Fairfax Body Lift doctors

The changes that occur to one's body following massive weight loss are highly variable depending upon your own body type and fat distribution. These differences need to be accounted for in the planning of the lower body lift procedure. Patients will often have horizontal as well as vertical skin excess which may require the fleur-de-lis approach. This needs to be determined on a case-by-case basis. There is no one approach that fits all patients and this is where the experience of your surgeon is of vital importance. I think it's important to understand that the approach to post bariatric patients is very different from non-weight loss patients. These type of situations are best approached by a surgeon experienced with post weight loss plastic surgery. Certainly, you have some excellent surgeons in the New England area that can guide you through this process. Participation in forums such as this or others such as those on obesity help can provide valuable guidance in finding the best surgeon for your situation.

Best of luck to you.

Mitchel Krieger, M.D.

Upper abdominal bulging is the result of two main reasons. First, excess fat is often not liposuctioned at the time of a body lift due to the risk of blood supply. Therefore, removal of the fat via liposuction can improve the situation.

However, usually the main reason for epigastric bulging is excess intraabdominal fat. This is the fat that is wraped around the bowels, the omentum and the preperitoneum. The only way to remove this fat is via loss of weight.

Have your surgeon evaluate your abdomen to determine which is the issue.

Lower body lift procedures provide some of the most dramatic changes for massive weight loss patients. It is difficult to make suggestions without seeing addition photo views but my first impressions of your situation are as follows. You don't appear to have the degree of skin laxity typically seen in most lower body lift patients. Depending upon what you examination demonstrates, I suspect that an abdominoplasty could be combined with liposuction of the thighs.

Fat obtained from the thighs could be used to augment the buttocks providing better fullness and some degree of lift while avoiding significant visible incisions. I would suggest that you consult a plastic surgeon experienced with these procedures. Try not to go to your consultation with a preconceived plan of what is best. Remain open to suggestions and consider all recommendations. Decide what plan is best for your individual situation. Remember that plastic surgery is as much art as science.