What procedures are recommend for me? I know I would like a tummy tuck, bbl and possibly an arm lift (photos)

Question

Which procedure should I get first??

Dhaval M. Patel, MD · Answer

Thank you for your questions and photos. A tummy tuck will address excess skin & repair of the abdominal muscle. The abdominal wall can be weakened after pregnancy and (or) significant weight gain & loss. By repairing the muscle, not only does the appearance of your abdominal area improve, but your core strength as well. The repair of the muscle will cinch your waist like an inner corset, which will accentuate your curves. Liposuction will remove excess fat from unwanted areas with some skin retraction. Brachioplasty will address extra fat & skin on upper arms. Your expectations and health will dictate the best procedure(s) for you. I suggest a consultation with a board certified plastic surgeon to go over the options that best address your goals. Best of luck!
 
Dhaval Patel MD 
Double Board Certified Plastic Surgeon 
Chicago 
South Barrington 
Oakbrook 
Orland Park

Moises Salama, MD · Answer

Thank you for your question. I perform many BBL and tummy tuck combo procedures. However, if you're considering having a BBL and tummy tuck done individually, then it makes sense to do the tummy tuck first. Then 4- 5 months later, a BBL can be performed. The reason being that if you have significant excess skin and you get liposuction in that area, the area will look wrinkled, scarred, and irregular. Also doing significant liposuction on the abdomen and then having a tummy tuck later can predispose you to wound healing complications after the tummy tuck. All that said, you can combine the arm lift with either procedure. I would recommend getting a proper evaluation by a board certified plastic surgeon. Take care, Moises Salama MD, Board Certified Plastic Surgeon

Alexandrish Karvendrish Rodríguez Tavárez, MD · Answer

Hello! Thank you for sharing your doubts with us. In your case, I recommend having a tummy tuck and arm lift first, then in a second round liposuction and bbl, since the results will be more noticeable.

Jose A. Munoz, MD · Answer

Hi and welcome to our forum!From your photos, I note a full abdomen and flanks associated with a hanging abdominal pannus. The photo resolution does not allow evaluation of the quality of the abdominal skin but I do note some dimpling of the lower abdomen, suggesting the presence of stretch marks. The arms appear to demonstrate a moderately sized fatty accumulations associated with moderate-significant overlying stretched out skin.Stretch marks indicate the presence of permanently damaged overstretched skin usually occurring during pregnancy or significant weight fluctuation where when pregnant or overweight, the skin's dermal elastic fibers rupture, resulting in the loss of elasticity and the development of streaks on the skin surface. Like an old rubber band, the contractibility of the skin is lost and will stretch over a greater surface area and will predispose to further sagging. A liposuction procedure of the upper arms removes fat only, while a brachioplasty removes excess skin and underlying fat. If there is a significant amount of fat present (with its associated added weight), if the skin demonstrates no evidence of overstretching (stretch marks), and if the sag is only minimal to moderate, a liposuction may correct the deformity. On the other hand, if there is stretched out skin, only a brachioplasty can achieve correction. However, one must accept a scar from armpit to elbow. The scar is placed on the inside (medial side) of the arm to minimize exposure, but the scar is readily apparent in certain positions. Photos at a distance may be deceiving, but it appears that you would be best served with brachioplasty.In our practice we usually do not perform abdominoplasty and BBL at the same time as with the former, one cannot rest on your abdomen in the early postoperative period, and with the latter you cannot rest on your back. Consider breaking up the surgeries into two procedures.Deal with the area(s) which concern you most as the first procedure.Unfortunately the photos presented do not provide adequate exposure of the buttocks to comment upon efficacy of BBL.Seek a consultation with a board certified plastic surgeon.Best wishes...

Emmanuel Mallol Cotes, MD · Answer

Thanks for the question. I recommend you a Tummy Tuck to get a flat abdomen and waist and back Liposculpture, getting better curves especially in the waist, improving your body contour. I suggested take the fat we get and transfer to the buttocks and hips, to mold them and get better volume, contour and butt projection, is that we know as "Brazilian Butt Lift" (BBL).

Kind regards,
Dr. Emmanuel Mallol Cotes.-

Kind regards,
Dr. Emmanuel Mallol Cotes.-

Gary M. Horndeski, MD · Answer

I would begin with a tummy tuck and at the same time the arms can be done. After these have been completed, you can consider liposuction and fat transfers to the buttocks. If you are not planning future pregnancies, I recommend abdominoplasty with mesh reinforcement. The mesh creates a more hourglass figure by compressing the abdominal wall resulting in early satiety and helps maintain a reduced weight.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Alan Gonzalez, MD, FACS · Answer

Hello @Karinita0679 thank you for your question and showing you pictures. It all depends on your expectation. You can improve the overall proportion of your body by including in your surgical plan a laser and vaser liposculpture. Improve the abdominal wall with a muscle plication procedure and lipectomy for excess skin in the abdomen. And a brancheoplasty that would improve the excess tissue in the arms. For more information and recommendations is best to consult with one or several board certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS

Finny George, MD · Answer

Hi, thank you for sharing your question. You are a great candidate for these procedures but I would proceed in a staged manner. 360 Lipo, arm Lipo and BBL first then tummy tuck and arm lift 6 months later. I hope this helps.

Ronald J. Edelson, MD · Answer

I usually recommend doing first the procedure that you want the most and that will give you the best bang for the buck. In your case that is definitely the tummy tuck.

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs.  All of those listed procedures are possibilities for you based on your goals.

What procedures are recommend for me? I know I would like a tummy tuck, bbl and possibly an arm lift (photos)

Answers (15)

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