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!
It is important to divide all these procedures into 2-3 surgeries. The combination is usually the surgeon preference. I prefer to perform the body lift first(Tummy tuck and buttock lift). It is better no to perform the inner thigh lift in the same time due to prolonged pubic swelling. Breast and inner thigh could be done in the same time .Arms could be combined with the body lift. Best of luck!
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 majority of people will carry most of their excess skin in these 3 regions. This operation has the greatest overall impact of any single operation.
How we proceed from there is dictated by your needs and your priorites. Breast and extremity operations can be combined or staged over a third operative event if needed.
Congratulations on the weight loss, and I wish you all the best with your body contouring surgery.
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 is also a good point as it may limit the risk from anesthesia. The progression after the tummy tuck is more personal than practical. Patients choose differently on what they may do and in what order after the Tummy Tuck.
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