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Which Procedure to Do First After Massive Weight Loss?
I have lost 155 lbs and am at my goal weight (via diet and exercise). Now, I need to get all the excess skin removed. I'm scheduled for a Tummy Tuck (Fleur-de-lis) and Breast Lift (mastopexy) in September.
I don't know if makes any difference if I do the Medial Thigh Lift (Thighplasty) and Arm Lift/Brachioplasty (revision) next or if I do the Butt Lift and Outer Thigh lift next. Basically, I'm not sure if the order in which you do the procedures makes any difference. Your input will be appreciated! Thank you!
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21 Doctor Answers |
Asked by
moosie1234
in USA
+3
Proper sequence for body contouring
Sequencing your body contouring surgery is determined by duration of the surgical procedures, your health and your specific priorities.
In general terms, I limit each operative event to 6-8 hours. Combinations are dictated by the procedures and understanding both technical considerations and how you will tolerate the recovery.
My preferred sequence is to address the abdomen, outer thighs and buttocks in the first operation. This is with either a lower body lift or a belt lipectomy. The...
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+2
What to do first
Dear Moosie,
First of all congratulations! 155 pounds by diet and exercise you should be commended and rewarded. I am sure this is life changing for you and now you are faced with all the excess skin.
When I approach a patient following massive weight loss I always ask what bothers them the most and in what order and then go from there. I must say I am not a fan of doing a fleur-de-lis tummy tuck and then doing a buttocks lift.
I would start with a lower body lift which is basically a...
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+2
Order of surgery after massive weight loss
There really is no specific or correct order for the surgery after weight loss. In most cases, patients choose to do their belly and breasts first. This is then followed by the arms and thighs. Some times the back is done at the same time as the belly. Good luck with your surgery.
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There is no right answer
In dealing with folks with massive weight loss there are any number of combinations that can be wored out. The decision is based on the health of the patient, the risk vs benefits, the desire of the patient of downtime, expense, ultimate best result and other considerations. Some plastic surgeons prefer to do as much as possible all at once, some want to do in multiple stages. You need to sit down with your plastic surgeon and have at least two discussions regarding what your expectations...
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Order of surgeries
It does make a difference which order you do the surgeries. It's a bit complex to go over the various combinations in this type of forum. In general, the larger trunk procedures are performed first followed by the extremity procedures. Also, most plastic surgeons are reluctant to exceed six hours of surgery for elective procedures. Your surgeon is the best source of information with regard to order of procedures. Good luck!
+2
Procedures After Profound Weight Loss
In your case, I would be inclined to initially perform a body lift. This is a TT with extension of the incision all around the flanks and back. It is a big procedure which will provide a lift of your outer thighs and buttocks as well as the TT. This can be followed by the other procedures in the order most meaningful to you. Good luck!
+1
There Is A Rhyme And Reason To The Staging Of Surgery After Massive Weight Loss
The multiple body contouring surgeries frequently necessitated by massive weight loss should be sequenced in a logical fashion that maximizes patient safety and outcome, while optimizing recovery. We prefer to perform a lower body lift first, as this achieves the goals of abdominoplasty, lateral thigh lift and buttock lift with a single procedure. As this is the biggest single surgery of the sequence, we perform it first, and without any concomitant procedures to minimize operative time....
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Plastic Surgery After weight loss
I usually ask the patient what bothers them the most and then start from there. I have patients who have had the tummy tuck and breast lift in 1 procedure and very happy with the results and then they proceed to either arm lifting or thigh lifting. Really, there is no "set order". Your surgeon should make sure that the duration of any surgery he/she performs will be safe for you. Choose a surgeon who has experience with theses procedures and talk to other...
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+1
Breast lift and tummy tuck good combination.
Hi.
I am sure you have had surgery by now, and your initial plan is good, to do the breast lift and tummy tuck first. I don't think it matters which two procedures you do next.
+1
Procedure combinations after massive weight loss
Dear Mossie,
As you can see, everyone has their favorite approach. I like to keep my operative time less than 6 hours, so two combinations work well for me. Certainly patient preference and body type is the deciding factor, but thinking about all patients, these are the combinations:
One (most chosen by patients)
Body lift (circumferential abdominoplasty)
Breast lift & brachioplasty
Facial rejuvenation (face, brow, eyelids) & breast augmentation
Medial thigh lift
Two (my...
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