Am I a candidate now? Looking to have done stomach, boobs, maybe butt, maybe arms, and maybe legs (photos)

First of all I have to congratulate you for the courage of losing that weight. Your life will only be better because you will be healthier and now that you started the journey of the body enhancement, you will be feeling great. You will see.You are a perfect candidate for several surgeries that will improve you whole body. My personal opinion is to start with the Circumferential Tummy Tuck and Butt lift (lower body lift) in order to improve at once your abdomen (also with a nice muscle repair), butt area and sides and also you will see some improvement on your front thighs and lateral thighs.Liposuction during this procedure can be done, but mild to avoid the damage to the blood circulation of the entire body lift. That fat (whichever the amount) can be used to transfer into your butt.As second and third stages can be done: breast with armlift, then thighs. All of this stages instead of doing several at once prevent risk and complications.Feel encouraged. You will love your new you.Dr. Cardenas

Congratulations on your impressive achievement of losing 115 pounds. Your commitment to weight loss is commendable. In response to your question about undergoing reconstructive plastic surgery for your stomach, breasts, possibly buttocks, arms, and legs, it's crucial to consider the timing and approach for such procedures.

Weight Loss and Surgery Timing:

Continue your weight loss journey to reach your target weight. It's advisable to undergo reconstructive surgery after achieving maximum weight loss.
Hold off on any surgical procedures for now. Undergoing surgery before reaching your weight goal may not be beneficial in terms of both results and investment.
Aim for a stable weight for about three months before considering surgery.
Staged Approach to Surgery:
Most plastic surgeons specializing in post-massive weight loss surgery recommend a staged approach, usually comprising two or three stages.
Stage One:
Focuses on a 360 circumferential lower body lift (belt lipectomy), addressing the pubic area, abdomen, rectus abdominis muscles, hips, and buttocks.
Stage Two:
Typically includes an anchor breast lift (mastopexy) and an arm lift (brachioplasty), possibly with arm liposuction. A back lift (torsoplasty) might also be considered.
Stage Three:
Involves a thigh lift or reduction, often combined with thigh liposuction and an incision from the groin to the knee.
Recovery and Anesthesia:
All stages are performed under general anesthesia.
Allow two to three months of recovery between each stage.
Plan for at least two to three weeks off work post each surgery.
In summary, it's advisable to focus on your weight loss goals first and then consider the outlined stages once your weight has stabilized. This approach will help achieve the best possible outcomes from your reconstructive surgeries.
I hope this information guides you in your decision-making process and wish you continued success in your weight loss journey.
Sincerely,
Dr. Katzen

I would continue the weight loss before performing any definitive procedures. A panniculectomy may be considered at this time if this is an impediment to further progress.Kenneth Hughes, MDLos Angeles, CA

Congratulations on your weight loss! The transition period can be difficult for patients. You are a candidate for body contouring at this point. While more weight loss would be beneficial, body contouring can help to give you a jump start. A lipo-abdominoplasty or body lift would be indicated. An armlift with adjunctive liposuction would also be beneficial. Finally a breast lift would be helpful. I would recommend staging the upper and lower body procedures separately. Consult with a surgeon experienced in body contouring after weight loss. Best wishes.

It is always best if you are as close to your goal weight as possible. If you are going to loose another 10 pounds then it probably doesn't matter but if you are going to loose 50+ then accomplish that goal first. Your surgical result will hold up better and for a longer time. Once you've lost the weight you could start with a tummy tuck and breast lift although you might consider a lower body lift which would also improve your buttocks. good luck and keep up the good work.

You can be a candidate for many different procedures after weight loss. I do these all the time, but stage them so that it is safer.

Dear excessskin, congratulations for your weight loss! 115 lbs weight loss is an amazing accomplishment. Don't get frustrated trying to loose the additional 62 lbs, you may find that harder to accomplish than the initial 115. It is always better to be as small as possible before the surgery but I think it will be reasonable to plan a lower body lift now, you can make the results look better with further weight loss to a point like 20 to 30 more pounds, more weight loss will start making your skin sag again. With the breasts the story is different because they are very sensitive to weight loss so you want to do them when your weight has stabilized. Many of my breast reduction patients have returned for augmentation after significant weight loss which is not a bad way to go, the results can be superior to a simple reduction aesthetically speaking. My preferred strategy is to start with a Lower Body Lift which includes liposuction and removal of skin and fat all around the lower body in the shape of a belt. This operation tends to flatten the butt so I frequently compliment it with a buttock augmentation using your own fat, it works beautifully. Ballpark for that is 15 to 20k. You will need 3 weeks to recover from it. This operation will probably remove 10 to 15 lbs of flesh giving you a boost in your weight loss physical and psychological because your clothes (especially gym clothes) will fit a lot better. For the breasts I recommend you to consider a breast reduction and that can be done in conjunction with your arm lift also known as Brachioplasty, ballpark 15 to 17k for that combo with a similar recovery time. In summary, do the body lift now, I think you are ready and you can use the reward. loose the rest of the weight and then do your arms and breasts. Good luck and choose your surgeon wisely, for that look at photos and read the reviews and of course make sure he/she is board certified… Dr Brou

Hi excessskin. I say its time to lose that excess. Congrats on your weight loss so far. This is what I specialize in. To start, I will tell you that if your goal is to lose another 60lb, you should do it understanding that this will be tough. You may not get to it, but believe a goal wt is important because it motivates you to continue. This will reduce your potential complications and allow you to get a much better result. More procedures in one surgical setting can then be done as well. You have 4 problem areas. Trunk, breasts, arms and legs. All your procedures can be done in 2 surgical settings 3months apart. Would start with a lower body lift and auto-augmentation of the butt and hips and arm lift. 3 months later a breast lift and thigh lift could then be done finally completing your journey ( repairing your body ). Costs for each surgical session will be a approx. $18000. That includes a 2 night stay in the hospital the OR, anesthesia and my fees. Costs very throughout the country.Don"t hesitate to contact me with any questions.