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.
Which Procedure(s) Is/are Best?
Doctor Answers 5
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,
Gary Horndeski, M.D.
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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.
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 advantage of photographs as well as an in person physical exam, I would be able to give you a better answer, but I will assume that you are a tight skinned, 200 pound, 5'4" female, and that liposuction is the #1 portion of the Mommy Makeover that would make any sense for you.
At 45 years old, your hormones have changed and burning fat is not an easy thing to do. Some people get stuck in a rut holding excess weight, and at times, aggressive and yet judicious fat suctioning can be an outstanding way to break the logjam. If you are cleared by your internist for cosmetic surgery, if you don't smoke, if you have a high HCT, if you have given diet and exercise a full court press and it's unsuccessful, then I would consider liposuction of your hips, probably mid back and outer thighs. This could give you a head start.
All that being said, you need to be seen by a reputable Board Certified plastic surgeon with lots and lots of experience in body lifts and liposuction, and then I would follow his or her program to the "T".
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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 also be needed. Indeed, a lift may be needed regardless of symmetry if the nipples and areolae are too low.
Best for you is to see a plastic surgeon for an evaluation and recommendation.Best wishes.