Which Procedure(s) Is/are Best?

Age: 45 yrs, 64 inches tall, 200 lbs, good health. I carry my weight in my tummy and hips. I would like to see my navel or lift tummy from my lap and increase my breast size from B to D cup for a more symetrical appearance. Which procedures are best.

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age 45-54 5 ft 4 in to 5 ft 7 in 190-209 lbs

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5 Doctor Answers | Asked by RachaelWestMonroe

Doctor Answers (5)
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Cosmetic surgery or weight loss

At 5'4 and 200 lbs, your BMI is 34. Liposuction can safely take approximately 11 lbs off. I do not believe liposuction would be very effective in achieving your goal. Breast augmentation from a B to a D may produce minimal improvement. I recommend you consider medical treatment and an exercise program to get your weight under control. After this, you should consider cosmetic surgery, Best Wishes, Gary Horndeski, M.D.

Achieve Long Term Weight before Body Contouring Surgery.

Thank you for the question. I think you will be much better off postponing any type of body contouring surgery until you have reached a long term stable weight. Waiting until that time, will minimize the risks associated with surgery as well as decrease the chances that further surgery will be necessary in the near or distant future. Best wishes.

5'4" & 200 Pounds - What Portion Of The Mommy Makeover Best For Me?

Dear Rachel, Thank you for this challenging question and it looks like it is going to get some controversy. There are many excellent plastic surgeons from around the world answering questions on Real Self. Dr. Tholen is, in my opinion, one of the best consultants Real Self has. He is a man with strong opinions and I respect that.However, in this instance, I need to disagree with him. I believe you may be a great candidate for liposuction. If I had the... more

You would benefit most from gastric bypass or lap band procedure rather than cosmetic surgery..

I'm sorry, but at 5'4" tall and 200 lbs, you will not be able to receive a result you like and your surgeon is proud of via tummy tuck and breast augmentation. Plus, your health is (eventually) at risk. If I were to see you in consultation, I would try to, as kindly and gently as possible, tell you that your money would be "wasted" on cosmetic surgery for which you are really a suboptimal candidate, if not a poor candidate. Plus, your results will still be an incompletely-tightened abdominal... more

Which Procedure(s) Is/are Best??

Thank you for your question. Were you able to attach some photos you will get more useful answers. From what I can gather from the question, you may well be a good candidate for a tummy tuck which can remove some excess skin and fat, and tighten the abdominal wall to some extent. A breast augmentation can increase your bust size, and make the sizes more even if that is the cause of asymmetry. If the asymmetry is from shape of the breasts or nipple/areolar position, a breast lift may... more