Should I get a Breast Lift or Brazilian Butt Lift first? And can I get Breast Augmentation w/ implants if my breast are sagging?

After
130 lb weight loss, you have stretched the skin of your breasts, abdomen,
buttocks and thighs.It would be
impossible to do all these procedures at the same time.I would begin with the breast lift.If you are happy with the volume of your
breasts in a bra then implants are not required.However, you do need a lift and I recommend a
new technique called The Ultimate Breast Lift™.The breast tissue is reshaped creating upper pole fullness, elevated
higher on the chest wall and more medial to increase your cleavage.This technique avoids the ugly vertical scars
of the traditional technique, maintains nipple sensation and the ability to
breast feed.After the breast surgery, I
recommend Abdominoplasty with Mesh Reinforcement.The mesh increases the mechanical strength of
the abdominal wall resulting in early satiety, weight loss and maintains the
reduced weight.After the abdominal
surgery, I would consider the anterior or posterior thigh lift.The last procedure would be fat transfer if you
have adequate tone of your skin to support fat grafting.Best Wishes,Gary Horndeski, M.D.

These procedures cannot be done in one sitting.  If you just have loose skin and not much fat then it really doesn't matter how you proceed first. It really depends on what you want. If you have excess fat that can be transferred to your buttocks for improved shape then that should be done first. Implants and a breast lift can be done at the same time. You just need to seek consultation from a board-certified plastic surgeon.

It is unlikely that you will have adequate skin tone for a BBL. More likely, you will need to undergo a body lift; your buttocks can be made larger at that procedure by your surgeon by shifting tissue from you hips to buttocks. Depending on whether or not your breasts are drooping after your significant weight loss will dictate whether or not you need a breast lift along with implants. Obtain a consultation with a board certified plastic surgeon experienced in these procedures.