Hello and thank you for your question. I do specialize in post massive weight loss body contouring. I will often do all the procedures in one surgical setting, depending on a multitude of factors. Will need to see photos, find out about your general health before making recommendations.
Peter Fisher M.D.
Thanks for your inquiry. Congratulations on your major weight loss. As tempting as it may seem to remove all of the excess skin from your trunk and extremities at once, in practice the procedures are usually staged for your safety.
totally understand your feelings of wanting to move on, especially after
working so hard to lose all that extra weight. There are a few different
surgeries that I think can help remove the excess skin you find so frustrating
and combining them is certainly an option, although maybe not all at once. For
example, it’s common to perform a thigh lift at the same time as a tummy tuck for
a complete lower body lift, but perhaps schedule an arm lift later on. I
recommend looking for a board certified plastic surgeon who specializes in
post-weight loss body contouring and will work with you to determine the best
way to proceed for your unique needs.
A common first line of attack for patients who have lost weight is a body lift procedure. Most plastic surgeons refer to a body lift as a circumferential body lift = belt lipectomy = lower body lift. This procedure is essentially 3 procedures in one: extended tummy tuck + waist/lateral thigh lift + buttock lift (with the option of buttock augmentation). A physical exam would be needed to make any recommendations. Please visit with a plastic surgeon certified by the American Board of Plastic Surgery to learn more about your options.
I perform hundreds of body contouring surgeries each year, and every patient needs and wants something different.
Kenneth Hughes, MD
Los Angeles, CA
Although some plastic surgeons will often do many or all of the procedures in one sitting, I don't usually do that. Having operated on massive weight loss patients for almost 20 years I have found that combining many of the procedures can be attractive to patients, but not necessarily the best choice. Often there are little revisions to do, and these are easily combined with the 2nd stage of procedures without incurring an extra operating room or anesthesia charge for the revisions. Hope that helps.
This is an excellent question. Congratulations on your weight loss.
Treating the arms, breast, abdomen, buttocks, flanks, back, and thighs are all sometimes needed after massive weight loss.
Some combination of procedures can be combined as a single operation, but not all of them.
These are complex procedures. Find an experienced surgeon. Determine the best and safest surgical plan. Expect to undergo multiple stages to get the best and safest results.