Body Lift: Q&A
Ask a QuestionExcess Skin Removal After Massive Weight Loss; LBL or Fleur-de Lis Abdominoplasty? (photo)
I have lost 160 lbs with the aid of gastric bypass. I have consulted with three plastic surgeons, and two have recommended a vertical abdominal incision (one w/fleur-de-lis abdomioplasty, one w/belt lipectomy and added vertical cut), while the third thought the added vertical incision would be the wrong choice for my body type (pear shape). I know I have a lot of skin to be removed but I am afraid of the additional scar. Would I still be able to get a good result with just the lower body lift?
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13 Doctor Answers |
Asked by
cinciOH
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Massive Weight Loss Surgical Options
From your photos, it appears that you will have a great result with a standard body lift surgery. Adding a vertical component has a very noticeable scar, a"T" component to your incision which often has a problem healing and it will unnecessarily tighten your waist leading to a more noticeable "pear" shape of your lower half. Not treating the posterior segment will only lead you to having a very disproportionate shape and a second surgery to correct this (just look at your photos). After a...
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Your loose skin extends circumferentially, so your skin excision must also be circumferential. Vertical component? Maybe.
The best way to determine if your circumferential beltlift will benefit from an additional vertical component (fleur-de-lis) in the abdominal portion of the beltlift would be to measure the incision lengths of the planned lower incision and compare this length to the planned upper incision. It is common for a difference of about 10cm or so to be noted and dealt with appropriately, but if the discrepancy is greater, then adding a vertical incision will tighten your abdominal skin in two...
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LBL or Fleur-de Lis Abdominoplasty?
Congratulations on the weight loss.
Without having seen you or knowing too much about your personal health, I would be inclined not to do a full lower body lift and vertical excision at one setting, due you concerns for safety.
The options then would be a first stage fleur-de-lis TT, followed by posterior LBL, or, a full LBL, followed by the vertical resection.
I would favor the later choice, since I am quite certain that if you did the fleur-de-lis first you would absolutely...
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Hello
Congratulations on losing the weight, you have many options to have your excess skin removed. You can do a lower body lift, tummy tuck and thighs lift. Without examining you it’s hard to give you accurate information. Getting a vertical scar we believe it’s not necessary you can get great results from a lower body lift and or an abdominalplasty (tummy tuck). Make sure you see a Certified Plastic surgeon to get accurate information.
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Options depend on goals
Both your surgeons are right. You could go either way with which procedure you choose, but, ultimately, it depends on your goals.
If you are more concerned with your thighs and anterior abdomen, an extended abdominoplasty with a vertical incision is the best option. If your outer thighs and buttock are areas you "have" to have addressed, a belt lipectomy/body lift is the best to address these.
In truth, the choice of procedures is one to make in conjunction with your...
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Removal of Excess skin after Massive Weight Loss
You definitely need to have a combination of procedures performed, but safety and operative time must be considered first. I would recommend the extended abdominoplasty with vertical incision (Fleur-de Lis) and liposuction to the flanks. You will need to recover from this for 6 months then return to the operating room for the posterior body lift and butt lift. Some patient also add the Brachioplasty (arm lift) at that time as well.
You deserve plenty of praise for your hard...
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Excess Skin Removal After Massive Weight Loss; LBL or Fleur-de Lis Abdominoplasty?
No based upon your posted photos you need both operations at different operative times. First do the Fluer-de-Lis abdominalplasty. Than see how you appear after 3 months to decide if to proceed with LBL
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Body Lift vs. Fleur de Lis Tummy Tuck
Both procedures are valid treatment options for a patient who has lost lots of weight. My answer would depend on your goals. In addition to the excess skin in your anterior abdominal wall and waist, are you concerned about the excess skin/laxity in your lateral thighs, posterior waist/flanks, and buttock area? If your answer is yes, then I would most likely advise you to consider the circumferential body lift procedure. Although the fleur de lis tummy tuck...
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Excess skin after massive weightloss
Congratulations on losing all that weight. Now you need to get rid of all that excess skin. In my opinion you need a combination of procedures to get the optimal results. Due to massive weight loss just doing a tummy tuck will not come close to giving you the results that you need. The procedures that I recommend sound extreme but when everything heals up will look awesome. The scars can be minimized and will bill be very happy to be able to fit into regular...
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What type of tummy tuck after 160 lb wt. loss?
No you won't like the tummy after just a body lift. You have enough skin for three persons. There's only one way to tailor it up tight and that is with a vertical excision also. Your surgeon may prefer to do it in stages, with the body lift first and the vertical ellipse removal later. Either way you're going to have to have some sort of vertical scar also to get the best result. Dr Foster Lake Tahoe Plastic Surgery
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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