Tummy tuck vs Lower Body Lift - which would give the best results? (Photos)

Question

I am 52 and have had two c/s in the past. I have lost around 80 lbs over the past 6 years. I am 5’4 and about 109lbs. I initially was considering a tummy tuck but considering if I would have better results with a lower body lift due to all the loose skin. It was suggested a tummy tuck with muscle repair and liposuction onthe flanks. However, now thinking a lower body lift may give better overall results. Would a tummy tuck be enough to give me good resu or would I be better with a lower body lift? Thank you .

Vasileios Vasilakis, MD, FACS · Answer

Hello, 
Thank you for the question and congratulations on your weight loss!! Based on the photos, the best surgery for you would be a circumferential lower body lift due to the fact that your skin laxity is circumferential and not restricted to your abdominal area. 
I wish you the best
Vasileios Vasilakis, MD FACSDouble Board-Certified Plastic Surgeon

Ira H. Rex III, MD · Answer

The answer to this surely has to do with what your expectations are.  It is always hard to give good advice without and exam.  It seems you would get a beautiful result from a tummy tuck.  Whether you would need a lower back lift is hard to say, largely because this area cannot be well seen in the photographs.  A consultation with a plastic surgeon could give you a much better idea of whether the much larger surgery of a lower body lift is best for you.  Good luck with your surgery.

Gary M. Horndeski, MD · Answer

After 80 lbs. weight loss, you have hanging skin over your breasts, abdomen, back and buttocks. You would benefit from a circumferential body lift. This can be done in 2 stages, the front first and then the back or they can be done simultaneously.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Laura Roider, MD · Answer

@sunny2024 Thanks for including your photos! The answer to your question depends on what are your goals for the procedure and what areas of your body you want to address. This is a personalized choice! Tummy Tuck:A TT would address the loose skin in your abdomen and provide a lift to the mons pubic region. It could be combined with lipo360 which would allow you to address some residual adiposity over the flanks, upper back, and abdomen. Body Lift: In addition to a what a surgeon can address during a TT a body lift allows surgeons to elevate the outer thighs and buttock. 
Based on the photos provided my initial recommend would be a TT w/ liposuction, however there is some limitation to evaluation based on swimsuit coverage.

Camille Cash, MD · Answer

Congratulations on your weight loss! Selecting the appropriate procedures really depends on your concerns.  A tummy tuck with liposuction for contouring would remove excess fat and skin and correct abdominal wall laxity.  The result would be a flatter, tighter tummy.  It would not impact your back side nor your legs.  If these are areas of concern you could consider a lower body lift which would do what the tummy tuck does plus lift the rear and and will have some impact on the legs as well.  Visit with a board certified plastic surgeon near you to learn more.

Tummy tuck vs Lower Body Lift - which would give the best results? (Photos)

Answers (5)

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