Danivel Cespedes, MD

Based on your goals, it’s absolutely possible to safely perform these procedures in two stages, especially when working with a board-certified plastic surgeon experienced in post-weight loss body contouring. A common and safe approach would be to combine your extended tummy tuck, breast lift with augmentation, and mons lift in the first surgery. Depending on surgical time and positioning, a labiaplasty may also be included. The second stage could then focus on your butt lift (without fat transfer) and labiaplasty if not done earlier.

Because massive weight loss often involves significant skin removal and longer incisions, it’s essential to prioritize safety and recovery. Spacing the procedures allows for shorter anesthesia times, reduced complications, and better long-term aesthetic results. Be sure to schedule a full consultation and pre-op evaluation to create a surgical plan tailored to your anatomy and goals.

What you went through after your C-section is more common than people realize, and it’s completely valid to feel both physically and emotionally affected years later. Based on your symptoms and concerns, you may be a candidate for a tummy tuck (abdominoplasty) or scar revision surgery to address lingering discomfort, scar tissue, and the disconnected feeling in your lower abdomen.

The complications you had like hematoma, infection, and fluid expulsion are known risks in surgeries involving the lower abdomen, but they aren’t guaranteed to happen again. Your healing experience could have been specific to your C-section, or it may signal a higher sensitivity in that area. A thorough evaluation with a board-certified plastic surgeon, ideally with access to your medical records, would help determine your individual risk and the safest path forward. Many patients with complex surgical histories go on to heal beautifully with the right care plan.

Undergoing multiple long surgeries (8+ hours) under general anesthesia within a short period—like every 3 months can increase health risks, including blood clots, cardiac stress, poor wound healing, and even rare events like stroke or heart attack.

While general anesthesia is generally safe when managed by professionals, repeated long exposures can strain your body, slow recovery, and reduce surgical precision especially during complex, combined procedures.

For both safety and best results, it's recommended to:

Prioritize your most important surgeries first
Space procedures 3–6 months apart
Avoid combining too many major procedures in one session
A staged approach, guided by a board-certified plastic surgeon, reduces risk and helps you heal properly with better outcomes.

Based on what you’ve described, you could be an excellent candidate for a breast implant exchange to restore upper pole fullness, possibly combined with body contouring procedures to address the stretched skin and abdominal changes. Since your current implants were placed 15 years ago and you’ve experienced volume loss and skin laxity, a breast implant exchange with a slightly larger size could help restore fullness especially in the upper pole. Depending on your current breast position, your surgeon may also recommend a breast lift (mastopexy) during the same procedure to tighten and reposition the breast tissue for a more youthful shape.

After multiple pregnancies and breastfeeding, it’s common to experience loose abdominal skin, even with good postpartum recovery and pelvic floor therapy. The appearance of a stretched-out belly button and residual skin laxity could be addressed with:

Mini tummy tuck (if only lower abdomen is affected), Full tummy tuck (abdominoplasty), especially if there's still mild diastasis recti or excess skin above and below the navel

In some cases, liposuction or skin-tightening technologies like Renuvion or BodyTite can be used for more moderate laxity without large incisions

Non-Surgical Options (for mild cases): EmSculpt or Morpheus8 Body for toning and mild tightening
Ultrasound or radiofrequency-based skin tightening However, these treatments may offer limited results when skin laxity is moderate to severe.

From the photo provided, it’s difficult to give a full evaluation, but there are definitely options available to treat loose or sagging skin on the arms especially if you’ve noticed changes in tone and texture recently.

Depending on your skin’s elasticity, volume, and the degree of laxity, the ideal procedure could range from a minimally invasive arm liposuction (sometimes enhanced with skin-tightening technologies like Renuvion, BodyTite, or VASER) to a more extensive brachioplasty (arm lift) if there’s significant skin redundancy.

Many patients like yourself who are concerned about visible scarring are good candidates for non-surgical or hybrid approaches that minimize incision length while still offering skin tightening benefits. However, if the skin is too stretched or has lost its ability to retract, a surgical arm lift may be the most effective solution, and the scar can often be strategically placed and refined over time.

We highly recommend a personal consultation to assess the tissue quality, skin elasticity, and fat distribution. This will help determine whether you’re a better candidate for liposuction alone, liposuction with energy-based tightening, or a surgical lift.