8mo post op WLS... loose skin and fat at mid section and hips... MMO or Extended Tummy Tuck? (Photo)

Question

8mo post op WLS (down 60lbs) and currently still loosing slowly. BIM is currently at 32. Do I have to wait one year post-op or if I'm at the appropriate BMI can I schedule surgery soon? Not sure which procedure would be better. My problem areas are my stomach and hips, loose skin. I prefer less procedures as possible due to recovery time. What do you recommend? MMO or ETT w/ possible breast lift w/ implants. No kids and don't plan on having children.

J. Timothy Katzen, MD, FACS · Answer

Congratulations on your weight loss. 60 pounds is very impressive. I recommend losing as much weight as possible for optimal plastic surgery results. By examining your pictures, I think you would benefit from a tummy tuck with muscle plication and liposuction of the flanks. This can be combined with a breast lift with implants. Full recovery will be about 6-8 weeks (but this can vary from person to person).

"Mommy makeover" is the general term for lots of different combinations of procedures. It could be tummy and breasts, breasts and arms, tummy and thighs, etc.

Please continue to eat right and exercise. When you are at a stable weight for 3 months, please seek a board-certified plastic surgeon who has experience in tummy tucks and breast lifts. I wish you the best of luck. Congratulations again on your weight loss.

Daniel Barrett, MD · Answer

Dear alee027,
based on your photos, you look like a good candidate for a TT. Full tummy tuck should tighten your abdominal muscles and remove the excess skin. Flanks liposuction would give you a better shape. I would suggest you to consult a board-certified plastic surgeon because 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

Camille Cash, MD · Answer

Congratulations on your impressive weight loss!  You will want to wait until you have met your weight loss goal and are able to maintain it before proceeding with surgery.  This will give your surgeon the best opportunity to optimize your results.  At this time it appears you are a candidate for an extended tummy tuck with liposuction for contouring.  Another evaluation will be needed once you reach your goal weight.  Great job so far!

Saad Alsubaie, MD, FACS, FRCSC · Answer

You defiantly can see a Plastic surgeon and get the process started even if you are not at your ideal weight. If your plastic surgery is busy and does a good work he probably will be booked out for months. Now when it comes to weight loss. I usually require my patient to 1- be at their ideal weight and stay stable for about 6 months at least. If they continue to loss weight we discuss the importance of being at ideal weight and the impact of that on your body contouring results. Also it's important to have the right clearance for this surgery. 
From the photos above, I think you might be a good candidate for a tummy tuck that extends just to the end of the skin fold.

Zoran Potparic, MD · Answer

Based on these photos, your options are an extended tummy tuck vs. belt lipectomy (with scar around your torso, hips. These options are something to be discussed with your prospective surgeon. Further weight loss and agressive liposuction would improve result. It is not possible to discuss breasts since there are no adequate photos? Hope this helps. Good luck.

8mo post op WLS... loose skin and fat at mid section and hips... MMO or Extended Tummy Tuck? (Photo)

Answers (9)

Answer: Tummy tuck

Answer: Tummy tuck

Answer: Extended abdominoplasty of belt lipectomy (circumferential body lift)

Answer: Extended abdominoplasty of belt lipectomy (circumferential body lift)

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Everything you need to know about Mommy Makeover

Our mission is to create a world where every investment in modern beauty is Worth It.

8mo post op WLS... loose skin and fat at mid section and hips... MMO or Extended Tummy Tuck? (Photo)

Answers (9)

Answer: Tummy tuck

Answer: Tummy tuck

Answer: Extended abdominoplasty of belt lipectomy (circumferential body lift)

Answer: Extended abdominoplasty of belt lipectomy (circumferential body lift)

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Recommended reading

Everything you need to know about Mommy Makeover

Our mission is to create a world where every investment in modern beauty is Worth It.