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Is There Anything That Can Help This? Am I Too Far Gone for a TT and Breast Lift? (photo)

My body is in terrible shape. Can I be helped? I am 36 , 5'7" and I used to weigh 260 lbs and am now 180. I have lost the weight through diet and exercise. I have been stuck at 180 for 6 mths. I run 5mi per day 7 days a week and the "insanity" video 7 days a week. Diet is perfect. I feel like my belly is getting in the way of my continued success. I have had a hysterectomy, a 15lb tumor removed with a 12" verticle incision. 2 kds over 10lb. This what I look like under the clothes. Any advice. HELP!

Doctor Answers 11

You're not too far gone!

No, you are NOT "too far gone"! A tummy tuck will help by removing the excess skin in your belly area. Often times patients experience  a renewed sense of confidence and are motivated to continue with their weight reduction goals. A consultation with a board certified plastic surgeon can guide you in the right direction.

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Mommy Makeover is what you need!

A mommy makeover is a combination of procedures performed to restore a women's body back to it's pre pregnancy condition.  It usually involves a tummy and a breast procedure, but is customized and individualized for each patient.  Liposuction, skin removal, muscle tightening, cellulite treatment, implant placement and lifting can all be part of the mommy makeover.

The best results are seen after your weight has been stable for at least 6 months.  So, you are ready for the procedure.  Based on your photos, but without a physical exam, I would recommend the following:

  1. An asymmetric (your left breast is larger than the right) breast lift (mastopexy) or a small breast reduction (vertical incision).
  2. An extended abdominoplasty, which would include skin removal from the belly button to the pubic bone, the "muffin top" and into the hips.  This also includes fat removal from the flanks and the upper abdomen and repair of the rectus abdominis muscles.
  3. Post op cellulite treatment with Endermolgie (10 sessions) which includes not just the operated area, but the thighs, buttocks, back and arms.  We want to get rid of your bra line roll also.

You appear to be in good health, the procedure can be completed in one operation and can be performed as an outpatient.  I do recommend permanent sterilization prior to the procedure, you do not want to get pregnant after the procedure and ruin the results, we want the results to be permanent.  NO MORE sit ups needed!  Since you have had a hysterectomy, you are a candidate.

Good Luck!

David Finkle, MD
Omaha Plastic Surgeon
5.0 out of 5 stars 54 reviews

Mommy makeover and ideal weight

I tell people, "You get to be as good as you can be." If you can lose more weight, great.  But you will still derive a significant benefit from what you want! I wouldn't operate on somebody really big, but you are fine...barring problems most people who look like you will love it!

Michael Decherd, MD
San Antonio Plastic Surgeon
5.0 out of 5 stars 34 reviews

Mommy makeover will help.

Congratulations on losing 80lbs! Although your result will be better if you can lose another 20lbs, you can still have a good result with mommy makeover at your current weight.  Most likely, you will need extended abdominoplasty (tummy tuck)  with liposuction and breast lift.  I recommend consulting with experienced board-certified plastic surgeon so that she/he can examine you and go over your options.  She/he will also review all potential risks, limitations, and alternatives. Best wishes with your surgery and recovery.

Mommy Makeover May Help

Thank you for your question and photos.

Congratulations on your weight loss! From the photos, it looks as if you may benefit from an extended tummy tuck and breast lifting surgery.  Generally, I ask patients to lose as much weight as possible and be at a stable, long term weight prior to surgery but there are some exceptions.  If you are at a point that diet and exercise are not helping and want to proceed with surgery, that may be an option as long as you understand that if you lose weight after the tummy tuck and breast surgery, there is a higher chance of needing revisionary surgery.

Meet with well experienced, board certified plastic surgeons who can show you examples of their work.

Best wishes.

Am I Too Far Gone for a TT and Breast Lift?


Great work on the 80 pounds lost, and you seem to have reached an appropriate weight. You should expect a rather dramatic improvement after a breast lift and TT.

The photos are quite helpful but not a substitute for a physical exam.

  • The surgeon who examines you may recommend a vertical tummy tuck, which combines a lower abdominal incision with a vertical incision to remove excess tissue in both the horizontal and vertical axis.
  • Alternatively a "belt lipectomy" where the lower incision is carried all the way around the back might be suggested. 

Best way to find out more is to consult with a plastic surgeon. Thanks for the question, nd for the photos. Best wishes.

Mommy Makeover Would Work For You

         Your pictures strongly suggest that you would benefit form a mommy makeover. The mommy makeover is one of the most popular operations performed by plastic surgeons. The procedure is a combination of cosmetic breast surgery, liposuction and abdominoplasty. It has been designed to correct changes that occur normally with pregnancy.


         Pregnancy has a significant impact on a women’s body. Obviously, as the abdomen enlarges, the skin becomes stretched and the muscles weakened. After pregnancy women are left with loose saggy skin with stretch marks and weakened abdominal muscles. In addition to this, they frequently have loss of breast volume with breast sag and fat accumulation of the hips and thighs.


         Many women will attempt diet and exercise to reverse the changes associated with pregnancy. After multiple pregnancies this approach is usually unsuccessful. These changes can affect the patients self esteem, self confidence, self image, sexuality, feelings of femininity and how clothes fit.


         Your pictures suggest that you would benefit from breast lift, abdominoplasty, and liposuction of the hips and thighs. This approach offers synergy, cost savings and one recovery. The procedure is associated with high satisfaction rates.


         If you’re considering a mommy makeover it’s important to consult a board certified plastic surgeon. This surgeon should be able to correct your problem.

Is There Anything That Can Help This? Am I Too Far Gone for a TT and Breast Lift?

Yes, you can benefit from proper interventions.  You have already achieved success with 80 pound weight loss.  You suggest that your weight has stabilized at this level, but if you could lose more weight and keep it off for several months at the lower level the results and safety would be even better for you.  You may consider staging procedures (not trying for the total makeover all at once) to increase your benefits as well.

For more information, please go to my website at:

Garrett A. Wirth, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 6 reviews

Am I Too Far Gond For Cosmetic Body Sculpting?

Congratulations on your 80-pound weight loss.  I am glad you did it with diet and exercise.  Keep up the good work. 

If I were your plastic surgeon, I would recommend a lower body lift (tummy tuck, buttocks and lateral thigh lift).  I would liposuction your upper and mid back and muffin tops, but postpone your breast surgery to a second stage.  With the breast surgery, I would also do liposuction of the residual fat on your abdomen. 

Cosmetic body scupturing to include skin resection would lift up your spirits and move you closer to your ultimate goal.  Ohio is reef with outstanding Board Certified plastic surgeons experienced in body sculpting.  Call three of them today and get started on the next leg of the new, trimmer, happier you. 

Mommy makeover after weight loss

Thank you for the great question.  Congratulations on your weight loss and commitment to exercise and a healthy lifestyle!  You should be quite proud of your accomplishments.


You are not too far gone to experience great results from a mommy makeover.  You have a few options.  In order to address all your concerns, I would recommend a two stage approach starting with liposuction of your upper abdomen (above the navel), flanks (love handles) and back bra roll.  I would follow that with a breast lift and tummy tuck 3-6 months later.  If a two stage procedure is not an option for you, you could consider a lipoabdominoplasty (liposuction combined with a tummy tuck in the same procedure) and breast lift all at the same time.  Combining the liposuction with the tummy tuck reduces the amount of fat I am able to remove and does increase the risk of complications.  I think you will have a noticeable result either way, but having 2 separate procedures will lead to the best result.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.