Best Surgical Option for Dispropotion Lower Body After Major Weight Loss? Doctor Answers, Tips
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Best Surgical Option for Dispropotion Lower Body After Major Weight Loss?

Hello. I have lost 310lbs through dieting and exercising, and I had a tummy tuck a year ago, but still not satisfied with the results. My upper body is dispropotion with my lower body. I had a lot of consultations with board certified doctors after my operation, and some of them agrees that i need a belt lipectomy, and others said I need an ultrasound liposuction. I'm Lost! what is the best surgical option for dispropotion lower body after major weight loss for my case?

8 Doctor Answers | Asked by a7medoo_84
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Best Surgical Option for Dispropotion Lower Body After Major Weight Loss?

Congratulations on your massive weight loss. It is not uncommon to have a disproportionate body after a 360 body lift or a lower body lift. Since you did not include your pictures, I am only guessing that what bothers you are your hips and buttocks.After losing 310 pounds, I can only imagine that you have a significant amount of excess skin and fat of the hips and buttocks. Considering your massive weight loss, I do not think that ultrasound liposuction would do the job.Your skin just does... more
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310 lb Weight Loss and Belt Lipectomy

If you have residual skin issues, then a belt lipectomy would make more sense. An exam or pictures would be necessary to make any real determination. Kenneth Hughes, MD Los Angeles, CA
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Body contouring after weight loss

A physical exam is needed to make any clinical recommendations. Given your massive weight loss, I'm assuming you would most benefit from a body lift. Most plastic surgeons refer to a body lift as a circumferential body lift = belt lipectomy. 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... more

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Body lift and weight loss

If you lost that much weight, you are unlikely a good candidate for liposuction. Usually massive weight loss patients require skin excision procedures. Best for you to be seen in person.
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Body lift after massive weight loss

The best procedure for your case is to do a body lift and some lipo in your back areas , maybe fat grafting to the buttocks if that is the situation
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Best Surgical Option for Dispropotion Lower Body After Major Weight Loss?

It would be really helpful to have some photos to help answer your question properly. I doubt that liposuction is a sensible alternative. The options may be continuing the TT all around the back as a belt lipectomy, or perhaps a vertical TT with a vertical incision from chest down to the TT scar to remove more excess tissue. Please consider reposting this question with some photos;. Thanks, all the best.
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Weight loss

You are to be congratulated for the amount you lost on your own. With that amount of weight loss, you probably still have areas of fat resistant to weight loss and you also probably have a lot of excess skin. Decide what areas of the body you want to improve, it could be multiple areas. Then communicate that to your plastic surgeon and the plastic surgeon may recommend skin excision surgery with or without liposuction to achieve the results you want
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Massive weight loss management

310 lbs is a great deal of weight, and that degree of weight loss will lead to laxity from head to toe. An abdominoplasty is not adequate as a stand-alone operation. Typically liposuction alone is not the answer with weight loss of this magnitude. I would recommend you meet with a Board-certified plastic surgeon and you can find one on plasticsurgery.org. Best of luck!
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