Body Lift: Q&A
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After Weight Loss, What is my Best Option for Tightening the Loose Skin?
I was heavy throughout my childhood and teens, losing weight in my early twenties. Ever since then, I've had serious sagging of my abdomen, pubis mons, and breasts (and a little on inner thighs and underarms). Is it possible to tell me from the photo if my only GOOD option is a full abdominoplasty and breast lift, and if I am a potential candidate for the "donut" breast lift where the incision is around the entire areola? Forgive the nudity - wanted to show the sag in the pubic area. Thank you!
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8 Doctor Answers |
Asked by
Betty PV
+2
Body lift procedure
Most people who lose a significant amount of weight will benefit from a circumferential body lift. I like to think that we are tailoring a new suit of skin to your new smaller body and to do that we need to tailor the front,sides and back of your body for the best cosmetic result. Most of my patients who have this procedure spend one or two nights in the hospital or go home with a Nurse. I would perform the body lift first and then wait 3-4 months before doing your breast...
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Abdominoplasty tightens skin
The best technique for the abdomen is an abdominoplasty. The excess skin and fat will be resected, the underlying fascia will be tightened and the pubic area will be pulled up. If you desire larger breasts, implants can be placed at the same time. This should be done through a circumareolar approach without leaving a vertical scar which is unsightly and will widen in time. The goal of breast surgery would be to align your nipples, remaining breast tissue and the...
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Abdominoplasty and Breast Lift are Great Options
From your photo it appears that most of the skin laxity is on your front side and abdominoplasty will give you a tremendous change. A circumareolar breast lift will not give you enough lift. The scars from a vertical lift normally heal quite well as long as you are not a smoker.There is hope. Congratulations on losing so much weight.
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Circumferential Tummy Tuck or Lower Body Lift - Dallas, TX
I lost 137.5 through diet and exercise, it took 5 years to loose. My goal was that once I...
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Options after weight loss
Based on your photo, I would likely benefit from a full or extended tummy tuck. However, if there is laxity on your posterior flank and buttock, then a circumferential body lift may be needed. With respect your breasts, a breast augmentation with a periareolar mastopexy is an option. However, a physical exam is required to evaluate the laxity and quality of your skin. You may need a circumvertical mastopexy which involves the "lollipop scar lift" in addition...
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Weight loss surgery
With massive weight loss, patients often have significant redundant skin in numerous areas which are really only amenable with direct excision. Good luck.
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Mommy make over
You are a candidate for a full abdominoplasty with a design to lift the mons pubis.
The breast is asymmetrical and will need a lift. You may need atleast a lollipop mastopexy incision for a good durable results
Baltimore Plastic Surgeon
+1
Contouring after excessive weight loss
Only the full tummy tuck will do, including a lift over the pubis, though the pull can also help the inner thigh. Concerning the breast lift, the around the nipple lift gives the poorest stability to the lift and nipple, and tends to flatten and reduce breast projection. The vertical or 'T' will give the best shape and projection. They have taken your photo down, though with our experience we know full well the 'look'. Hope things go well.
Best of luck, Peter Johnson, MD
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Excess Skin After Weight Loss: Nip and Tuck
Congratulations on your weight loss, but now you have another problem...excess skin and sagging abdomen and breast. You would be a great candidate for a full abdominoplasty with mastopexy augmentation. I would not recommend a "donut" mastopexy for you because you need too much of a lift, including your outer chest. A donut lift can leave you with a widened areola and a flattened breast. Consider a longer scar for a better breast lift. You may want an inner short scar thighplasty...
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