31, transwoman, would lower body lift be best for loose skin in flanks/back? (Photos)

Thanks for your inquiry! The photos show the result of your weight loss journey. Now you have the skin, the does not go anywhere. A body lift would be an option for the next step. We would love to meet with you to discuss your goals. Schedule a consultation with a Board-Certified Plastic Surgeon to continue the journey!

As you noticed, your abdominoplasty improved your front, but did not improve your flanks or your back or your buttocks. A lower body lift would improve your back skin excess, your buttock contour, your flanks, and smooth your lateral thighs, and will blend in with your abdominoplasty to complete the rejuvenation of your trunk area. I always encourage my patients to be at their best weight prior to their procedures, as this ends up with the best overall result, and minimize complications. Best wishes.

Thank you for your query. A lower body lift will certainly address the loose skin in the flanks and lower back. If there is loose skin in the upper back a bra-line lift may also help. Please find an experienced Board certified Plastic surgeon who can examine you and help you with all your concerns. All the best!

It is wonderful what you have achieved after losing all the weight!! Congratulations!!
You have developed saggy skin not only on the lovehandles, most likely buttocks as well, your back, lateral chest, so you must acknowledge you are candidate to convert the TT into a Lower body lift (360) to tighten lovehandles and lift buttocks, but will not improve zero of the the back and lateral chest.
The only way to improve back or lateral chest is an Upper Body lift which is an incision over the brassiere line 270 degrees. You may do that test in front of the mirror: lift your back and lateral abdomen and you will see the huge improvement of the shape of lower back, waistline and even abdomen. Definitely more feminine.
Be encouraged!!
Dr. Cárdenas

Dear majarae,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Thank you for your question regarding the best solution for addressing loose skin on your flanks and back after significant weight loss. I appreciate you providing your history and pictures.
Yes, a lower body lift would be the most suitable procedure to remove the excess skin and fat from your lower abdomen, flanks, and back. In your case, I would recommend extending the tummy tuck scar over the hips and across the top of the buttocks. This approach will permanently remove excess skin and fat from the lateral hips, torso, and buttocks, providing you with a more contoured appearance.
If you have further weight loss goals, I suggest achieving them before undergoing the procedure. Losing as much weight as possible before the surgery can enhance the results. Once your weight has stabilized for at least three months, you can consider the lower body lift to eliminate the excess skin and fat from your hips, thighs, and buttocks.
I hope this response answers your question and provides guidance on the appropriate steps to take after massive weight loss. Best of luck on your journey to achieving your desired body contour.
Sincerely,
Dr. Katzen

In order to lift and augment buttocks and hips, posterior thight/buttock lift with flap augmentation addresses most of the problems in that area. Skin and fat tissue, which would be discarded in regular circumferential body lift, can be used in the form of vascularized flaps to augment and shape buttocks and hips. In the same time, this procedure would tighten lateral and posterior thighs and lift buttocks. In person or teleconference consultation with a board certified plastic surgeon familiar with this procedure is recommended. Good luck.

Congratulations on your impressive weight loss! Yes you can consider converting your tummy tuck to a circumferential lift to address your flanks and back. It is best that you wait until you have reached your goal weight and are able to maintain it as this will allow your surgeon to maximize your results.