Which procedure to do first 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... more

Typically, patients will begin with the abdomen or trunk area first. This can usally be accomplished with a circumferential body lift, which also address the buttock and outer thigh area. Once you've recovered from that, the next area to be done depends on which areas concern you the most. The breasts and arms... more

You have stated that you are already getting the tummy tuck and mastopexy first. Those two procedures are usually the first ones done. As for what you do next, it is entirely up to you. Either combination of procedures is fine. Generally, patients usually will have the procedure they want the most... more

Deciding what surgeries need to be performed in any particular order following massive weight loss is dependent on blood supply and operative time. First a total body lift, which includes the abdomen, lateral thighs and buttock is a great place to start.  As these surgeries are moderately time consuming,... more

Lots of approaches here, so here is my 2 cents.  My Stage 1 procedure is almost always a lower body lift (that includes tummy tuck, pubic lift, outer thigh lift, and buttock lift) plus breast lift, with or without implants. Stage 2 is arms and inner thighs.  I may add implants to the breast at this... more

Hello, Congratulations on your weight loss. Most patients start with a Tummy Tuck (sometimes an "extended" or a lower body lift). This operation may serve as a "set point" for further work as it "re-establishes" the waist. Keeping the surgery time to six or so hours per operation... more

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... more

Overwhelming majority of patients desire to have the excess skin and tissue removed from their abdomen after losing weight. Beyond that every patient is different. Breast reshaping is likely the second most common request. As for arms, thighs, buttock or facial areas - it depends on which area bothers you the... more

Dear Moosie, The VAST majority of women prefer to do their tummies first because the transformation is immediate and it gives them a major psychological boost. I share the opinions of some of my colleagues. While the Vertical Scar (Fleur de Lis) Abdominoplasty gives a flatter tummy without having to extend the... more

Congratulations on your weight loss.  There is not one correct sequence of procedures for every patient. Multiple factors should be included in the decision including what bothers you most, any health problems,  as well as your unique skin and soft tissues. In general- if everything else... more