49, work out 5 times a week. What procedure could improve the way my body looks? (Photos)

Question

Please look at and advise best option for money. Hate how i look. 49 work Out 5 tome a week liftng. past menopause. Had emsculpt butt and side of thighs.

Jacob Carlson, MD · Answer

You already look phenomenal, so I think you are being a bit harsh on yourself.
To address the protrusion of the lower abdomen, I would suggest considering some version of a tummy tuck (e.g. mini or standard tummy tuck). With a tummy tuck, a surgeon can perform muscle wall repair ("plication") to tighten the abdominal muscles again. With a mini tummy tuck, a surgeon could perform plication from the level of the belly button down to the pubic bone. With a standard tummy tuck, a surgeon could tighten the muscles from the level of the bottom of the sternum down to the pubic bone. A physical exam by your surgeon would be the best way to determine which of those options would be more appropriate. Based on your photos, I can see that you are very athletic, so a mini tummy tuck may be more than sufficient.
If you were to combine that with liposuction, a surgeon could remove what little fat you have from the abdomen, flanks, back, and thighs. Bodytite could then be used to help tighten the skin. And then the fat obtained from the liposuction could be used for fat transfer to the buttocks and hips.

Semih Yildiz, MD, FEBOPRAS · Answer

You already look fit, so I would focus less on weight loss and more on skin quality, tissue laxity, and contour. For someone who exercises regularly, liposuction only helps if there are specific fat pockets; it will not reliably tighten loose skin or cellulite.
If the concern is lower buttock/thigh laxity, a thigh lift, lower body lift, or buttock lift may create more visible change, but those trade improvement for scars and recovery. Energy treatments can be modest. The best value depends on whether your priority is smoother skin, tighter tissue, or a more sculpted waist/hip line after an exam.

Daniel Barrett, MD · Answer

Dear Loving422592,

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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

George Marosan, MD · Answer

Thank you for your question and photos.  You look very athletic, and I rather have the person tell me what they don't like and want improved as opposed to me suggesting "fixes" for things you might not even considered. As a Total Definer surgeon, I specialize in advanced body sculpting techniques, but an in person consultation (or first a virtual for patients from outside our geographic area) should be done to better understand your goals. Also, you mentioned that you are postmenopausal. Are you on bioidentical hormone replacement? This would be an important part of your overall rejuvenating process. See a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person consultation/evaluation. Good luck.

Zoran Potparic, MD · Answer

There may be few areas of improvement that one could discuss, lower abdomen, buttocks, hips. In person consultation with an experienced board certified plastic surgeon would give you an opportunity to find out how it could be done. Good luck.

Camille Cash, MD · Answer

Good for you for taking such great care of your body and health!  I encourage you to begin by visiting with a board certified plastic surgeon near you to discuss your concerns.  There are many options available that range from non surgical to surgical.  The recommended procedure really depends on what you are hoping to accomplish.  There are options for skin tightening, fat removal, and skin removal to name a few.

49, work out 5 times a week. What procedure could improve the way my body looks? (Photos)

Answers (6)

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