 Good morning everyone. Dr. Sol here in Beverly Hills. I hope you guys are all staying safe. We're almost over. We're getting there. Stay safe and be careful out there. Look at our beautiful patient today. She is in her mid 40s. She looks great. She's had two kids. She looks great, but we're going to make her look fantabulous today. She's, as I said, she's mid 40s, two kids and she looks good, but we're going to do some body contouring. We're going to make her waistline smaller. She's at 105 centimeters today. I'm going to take as much as I can from here to cinch in her waistline. And we're going to take off the excess skin. You can see where I've marked my goal is to remove this part of the skin here. Bring this skin down here. She's going to have nice fresh skin that's up here. She has great skin also, so it's very nice. I'm going to turn her and on the side you can see I'm going to create that lower doses. I'm going to take this out and create that. She has a nice butt up. We're not going to touch it, but what we're going to do is just frame it nicer. So we're just going to take out the back fat lower back flanks, do a tummy tuck, and then for the cherry on top, we're going to spread some of the fat in the upper breast. It's going to give her a nice rejuvenated breast. We're going to go about a cup size larger. As I always say, you have to be careful. Fat transfer to the breast can only go up about half a cup to a cup size only. You can't go from an A to a D, but in this case, you can go from a C to a C plus and that's what she wants. She has great expectations and we're going to deliver the goods and she's going to look fabulous today. While you guys were away, we cinched her waistline. Look at how cinched in her waistline looks. That's the fat I took out right there. Look at all that golden fat. But now what we're going to do is through a small hole like this. Look at how small it is. It's smaller than my pinky right there, that little hole. What I'm going to do is go in and inject the fat up here where we marked her and make her fuller. This is the reverse. We have the fat in a sterile container. It's all processed and now we're re-injecting it. Always remember the fat is alive when we take it out. It's dead and then we re-inject it in order for it to survive. It has to get oxygen and blood supply. So that's what we're doing. This is like just like a kidney transplant. We're doing a fat transplant. So we added enough fat to make them similar. Of course, they're never twins. They're just sisters. Good fullness up top, fullness up top. A nice roundness, good cleavage and fullness on the sides. So we're going to get finally start on the real meal, which is the tummy tuck. We're going to first start by isolating the belly button. We put in some two messen in there. You can see it's kind of blanching because we love to do surgery without bleeding like that. That's how we do it here. So here is her original C-section right there. You can see she heals very well. But as I always say, I like to put my scar in the hair-bearing area. So I know it's low enough if it's in the hair-bearing area. So this is what we're trying to get is from here to here, very nicely compact, get her the results she wants. The first layer we get to after the fat is Scarpa's fascia. Look at that fascia. That's not on top of the muscle. That's just between the superficial fat and the deep fat. You see that white layer? I'm going to open up right now. There it is. You see, there's more fat underneath. But it's another layer that's strong. You see how when I open it, it loosens things up? So you can see this is the fascia that's on top of the muscle. This is her C-section scar right here. You see, I'm going from the known to the unknown. See, there's a clear layer here. But this here where she had her C-section stuck down. So we have to be cautious and clean that up carefully. So this is the midline. We already dissected already to the belly button. I'm sure I'm going to be able to take all this skin out. So to make it easier, we're just going to split it in half, go all the way. All this is going to the trash. So it's okay. Don't worry at home. You're in safe hands. We're professionals. So this is the rectus muscle. This is the six-pack muscle. You could see how there's a midline. There's a left and a right. So what we're going to do is tighten this for her because she's had a couple of kids. It's a little loosened up. And as we pull, you can see it separated just a little bit. But to do the internal core set is a must in every case. So we've done one layer of suturing already. You could see that. Now we're doing a second layer to reinforce what we did with the imagination of the rectus muscle and the fascia. We're just reinforcing it with the secondary suture. So look at how tight the muscle is now. Look at that. Nice and firm. It's approximated. It has integrity. It looks good. It's tight as a drum. And now what we're going to do is pull the skin over and cut off the excess skin. So I always do two things. I always measure once with a with a lop to see the length of the flap to compare it to the other side. Then I also measure it with a ruler. This is 15, 15 plus another five, 20 centimeters. Again, as we always say in Beverly Hills, measure twice, cut once. So here we are. We had it set on the lock on here. It is exactly to the point where our marking is. There's one check. The second check is we check to see if it's about 20 centimeters. There's 15 plus five more, exactly on 20. The creation of a belly button is the most common question I get answered for a tummy tuck. So what we do is it's your own belly button. It's on a stock. And all I do is make a different, make a hole. And this is how we make custom make your belly button. You just tell me if you want a Gucci, Valentino, Louis Vuitton, whatever belly button you want. I create for you here. So that's where you come in and you just tell me what kind you want. Today we're doing a Chanel. So we're done with our case. In actuality, this was four cases in one. We did lipo up the flanks. We did lipo of the lower back. We did a tummy tuck and we did fat transfer to the breast. Look at the fat transfer to the breast. It looks great. Very natural. She has a little bit of bruising the rest of our markings. Look at the amount of skin we took out. Look at this. It's amazing. Ready for the reveal? Are you guys ready? Pay close attention. One, two, wham. Look at that beautiful small little scar, invaginated belly button. Looks fantabulous. And look at her cinched in waistline. Look at that. It's all cinched in. She framed her buttocks. She looks fantabulous.