Sean Younai, MD, FACS

you are an excellent candidate for high tension tummy tuck with muscle repair. I would never put a vertical scar for anyone such as you. Instead, your scar will be low in the G-string line

reverse tummy tuck has very poor outcome, especially over time. Besides, you have plenty of skin to be able to get a full tummy tuck which will remove the excess skin above, and below the umbilicus.

from front view your tummy looks relatively well to have aggressive liposuction which will cause skin tightening. J-plasma does not work! if on the side view you show a hanging belly, and if you have had several pregnancies in the past, then a tummy tuck with combination of liposuction of the flanks, and the lower back, plus muscle tightening of the Diastasis Recti would be best for you.

A mini-arm lift which places the scar in the arm pit does only tighten about 1-2 inches of the upper arm skin, just adjacent to the arm pit. therefore, it would not address the loose skin that extends to the elbow. I recommend a regular brachioplasty with the incision placed just under the arm as I have shown in the attached

I have had over 25 years experience with liposuction, and considering your photos and your age I believe that a good 360 liposuction of your arms will tighten them. see the attached example of arm liposuction

I have performed both regular and "scarless" arm lift or brachioplasty. Of all the women who hate there flabby arms, only maybe 1-5% can get away with a small scar in the arm pit, because it does not remove the excess skin of the lower arm. It is usually a waist of money. On the other hand, I perform a full arm tuck with the scar placed under the arm, in a similar place to where the seem of the jacket is placed. this scar is not visible from the front or the back. check out the pics.

considering that you have had 4 pregnancies, and as noted on your pictures have many stretch marks and poor elasticity you are definitely better served with a tummy tuck. You will not need to have a vertical scar, but I suggest a bit of liposuction on the flanks to get you more Curvey. A mini-tummy tuck will most likely leave you with excess skin folds or "dog ears" on the sides and will also leave you with redundant skin on the upper abdomen. It will also not fully tighten your abdominal muscles. below is an example of a person similar to you.

Thank you for your question and sending in your photo.  Having upper eyelid surgery which is removing excess skin will definitely improve the appearance so that you can apply nice eye shadows you mentioned.  Lower eyelid surgery will restore firmness to the area surrounding the eyes and making you look more rested and alert.  I would recommend an in person consultation to go over all your questions and options in more detail.

The first and most important is selecting a surgeon you can trust.  A doctor's board certification is one of the best indicators of his/her training.  One that certifies physicians in plastic surgery of the face and all areas of the body.  Is a member of American Society of Plastic Surgeons (ASPS).  Last, make sure surgery is performed in accredited, state-licensed Medicare-certified surgical facilities.

Thank you for your question.  Since these are two major procedures I would recommend to be done separately. 1.) BBL includes liposuction in various areas of your body which you will have swelling and bruising and will experience a lot of discomfort.  In the first two weeks you will be on your stomach and not on your back to avoid direct pressure. 2.) Breast Reduction after surgery, the best comfortable position for the first 2-3 days is to be lying semi-reclined.  Elevation of the upper body and chest reduces the swelling and aching of the breasts.