Wake Plastic Surgery

A: You have skin laxity in both the vertical and horizontal dimensions of your body. Trying to effectively remove that skin excess with techniques that only utilize the vertical dimension will likely have disappointing results. The fleur de lis allows for tightening of the skin in both the vertical and horizontal dimensions and is the best option for you. Even with the FDL, you will likely have some residual skin laxity. An extended abdominoplasty followed by a reverse abdominoplasty would give you the next best results, but that combination still would not be as effective as a fleur de lis. Congratulations on the weight loss journey. That is to be commended. But you still have a difficult skin problem and need to temper your expectations with whichever surgical skin removal procedure you decide on.

A: Not sure about the question. But your breast implants are slightly bottomed out with the lower pole of the skin envelope being stretched over time. They do not look perfect, but they are symmetric and you do not have mastopexy scars. You can certainly change the position of the implant and elevate the implant on the chest wall and place them under the muscle. You would need a mastopexy at that point to allow the skin to drape around the implant properly.

A: Unless your frame is bigger than it appears in the photo, I would caution using such a large implant with a breast lift. Your breast skin has already proven that it does not do well with heavy volumes. I would asssume that the amount of skin laxity you currently have is due to having large breasts at some time in the past. In my experience, patients that opt to have smaller implants with breast lift surgery tend to have a much more predictable and long lasting result. Of course, you will need to be happy with your volume, so in the end, you will have to make the call. But statistically speaking, I think you will have less post opeartive issues, less need for a revision, better scarring, and a more natural result with smaller implants.