liposuction before-and-after comparison – Dr. Pyongrim Choi

When the arms are held close to the body,
the bulging fat at the back
naturally falls into a smooth line.

As the surrounding arm area is refined,
the overall frame appears smaller,
and the protruding axillary
and scapular areas are also smoothed out.

Arm liposuction is not about weight loss,
but rather a form of body contour redesign.

Especially for women with severe obesity,
arm liposuction goes beyond simple fat removal,
bringing a noticeable change
to the proportions and impression
of the entire upper body,
making the results feel even more dramatic.

The first visible change often begins
with the arm line rather than body weight.

So instead of focusing on how much fat to remove,
it is more important to consider
where to remove it,
at what depth,
and with what line design,
as these factors ultimately determine the outcome.

For this reason, arm liposuction requires
medical expertise grounded in anatomy
and extensive experience in body contour design.

▼ Lesarts Plastic Surgery Quick Cost Consultation ▼

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Dr. Pyongrim Choi – Articles & Photos : Liposuction, Tummy Tuck(Lesarts plastic surgery Korea)

Thigh liposuction-Sculpting straight legs for tall body types: preventing sagging and seamless contour

Thigh liposuction-Sculpting straight legs for tall body types: preventing sagging and seamless contour

1. Anatomical sculpting for straight thighs

2. Detail defines the final result

Doctor’s Note by Dr. Pyongrim Choi

[Abdominal liposuction]Can you achieve a “coke-bottle body” in your 30s with abdominal liposuction, even with visceral fat and scoliosis?

Arm liposuction - Straight arms vs square shoulders, finding the golden ratio within your muscle line

“Why does my waist look long and flat?”

1. Anatomical analysis

2. Line transformation processbased on a real case

Doctor’s Note by Dr. Pyongrim Choi

Arm liposuction – Straight arms vs square shoulders, finding the golden ratio within your muscle line

Arm liposuction - Straight arms vs square shoulders, finding the golden ratio within your muscle line

1. Relationship between arm anatomy and liposuction

2. Key considerations for natural results

[Arm liposuction case]

3 months after arm liposuction (front / side / back)

Doctor’s Note by Dr. Pyongrim Choi

Thigh liposuction – Why does the hip look square? How to create a round silhouette

Thigh liposuction - Why does the hip look square? How to create a round silhouette

1. Why does the hip look like a “square shape”?

2. Key design strategies for reshaping the lower body

3. Why the legs appear longer

4. Why weight loss after surgery can enhance results

[Case example of hip contour design]

Doctor’s Note by Dr. Pyongrim Choi

Thigh liposuction – Thin body (BMI 19), why are only the thighs a concern?

Thigh liposuction - Thin body (BMI 19), why are only the thighs a concern?

[Patient Case]

[Surgical approach]

[3 months after thigh liposuction]

Doctor’s Note by Dr. Pyongrim Choi

[Arm liposuction]Did Your Arms Get Thicker First with Weight Gain? ▶ Arm Liposuction Before and After in a Woman in Her 20s

[Arm liposuction]Did Your Arms Get Thicker First with Weight Gain? → Arm Liposuction Before and After in a Woman in Her 20s

1. Are These Body Types Good Candidates for Arm Liposuction?

2. Why the Entire Arm Contour Must Be Evaluated

3. How Much Improvement Is Actually Possible?

1. Reduction in Upper Arm Circumference

2. Improvement of Posterior Arm Fat

3. Improvement of Axillary and Accessory Breast Line

4. Will the Arms Sag After Arm Liposuction?

Actual Case Analysis

5 Months After Arm Liposuction

Doctor’s Note by Dr. Pyongrim Choi

Abdominal Liposuction – How Much Can Surgery Change a Petite Woman’s Straight Waist?

Abdominal Liposuction - How Much Can Surgery Change a Petite Woman’s Straight Waist?

1. Why Does a Petite Frame

Common Causes of a Straight Waist

1) Minimal Difference

2) Fat Along the Flanks

3) Insufficient Volume

2. The Key Strategy: “Reduce and Create”

Actual Patient Case

Abdominal Liposuction + Pelvic Fat Grafting Plan

3 Months Postoperative – Front View

3 Months After Abdominal LiposuctionCombined with Pelvic Fat Grafting – Side View

3 Months After Abdominal LiposuctionCombined with Pelvic Fat Grafting – Back View

Doctor’s Note by Dr. Pyongrim Choi

[Arm Liposuction] The First Noticeable Change in Before and After Photos of a Slim Body with Disproportionately Thick Arms

[Arm Liposuction] The First Noticeable Change in Before and After Photos of a Slim Body with Disproportionately Thick Arms

1. Why do slim patients

2. Does “bone arms” mean

3. Key design considerations

1) Refinement of the Posterior Upper Arm

2) Defining the Axilla–Upper Arm Boundary

3) Avoid Over-Reduction of the Anterior Arm

Arm Liposuction Case in a Slim Body Type

Silhouette with Arms Resting

Before Arm Liposuction

After Arm Liposuction

Volume Change of the Posterior Upper Arm

Before Arm Liposuction

2. Line transformation process
based on a real case

3 Months After Abdominal Liposuction
Combined with Pelvic Fat Grafting – Side View

3 Months After Abdominal Liposuction
Combined with Pelvic Fat Grafting – Back View