Media/Videos

One of the biggest mistakes I see in body contouring is treating loose skin like it’s fat.

Liposuction removes fat. It does not remove excess skin.

And great contouring depends on more than simply removing fat—the skin has to be able to conform tightly to the shape underneath.

Yes, certain energy-based treatments can produce some tightening in appropriately selected patients with mild laxity. But when there is significant loose or hanging skin, no noninvasive treatment can reproduce what actual skin removal accomplishes.

That’s why choosing the right procedure for the right problem matters.

✅ Excess fat → liposuction may be appropriate
✅ Significant loose skin → skin removal may be necessary
✅ Both → often requires a combination approach

If you want a tight, defined contour, you first have to correctly identify what you’re treating.

Fat and loose skin are not the same problem—and they shouldn’t be treated the same way.

FULL BODY PLUS-SIZE MAKEOVER — 3 MONTHS POST-OP

Comprehensive 360° reshaping in a single stage:

• Breast lift + reduction
• 360° HD liposculpting
• 360° fleur-de-lis lower body lift
• Buttock lift + BBL/fat transfer

This approach is designed to address the breasts, abdomen, waist, back, hips and buttocks together, creating a more balanced transformation from every angle.

At only 3 months post-op, swelling and scars are still maturing, but the improvement in overall shape, waist definition, skin redundancy and buttock contour is already evident.

Complex plus-size body contouring requires thoughtful operative planning, extensive experience with combined procedures, and the ability to safely manage postoperative care and potential complications.

#PlusSizeMakeover #BodyContouring #LowerBodyLift #FleurDeLis #FDL 360Lipo HDLipo BBL BreastLift BreastReduction MommyMakeover SkinRemoval BodyTransformation PlasticSurgery

This patient underwent a comprehensive full body makeover in approximately 6½ hours, completely reshaping her breasts, waist, abdomen, hips and buttocks. 🔥

Her transformation included our signature drainless lower body lift combined with:

✨ 360° high-definition liposuction
🍑 Brazilian butt lift with hip + buttock reshaping
✨ Breast augmentation
✨ Periareolar mastopexy
✨ Full mesh-wrap internal bra

Our body-contouring procedures are performed drainless. One important exception: when I perform a complete mesh-wrap internal bra, I typically use one temporary drain for approximately one week. This is about the only circumstance in which I routinely use a drain in my cosmetic surgery practice.

One operation. Approximately 6½ hours. A comprehensive transformation designed to create proportion, shape and balance throughout the entire body.

📍 St. Louis, Missouri
✈️ Out-of-state & international patients welcome
📅 Scheduling consultations in 2026. Info in bio.

#BodyContouring #LowerBodyLift #MommyMakeover #PlasticSurgery

A follow-up to my recent video, with two important clarifications.

First, my discussion was specifically about breast and body contouring plastic surgery—not facial plastic surgery, which has different training pathways and practice environments.

Second, this is first and foremost a patient-safety discussion. With major breast and body procedures, complications can require emergency evaluation, hospital admission, transfusion, or reoperation. That makes appropriate hospital privileges and the ability to participate in a patient’s care if they are admitted extremely important. bottom line is, if they don’t have privileges because they’re not port certified in that specialty, they can’t take care of you. Just like I can’t (and shouldn’t) take care of you if you have a stroke or heart attack or broken thigh.

Board certification in plastic surgery is therefore a starting point. From there, research your surgeon’s procedure-specific experience, results, reviews, hospital privileges, safety practices, and postoperative care.

✅ Verify credentials
✅ Verify experience
✅ Ask about hospital privileges
✅ Understand who will care for you if a complication occurs

📅 Scheduling consultations in 2026
🌎 Out-of-state and international patients welcome
Info in bio.

#PlasticSurgery #BoardCertifiedPlasticSurgeon #PatientSafety #BodyContouring

Not everyone performing cosmetic surgery is a board-certified plastic surgeon. Before your procedure, know what credentials actually matter. 👨‍⚕️🔎

🚩 1. They say “board-certified cosmetic surgeon” instead of board-certified in plastic surgery.
Ask specifically whether they are certified by the American Board of Plastic Surgery (ABPS).

🚩 2. They advertise multiple board certifications—but none is the American Board of Plastic Surgery.
More certificates do not necessarily mean more training in plastic surgery. What matters is whether their training and board certification actually cover the procedures they are performing.

🚩 3. They heavily promote “awake” cosmetic surgery.
Awake procedures can be appropriate in selected circumstances, but patients should ask who is providing anesthesia, why that anesthetic approach is being recommended, what credentials the surgeon has for the procedure, and what emergency resources are available. 💉⚠️

🚩 4. Their social media is focused more on entertainment than education.
Comedy and personality aren’t credentials. Your surgeon should be able to clearly explain training, risks, alternatives, anatomy, complications, and realistic expectations—not simply entertain you. 📱🎭

Before surgery, verify the surgeon’s actual board certification, formal plastic surgery training, hospital privileges, and experience with your specific procedure.

Do your homework. Your surgeon’s credentials matter. ✅

#BoardCertifiedPlasticSurgeon #PlasticSurgery #PatientSafety #CosmeticSurgery

BMI 32. One operation. Complete 360° reshaping. 🔥

This transformation shows what can be achieved with a thoughtfully planned fleur-de-lis lower body lift in a plus-size patient.

Our goal wasn’t simply to remove excess skin—it was to create shape. We treated the entire torso circumferentially, significantly reduced abdominal girth, tightened and defined the waist, and reshaped the buttocks to create better overall proportions. ✨

The result is a completely different silhouette from every angle—front, side, and back.

Even with the extent of correction, this was performed as a single ~6-hour drainless operation.

BMI is only one part of surgical planning. Patient selection, anatomy, technique, and safety all matter.

📅 Scheduling consultations in 2026
✈️ Out-of-state and international patients welcome
🔗 Info in bio @drsamercabbabe

#LowerBodyLift #FleurDeLis #BodyContouring #PlasticSurgery

✨ FULL BODY MAKEOVER ✨

This patient had undergone prior liposuction but was left frustrated by loose skin and results that didn’t match her goals. Liposuction can remove fat—but when significant skin laxity is present, removing more fat alone won’t solve the problem.

Her transformation included:

🔹 Breast reduction + lift
🔹 My signature Dual Tuck — combining a full tummy tuck with reverse tummy tuck techniques, allowing comprehensive abdominal tightening without a scar around the belly button
🔹 Full abdominal muscle tightening
🔹 High-definition LipoSculpting
🔹 Lower body lift
🔹 Lower back lift
🔹 Triple Buttock Lift™ — combining upper and lower buttock lifting with fat transfer for improved shape, projection, and contour

The goal wasn’t simply to make her smaller—it was to address the loose skin, restore shape, and create a more balanced contour from the breasts all the way around the torso. 🔥

📅 Scheduling consultations in 2026. Info in bio.
✈️ Out-of-state and international patients welcome.

#BodyMakeover #BodyContouring #TummyTuck #PlasticSurgery

Meet Jesse. After massive weight loss, he was left with significant loose skin and changes throughout his chest, abdomen, back and buttocks.

In one comprehensive, drainless surgery, we performed:
🔹 Chest sculpting with fat transfer
🔹 Outer chest skin tightening with hidden scars
🔹 360° tummy tuck
🔹 BBL with fat transfer
🔹 Lower buttock lift

⏱️ Total operative time: approximately 6 hours.

This is only part of Jessie’s transformation. I’ll continue sharing his progress as he heals and his results evolve.

👉 Follow Jessie’s story on Instagram @jessekoenighair for his own perspective, recovery and updates.

📅 Scheduling consultations in 2026. Info in bio.
✈️ Out-of-state and international patients welcome.

#MassiveWeightLoss #MalePlasticSurgery #BodyTransformation #BodyContouring

Male plastic surgery can be more challenging than many people realize.

Most plastic surgery techniques were originally developed around female anatomy and aesthetic goals. Men often have different skin quality, fat distribution, muscle definition, hair patterns, and scar concerns—and they usually have fewer places to hide an incision.

Creating a natural masculine result requires understanding those differences, planning scars carefully, and choosing procedures specifically designed for the male body.

Experience with male body contouring matters.

⚠️ EXPLICIT PLASTIC SURGERY CONTENT.

Scheduling consultations in 2026. Out-of-state and international patients welcome. Info in bio.

#MalePlasticSurgery #MaleBodyContouring #PlasticSurgery #BodyByCabbabe

Three months after 360° high-definition liposuction with fat transfer to the buttocks, his waist has dropped 4 full inches—from 36” to 32”. 💪

The goal wasn’t simply fat removal. We reshaped the entire torso, waist, flanks, back and buttocks to create stronger masculine proportions and definition from every angle.

📍 St. Louis
✈️ Out-of-state & international patients welcome
📅 Scheduling consultations in 2026. Info in bio.

#MaleTransformation #HighDefinitionLipo #MaleBodyContouring #PlasticSurgery

THE RESULTS YOU’VE BEEN WAITING FOR… 👀🔥

Our viral patient in her 70s is back at 3 months postop. Her original immediate results reel that went viral is pinned to the top of our page.

After massive weight loss, she flew across the country to St. Louis for a comprehensive body transformation designed to remove excess skin, restore shape, and improve contour in a way that still looked natural and appropriate for her frame.

Her case was extremely challenging, given the significant amount of excess skin, her overall deflation, age as well as limited fat available to perform fat transfer for her buttocks. We performed a fleur de lis tummy tuck, a lower body lift, a BBL and a lower buttock lift in her first stage to maximize her results and prepare her for her second upcoming surgery: arms and thighs with revision of her breast folds (no implants desired).

At 3 months, the swelling is continuing to improve, the scars are maturing, and her transformation is already remarkable. 🔥

Age alone does not determine whether someone is a candidate for plastic surgery. Health, anatomy, goals, and a careful surgical plan matter far more.

This is why individualized planning is so important—especially after massive weight loss.

✈️ Out-of-state and international patients welcome.
📅 Scheduling consultations in 2026. Info in bio.

#BodyByCabbabe #MassiveWeightLoss #BodyContouring #PlasticSurgery

WHY DON’T MORE SURGEONS OFFER FLEUR-DE-LIS SURGERY WHEN IT’S CLEARLY NEEDED?

For some massive weight-loss patients, a traditional tummy tuck simply cannot adequately address the amount of horizontal and vertical skin excess.

Yet many surgeons still avoid the Fleur-de-Lis technique because of concerns about the additional scar and the perception that it carries significantly higher complication rates.

But what does the objective data actually show? 📊

We prospectively studied our Fleur-de-Lis patients and evaluated outcomes, complications and reoperation rates. The results challenge some of the assumptions surrounding this operation—and this data has now been submitted for publication.

The goal isn’t to perform a Fleur-de-Lis on everyone. It’s to recognize when it is anatomically the right operation and give patients an informed choice rather than avoiding a necessary procedure simply because of the scar.

Good surgery starts with choosing the right operation for the patient—not forcing every patient into the same operation.

Scheduling consultations in 2026. Info in bio.
Out-of-state and international patients welcome. ✈️

#FleurDeLis #BodyContouring #WeightLossTransformation #PlasticSurgery