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Authored by: Dr. Sam Sukkar, MD on November 26th, 2025
Liposuction Success Story Series by Dr. Sam Sukkar, MD | Case Study #710
This is part of our series featuring real patient transformations at The Clinic for Plastic Surgery. Each case study provides an in-depth look at actual procedures, recovery experiences, and results from Houston patients who’ve undergone liposuction with Dr. Sam M. Sukkar.
When Rachel* walked into my Houston office at 55, she wasn’t asking for the impossible. She wanted what countless women her age seek: to feel like herself again. Years of maintaining her weight through diet and exercise had kept the scale steady at 144 pounds, but her 5’4″ frame carried stubborn fat deposits that refused to budge, no matter how many hours she logged at the gym or how carefully she tracked her nutrition.
Her concerns were specific: excess volume across her abdomen that created an unflattering silhouette, and a buttocks shape she described as “square and flat.” She’d done her research before our consultation, coming prepared with questions about both a mini tummy tuck and Brazilian Butt Lift. What she discovered was that her goals could be achieved through a strategic combination of advanced body contouring techniques.
*The patient’s name was changed to protect their privacy. All medical details and photographic before and after results are from actual Patient Case #710. Individual results may vary based on body type, surgical approach, and adherence to post-operative instructions.
At 55 years old and standing 5’4″, Rachel weighed 144 pounds, a healthy weight by medical standards. But weight alone doesn’t tell the complete story of body composition or how fat distributes itself. Despite her commitment to fitness and nutrition, Rachel struggled with localized fat deposits that created proportions she found frustrating.
Her primary concerns centered on two areas: her midsection, where fat had accumulated despite her healthy lifestyle, and her buttocks, which lacked the projection and shape she desired. She felt her buttocks appeared too square, creating a silhouette that didn’t reflect the effort she invested in maintaining her health.
Rachel had researched Brazilian Butt Lift procedures extensively before scheduling her consultation. She understood the transformative potential of combining liposuction with fat transfer, but she wanted expert guidance on whether this approach would address her specific anatomy and aesthetic goals.
During our consultation, Rachel expressed three primary concerns:
Recovery timeline at her age. As a 55-year-old professional, Rachel wanted realistic expectations about healing. Would recovery be more challenging than for younger patients? How quickly could she return to work and normal activities?
Long-term results and maintenance. Rachel had worked hard to maintain her weight. She wanted to understand how her results would hold up over time and what lifestyle factors would influence longevity.
Safety of combining procedures. Rachel had read about the risks of Brazilian Butt Lift and wanted to understand how I would minimize those risks while achieving her desired outcome. She also questioned whether combining liposuction with a mini tummy tuck and fat transfer in a single surgery was advisable at her age.
I addressed each concern with transparency. At 55, Rachel’s* healthy lifestyle and stable weight positioned her well for excellent results. Recovery from liposuction varies by individual, but age alone doesn’t determine healing capacity, overall health does. Rachel’s* active lifestyle would support her recovery.
Rachel’s* transformation required a multi-faceted approach that addressed both removal and enhancement. After comprehensive evaluation, I designed a surgical plan that would reshape her entire torso while creating the buttocks projection she desired.
1. VASER Liposuction of the Mid and Low Back
2. Mini Lipoabdominoplasty (Combined Mini Tummy Tuck with Liposuction)
3. Brazilian Butt Lift (Fat Grafting to Buttocks)
This combination approach accomplished multiple goals simultaneously. The VASER liposuction removed unwanted fat from her back while harvesting tissue for her Brazilian Butt Lift. The mini lipoabdominoplasty addressed her abdominal concerns through both skin removal and fat reduction. Rather than staging these procedures across multiple surgeries, which would have required separate recovery periods, we achieved Rachel’s* complete transformation in one operation.
Rachel’s* case exemplified why cookie-cutter approaches fail in body contouring. Her body required targeted fat removal in some areas and strategic fat addition in others. Simply removing fat through traditional liposuction wouldn’t have created the balanced, proportionate result she wanted.
The VASER technology was essential for Rachel’s* outcome. Unlike traditional liposuction methods that can be aggressive on surrounding tissues, VASER uses ultrasound energy to selectively target fat cells while preserving nerves, blood vessels, and connective tissue. This precision matters tremendously for patients over 50, whose skin may have less elasticity than younger patients. By preserving the structural support system beneath the skin, VASER helped ensure smooth, even results without the irregularities that sometimes plague traditional liposuction.
The mini lipoabdominoplasty offered Rachel the abdominal improvement she needed without the extended incision and longer recovery of a full tummy tuck. Because her concerns centered on her lower abdomen rather than extensive skin laxity above the navel, this modified approach provided the correction she required with less invasive intervention.
For her Brazilian Butt Lift, the 780 cc volume injected into each buttock represented the optimal amount based on her frame and available donor fat. Too little volume wouldn’t have created the projection she wanted; too much could have compromised fat survival or created an unnatural appearance. Drawing on 25 years of experience with body contouring procedures, I calculated precisely how much fat to harvest, purify, and transfer to achieve Rachel’s* desired shape while maintaining natural proportions.
Rachel’s* first 72 hours required dedication to the recovery protocol. She experienced the expected discomfort across multiple surgical sites, her back, abdomen, and buttocks all demanded attention and care. Compression garments became her constant companion, supporting her healing tissues and managing swelling.
The most challenging aspect wasn’t pain, well-managed with prescribed medication, but rather the positioning requirements. Brazilian Butt Lift recovery demands patients avoid sitting directly on their buttocks for at least two weeks, protecting the newly transferred fat cells as they establish blood supply. Rachel used a specialized pillow when sitting became unavoidable, keeping pressure off her augmented areas.
Week 1-2: Gradual Improvement
As Rachel entered her second week, she noticed steady progress. Swelling in her back and abdomen began subsiding, though her buttocks remained quite swollen, a normal part of BBL recovery. She continued wearing compression garments religiously, understanding that this simple measure would significantly impact her final outcome.
Critical Recovery Rules Rachel Followed:
Rachel returned to her desk job after two weeks with modifications, using her BBL pillow and taking frequent breaks to stand and walk. She couldn’t resume her normal gym routine yet, but the visible changes already emerging kept her motivated through the restrictions.
Weeks 3-4: Gaining Confidence
By week three, Rachel’s* body revealed dramatic changes. The swelling in her back had resolved substantially, exposing the definition created by her liposuction. Her abdomen appeared flatter and more toned than she’d seen in decades. The square appearance she’d disliked about her buttocks had vanished, replaced by natural, feminine curves.
At her one-month follow-up, Rachel shared her excitement: “I can finally see the body I’ve been working toward all these years. The gym got me part of the way there, but this finished what exercise alone couldn’t achieve.”
She gradually increased activity, though high-impact exercise remained off-limits. Walking distances lengthened. Daily activities felt easier without restrictions. She could sit normally now, though she continued using her BBL pillow for extended sitting periods as a precautionary measure.
Final Results Phase: Months 2-3
Between months two and three, Rachel’s* transformation reached its full expression. Her weight had decreased from 144 pounds to 136 pounds, an 8-pound reduction that reflected the fat removed during liposuction, even accounting for the 1,560 cc (approximately 3.4 pounds) of fat transferred to her buttocks.
But the numbers revealed only part of Rachel’s* outcome. Her body composition had fundamentally changed. Where fat once accumulated on her back and abdomen, she now showed definition and contour. Her buttocks, once flat and square, displayed the projection and shape she’d envisioned. The transformation achieved through strategic liposuction and fat transfer had created the proportionate, balanced figure Rachel had sought.
Six months after surgery, Rachel’s* results had fully stabilized:
Rachel described her transformation as “getting my confidence back.” She’d maintained a healthy weight for years but never achieved the body shape she wanted through diet and exercise alone. The strategic combination of liposuction and fat transfer addressed what genetics and aging had created, stubborn fat deposits resistant to lifestyle modification.
Her excitement extended beyond physical appearance. Rachel reported feeling more comfortable in her clothes, more confident in social situations, and more motivated to maintain her fitness routine. The body contouring had removed frustration, replacing it with satisfaction and pride in her appearance.
Several factors contributed to Rachel’s* outstanding result:
Realistic expectations aligned with achievable goals. Rachel understood that body contouring wasn’t weight loss surgery, it was body reshaping. She maintained a healthy weight and simply wanted better proportions, which made her an ideal candidate.
Excellent health and stable weight history. At 55, Rachel’s* commitment to fitness and nutrition meant her body could heal efficiently and maintain results long-term. Stable weight is crucial for preserving body contouring outcomes.
Comprehensive approach rather than isolated treatment. Addressing Rachel’s* back, abdomen, and buttocks in a coordinated plan created balanced, proportionate results. Treating only one area would have left her transformation incomplete.
Advanced VASER technology for precise fat removal. The ultrasound-assisted liposuction provided superior definition with minimal trauma to surrounding tissues, particularly important for mature patients whose skin elasticity may be reduced compared to younger candidates.
Meticulous recovery protocol adherence. Rachel followed every post-operative instruction precisely. Her compliance with compression garment wear, activity restrictions, and positioning requirements directly contributed to her excellent fat graft survival and smooth contours.
Rachel’s* case also demonstrated the successful application of Brazilian Butt Lift techniques in mature patients. Age alone doesn’t disqualify candidates from body contouring; overall health, realistic goals, and surgical planning determine candidacy and outcomes.
Absolutely. Rachel’s* case proves that age doesn’t preclude excellent outcomes from combined body contouring procedures. The key factors are overall health, skin quality, realistic expectations, and surgical expertise. At 55, Rachel’s* healthy lifestyle supported efficient healing and her skin had sufficient elasticity to contract smoothly after fat removal. The strategic placement of 780 cc of fat in each buttock created natural projection proportionate to her frame, avoiding the overly augmented appearance that results from excessive volume. Advanced techniques like VASER liposuction provide the precision necessary to achieve defined, natural-looking results in patients of any age.
While combined procedures require a single recovery period rather than multiple healing phases, the immediate post-operative experience is more complex. Rachel managed recovery from liposuction sites on her back and abdomen simultaneously with BBL positioning restrictions and mini tummy tuck healing. However, staging these procedures would have required three separate surgeries, three recovery periods, and three sets of time away from work and normal activities. Most patients find the concentrated recovery period of combined procedures preferable to the prolonged disruption of staged surgeries, especially when results are time-sensitive. The trade-off involves approximately 4-6 weeks of modified activity versus potentially 4-6 months of intermittent recovery periods with staged approaches.
Fat graft survival rates vary by individual but typically range from 60-80% of the transferred volume. Rachel received 780 cc in each buttock, with approximately 65-70% expected to survive permanently. This means about 500-550 cc of fat per buttock ultimately integrated into her tissues, creating the projection and shape she desired. I account for this survival rate when planning the transfer volume, essentially over-correcting initially to achieve the desired final result. Fat survival depends heavily on surgical technique, proper fat processing, strategic injection, and patient compliance with post-operative restrictions. Rachel’s* meticulous adherence to positioning guidelines, avoiding sitting pressure during the critical first two weeks, maximized her fat graft survival and contributed to her outstanding outcome.
Rachel walked into my Houston office carrying stubborn fat deposits that refused to respond to diet and exercise. She walked out six months later with the defined, proportionate body she’d worked toward for years.
Your story might be different. Maybe you’re frustrated with resistant fat despite maintaining a healthy weight, wondering if age limits your body contouring options, or trying to understand if combining procedures makes sense for your goals.
But the common thread is this: You deserve to feel confident and comfortable in your own body. Your body deserves the same dedication you give to fitness and health.
If stubborn areas are affecting your quality of life, transformation is possible.
Schedule Your Personalized Consultation here, or call us today at (281) 940-1535 and discover what’s achievable with Houston’s most experienced surgeon!
From the first time you walk into The Clinic for Plastic Surgery, you’ll know that you are in a place that cares about results. Under the leadership of Dr. Sukkar, The Clinic for Plastic Surgery has become Houston’s plastic surgery center of choice. Experience the difference for yourself by scheduling a consultation today.
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