Lost over 100 pounds - Am I a good candidate for lipo 360 with fat transfer to breasts? (Photos)

Question

I am 24 years old, 5’6, 145 lbs with a BMI of 23.4. I have lost ~110 lbs over the past 5 years after being severely overweight since early childhood. Because of the drastic weight loss, I have lost a lot of volume in my breasts and have loose skin in some parts of my body. My area of most concern is my lower stomach, which still has a “soft” look and not so great elasticity. I would really like to get lipo 360 to remove the remaining fat cells and possibly transfer the fat to my breasts. Also, I want the 360 option because I’d like to improve the shape of my upper glutes and the general shape of my body. I have a sacral fat pad above my glutes that was huge when I was 250+ lbs and is now kind of deflated and makes my glutes look “long” if that makes sense. Is this something I would be a good candidate for? Do I need something else to flatten and tighten my stomach? Would implants be a better option? Thank you!

Michele A. Shermak, MD · Answer

Hello and thank you for your question. Typically with significant weight loss the gold standard is excisional surgery, like tummy tuck and lower backlift (360). You have nice appearing tissues so it is possible you may be able to consider Liposuction, but this is not typically the modality used to address weight loss changes. I would recommend you see a board certified plastic surgeon: you can find one on plasticsurgery.org. You should be seen in person for a more definitive assessment. I hope this answer prepares you for this conversation. Best of luck to you!

George Marosan, MD · Answer

Thank you for your questions and photos. Your observations about your body are on point. As a Total Definer plastic surgeon, I would recommend VASER Hi Def Lipo 360 with fat transfer to your lateral buttocks for shaping. Liposuction of the back, sacral fat pad and will give the illusion that your buttocks will not look too long. Regarding the breasts, I would recommend a breast augmentation/lift to reshape them and match the rest of your body. I would not advocate fat transfer to the breasts in your case. See a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person consultation/evaluation. Good luck.

Laura Roider, MD · Answer

thank you for sharing your photos. To simplify my answer I will break down the options for your breast and torso 
Breast: - Fat grafting alone would increase the volume but would not address the position of your nipple/ptosis of the breast - A mastopexy would allow you to address the ptosis and nipple position. This could be combined with implants or fat grafting (depending on your goal) 
Torso: - 360 lipo will remove some remaining fat cells but will not address the loose skin. It is possible you could combine liposuction with a skin tightening procedure like renuvion, but that would depend on your exam - 360 lipo with a tummy tuck would be more powerful and allow your surgeon to remove the excess/loose skin in the lower abdomen.

Gary M. Horndeski, MD · Answer

Since your BMI is 23.4, it is not likely that you are going to need liposuction. Also, your breasts are very ptotic and low on the chest wall. Fat transfers will not solve your problem. I recommend you start with your breasts and work your way down. I recommend a breast lift using The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Darryl J. Blinski, MD · Answer

Based on your post of photos, best to do a virtual consultation because your breast need a full breast lift with possible implants or fat transfer your buttocks needs fat, but unfortunately, you have limited amounts of fat available most likely less than 1 L to 2 L to be used, but at least it’s a step in the right direction. Best of virtual console with for more understanding. Regards.

Lost over 100 pounds - Am I a good candidate for lipo 360 with fat transfer to breasts? (Photos)

Answers (5)

More Lipo 360 Questions

Lipedema and lipo - do I have lipedema? (Photos)

Is going in for a second round risky for a imperfections and previous seromas? Are there any nonsurgical options? (Photos)

Will Lipo 360 get rid of the stubborn fat at the bottom of my stomach? (Photos)

Lipo 360 - is it safe after a liver transplant?

Second round - do I need a tummy tuck or is Lipo360 enough? (Photo)

WE SEND PRETTY
EMAILS