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

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.

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

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.

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.

Hello, in our practice, we are experts in reconstruction post massive weight loss, first I want to congratulate you for those 60 pounds lost, currently you have 32 BMI, I would recommend that you go down a little more, at least up to 30, to be able to have the best possible result, second the most recommended in your case is a circular tummy tuck, Thank you

If you plan to still lose weight, it is better to wait a little bit for the best results.


A tummy tuck, also known as abdominoplasty, is a surgical procedure that addresses excess skin and fat in the abdominal area, as well as tightening the underlying muscles to create a smoother and more toned appearance. It is typically performed on individuals who have lost a significant amount of weight, or women who have undergone pregnancy and childbirth, and may have loose or sagging skin in the abdominal area.

A mommy makeover, on the other hand, is a combination of procedures that are designed to address the physical changes that can occur in a woman's body as a result of pregnancy and breastfeeding. In addition to a tummy tuck, a mommy makeover may also include a breast lift, breast augmentation, or liposuction to various areas of the body, such as the thighs or buttocks, to help restore a woman's pre-pregnancy body.

I would have to see you in a consultation to assess your need of a breast lift but I personally think you would greatly benefit from a ETT and a liposuction.

A "MMO"" is a combination of different surgeries depending upon what is needed. If you are still losing weight and are not close to your goal weight, then wait. Once you have reached your goal weight, then consider the tummy tuck and breast surgery.

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!

You should maximize your weight loss and plateau for six months before considering skin surgery.
During that time you can begin the consult in process.
Different doctors will have different opinions and your best choice is to hear it from me later on in regards to getting assessment and understanding treatment options.
I recommend patients start by having at least five in person consultations.
Different plastic surgeons will have a different set of skills and experience and choosing the right provider is generally a hallmark of getting a quality outcome.
Finding the best provider is not necessarily easy or straightforward.
I suggest patients do it by having multiple in person consultations. Bing pictures of your own body to use for reference during the consultation.
Ask each provider to open up their portfolio and show you their entire collection of before and after pictures of previous patients who had similar procedures.
Ask providers to only show you before and after pictures of previous patients who have very similar body characteristics to your own.
Ask providers to show you examples of excellent outcomes, average outcomes and outcomes that did not turn out as well as they had hoped.
An experienced provider should have no difficulty showing you at least 50 search for before and after pictures of commonly performed procedures.
Being shown a handful of preselected images representing the best results of the providers career is insufficient to get a clear understanding of what average results look like or how many procedures anyone surgeon has actually done.
Judge tell me a joke results based on who gets the most natural looking belly button with a very low said scar and a torso that looks balanced attractive and proportional from all angles including from behind.
I do not recommend rushing the process. The operation you are contemplating is permanent, irreversible and cannot easily be improved upon if not done correctly the first time.
There is a time and place to do combine procedures for doing too much surgery at the same time leads to providers cutting corners and puts patients at risk as well as an unnecessary challenging recovery.
There are appropriately balanced combined procedures that are appropriate. Different providers will have different levels of comfort on what procedures should be done as a single combine or separate split operations. For my experience the best surgeons are generally detail oriented and don’t rush through surgery. these surgeons know that it takes time to do surgery well and will not schedule more surgery then it’s reasonable for one day.
The time to be thorough and selective is before you have your procedure.
You’ll be reminded every day for the rest of your life what the results look like so please choose carefully.
When in doubt slow down and schedule more consultations.
Maximizing your weight loss and stabilizing that weight loss over a significant amount of time will make you a better candidate.
Rushing into surgery as soon as possible attaining success for weight loss may not be the best option.
Best,
Mats Hagstrom MD