Photo Credit: Adobe Stock
Aging no longer has to mean surrendering to sagging skin, stubborn fat, or loss of shape. Thanks to advancements in plastic surgery, we’re entering a new era — what I like to call Body Contouring 2.0 — where procedures are no longer just about removal or reduction, but about restoration, projection, and redefining what it means to age with confidence.
My approach to body contouring is built on this forward-thinking philosophy. It’s not enough to simply tighten skin or flatten the abdomen. True aesthetic results require us to look at the entire body — its curves, proportions, and how every area relates to the next.
That’s how we create balance. That’s how we create longevity.
Moving Beyond the Basics
Traditional body contouring was often two-dimensional, focused on reducing volume without enhancing shape. But the human body isn’t a flat canvas. It has depth, shadows, and a sense of movement, which is why every procedure conducted at my practice is rooted in the concept of three-dimensional design.
Whether I’m performing a High-Definition Tummy Tuck, a Spiral Thigh Lift, or a High-Definition Brazilian Butt Lift, my goal is to elevate the entire silhouette — sculpted abdominal walls, lifted inner and outer thighs, and smooth transitions between the waist, hips, and legs. These are the details that transform a good result into an exceptional one.
This isn’t just surgery; it’s architecture. Every move is deliberate, and every outcome is designed to enhance the natural contours of the body while helping to reverse the signs of aging.
Why Thighs Deserve More Attention
The thighs have long been one of the most challenging areas to treat in plastic surgery, and many surgeons avoid them altogether. However, for patients who have experienced weight loss, pregnancy, or aging, the thighs are often the first place they notice sagging and shape loss.
The 360-degree spiral thigh lift is a procedure that lifts and reshapes the thigh from every angle, not just the inner leg. This method restores definition and smoothness, helping the thighs flow naturally into the buttocks and abdomen. It’s one of the most transformative procedures we offer, and it has become central to how we now approach lower-body aging.
Photo Credit: Shutterstock
The Internal Foundation Holds Everything Together
When it comes to breast or body work, long-term results depend on structure. One of the most important innovations I’ve developed is the Internal Dermal Bra Breast Lift, which reinforces the lower breast with a durable internal support system.
The concept of internal architecture also extends to body contouring. By respecting the deep anatomical layers and reinforcing them where necessary, we achieve results that not only look great in the short term but also hold up over time, even as the body continues to age.
Tailored Treatments for a New Generation of Patients
Body Contouring 2.0 is about personalization. No two patients are the same, which is why every procedure I perform is customized based on your skin quality, muscle tone, fat distribution, and personal goals.
Today’s patients aren’t just waiting for aging to “happen.” They’re proactive, educated, and looking for solutions that allow them to age on their terms. Preventative procedures, subtle enhancements, and structural support are changing the way we think about plastic surgery — not as a response to aging, but as a strategy for navigating it gracefully.
Redefining the Art of and Science of Aging
Plastic surgery has evolved to be more than just what we remove; it's also about what we restore. Similarly, body contouring is no longer confined to the abdomen or flanks; it’s about creating flow, proportion, and structure across the entire body.
As a surgeon, my job is to understand not only what has changed but also what needs to be preserved and enhanced. That’s the future of aesthetic surgery — intelligent, individualized, and three-dimensional — and for those ready to step into that future, Body Contouring 2.0 is already here.
– As a graduate of one of the top Medical Schools in the world, the University of Cambridge, Dr. Siamak Agha was selected into the highly exceptional physician scientist program (integrated MD / PhD) on a scholarship funded by The Wellcome Trust. During this time, Dr. Agha’s research in Gene Therapy resulted in 2 international patents that were filed by Cambridge University. Dr. Agha then completed 7 years of residency in Plastic and Reconstructive Surgery at the University of Pittsburgh Medical Center, one of the most respected and comprehensive Plastic Surgery training programs in the United States. Dr. Agha is a Board Certified plastic surgeon and a member of the American Society of Plastic Surgeons. He has spent the last 20+ years perfecting the art of aesthetic facial surgery, breast reshaping, and body contouring. During this time, he has pioneered new techniques in the field of plastic surgery, such as his signature Three-Dimensional Facelift, High-Definition Tummy Tuck™, High-Definition Mommy Makeover, Spiral Thigh Lift, Internal Dermal Bra-suspension Breast Lift, and High-Definition Brazilian butt lift Lower Body Lift™
For more information, visit Dr. Siamak Agha MD, PhD, FACS's social media:
Doctor's Talk
September 11, 2025Understanding the Basics of Infertility
