Order of surgery after massive weight loss

David Shafer, MD answers: 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!


David Shafer, MD
3 months ago

 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.

1 of 1 found this helpful
Helpful?

Request info from Dr. Shafer

Special offers
$100 Botox Rebate
For RealSelf.com patients, we will match the $50 mail-in rebate with an immediate $50 rebate for a total discount of $100.
Never expires
$50 Dysport Discount
We will match the $50 mail in Botox rebate for anyone choosing to try Dysport, the new Botox.
Never expires
$250 Smartlipo Rebate
RealSelf.com patients receive $250 off 2nd area of Smartlipo when 2 areas booked.
Never expires
Offers don't imply eligibility for a medical procedure. All applicable federal, state and local laws apply. Void where prohibited.
50 words maximum (0 words entered)
Your info is protected by our privacy policy

A: Order of surgeries

Elan B. Singer, MD
3 months ago

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!

1 of 1 found this helpful
Helpful?
Post your question

Tummy tuck before & after photos

Post your question
IMPORTANT: As noted in our Terms of Service, the information found on RealSelf.com, including that provided by professionals in the Questions & Answers area, is a general educational aid. The Questions and Answers contain opinions and views created by community members. RealSelf.com is not responsible for the accuracy of any information posted by community members. Do not rely on this information as a substitute for personal medical or healthcare advice, or for diagnosis or treatment purposes.