What happens when one surgical session addresses the abdomen, the breasts, the back, and the buttocks simultaneously? The answer is a total body transformation: a carefully planned combination procedure that reshapes multiple areas at once, reducing overall recovery time and producing harmonious results across the entire silhouette.
Dr. Moein recently performed this kind of comprehensive case for a patient from Sacramento who traveled to Los Angeles specifically for his expertise in multi-procedure body contouring. Her results illustrate what a well-planned 360 case can accomplish.
The patient came to Dr. Moein with several distinct concerns: she was unhappy with her breast shape and position, frustrated by persistent abdominal laxity that exercise could not resolve, and self-conscious about the contour of her waist, back, and buttocks. She wanted visible improvement across all of these areas, natural in appearance, not overdone.
Her specific goals included a C-cup breast result with a lifted, more youthful position, a flatter and firmer abdomen, a slimmer back profile, and a subtly enhanced buttock with improved projection and reduced hip dips. She was clear about wanting results that looked like her best self, not like a different person.
After a thorough consultation and review of her anatomy, Dr. Moein designed a single surgical plan that addressed each concern in a logical, coordinated sequence.
A mastopexy (breast lift) was combined with silicone implant placement to simultaneously elevate the breast position and add the volume needed to achieve the patient’s desired C-cup result. The lift repositioned the nipple-areola complex to the apex of the reshaped breast mound; the implant filled the upper pole for a full, natural-looking profile.
For women who want augmentation without implants, fat transfer breast augmentation paired with a lift is an alternative, using harvested fat rather than a prosthesis to add volume.
The tummy tuck was central to this transformation. Dr. Moein removed excess skin below the navel, repaired the separated abdominal muscles (diastasis recti) to restore core integrity, and created a smooth, flat abdominal contour. The result is functional as well as aesthetic — repairing diastasis often improves core strength and reduces lower back discomfort. For visual reference, the mommy makeover before and after gallery includes similar combined cases.
Liposuction of the upper, middle, and lower back served two purposes simultaneously. First, it refined the back contour by removing the fat deposits that create bra rolls and interrupt the hourglass silhouette. Second, it harvested the fat used for the buttock augmentation in the next step. This dual-purpose approach is one of the efficiencies that makes a 360 case worthwhile. For a breakdown of what liposuction costs as a standalone procedure, see our liposuction cost guide.
The harvested fat was processed and then meticulously grafted into the buttocks using ultrasound guidance to ensure precise placement. The goal was not a dramatically enlarged result but a natural enhancement: improved projection, softer curves at the hips, and correction of the hip dip contour irregularities the patient found bothersome. Using the patient’s own fat rather than implants produces a soft, natural feel and eliminates implant-related risks. The butt lift procedure page explains the fat grafting process in detail for patients considering this component on its own.
The final step was subdermal skin tightening using Renuvion J-Plasma technology. Applied to the abdomen and flanks, Renuvion caused immediate collagen contraction of the tissues just beneath the skin, complementing the tummy tuck by further tightening the skin envelope and improving texture.
A combined body transformation of this scope is appropriate for patients who meet specific criteria. Dr. Moein evaluates each candidate carefully before recommending this level of comprehensive surgery.
Strong candidates typically:
Patients who have experienced significant weight loss, either through lifestyle changes or bariatric surgery, are frequently excellent candidates, as they often have skin laxity and contour concerns across multiple areas simultaneously. The combined approach avoids multiple separate recovery periods.
Recovery from a combined total body transformation is more demanding than recovery from a single procedure, but substantially less than recovering from four or five separate surgeries over multiple years. Here is a general timeline.
The first week requires full rest with assistance at home. Pain is managed with prescribed medication. Drains may be in place to prevent fluid accumulation. Compression garments are worn on the abdomen and buttock areas. Plan for a caregiver to be present around the clock for the first 48 to 72 hours.
By week two, most patients can move around the house comfortably and perform light tasks. Swelling and bruising are still present but noticeably reduced. Drain removal typically occurs in this window. Short walks are encouraged to support circulation and healing.
Most patients with sedentary jobs return to work, in person or remote, around week four. Driving is permitted once off prescription pain medication and comfortable making quick movements.
Dr. Moein clears most patients for light exercise, including walking, stationary cycling, and gentle yoga, at the six-week visit. Avoid direct pressure on the buttocks (sit on a BBL pillow) for the first six to eight weeks to protect fat graft survival.
Residual swelling resolves and the full shape of the transformation becomes visible. Breast implants settle into their final position. The buttock fat that survived grafting (typically 60 to 80 percent) establishes permanently. Scars continue to fade. Most patients feel fully recovered and active by month three. See our detailed recovery guide for week-by-week expectations for combined procedures.
The patient’s results were transformative without looking surgical. Her breasts sat in a natural, youthful position with the C-cup volume she had requested. Her abdomen was flat and firm, with the muscle repair restoring the core definition that pregnancies had disrupted. Her back contour showed a clean, smooth silhouette without the fat deposits that had previously interrupted it. Her buttocks had improved projection and a softer, more feminine curve at the hips.
The overall effect was the kind of result that reads as simply looking great rather than having had surgery. That coherence across multiple areas is only possible when the procedures are planned as a unified whole rather than executed piecemeal. Post-procedure results like these are visible in the before and after gallery.
A comprehensive 360 case typically takes five to eight hours under general anesthesia. The exact duration depends on the number of procedures combined and the complexity of each. Dr. Moein plans surgical time carefully to keep total anesthesia exposure within safe limits.
Combined procedures are safe when performed by an experienced surgeon in an accredited facility on a properly screened patient. Dr. Moein evaluates health status, surgical risk, and expected surgical time before recommending a combined approach. Patient safety is the primary factor in determining how much can be done in a single session.
A combined procedure of this scope in Los Angeles typically ranges from $18,000 to $35,000 depending on the specific procedures included, surgical complexity, anesthesia time, and facility fees. Financing through CareCredit and Alphaeon Credit is available. A detailed estimate is provided at consultation.
Many of Dr. Moein’s patients travel from outside Los Angeles, including from Sacramento, San Diego, other states, and internationally. His team helps coordinate travel logistics, local accommodations, and post-operative care planning for out-of-town patients. The process starts with a virtual consultation.
A mommy makeover typically refers to a combination of breast and abdominal procedures designed to restore a pre-pregnancy body. A total body transformation surgery may include all of those components plus back liposuction, buttock fat grafting, and skin tightening, making it a more comprehensive reshaping of the entire silhouette.
Ready to find out if this procedure is right for you? Schedule a complimentary virtual consultation with Dr. Moein — he’ll review your goals and give you an honest, personalized recommendation.
