7 yrs P/O gastric bypass- Scheduled to have a BBL in the coming months. Should I add thigh lipo or wait and do it another time?

Dear Cavalier986,
I understand your concern. It is best however that you consult with a board certified plastic surgeon to determine whether you can have several aesthetic surgeries in one session, as this would depend on various factors including but not limited to your general health condition, the type of anesthesia that will be used, and the type of surgeries that will be performed among others.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

It is usually best to focus in one treatment. If you lack the amount of fat to be taken from classical lipo areas, then it will be better to take from thighs as well. But if you already have enough fat, let your doctor do his good job on abdomen and sides and BBL.

Obviously you really do not understand the max liters in the state you are going for lipo/BBL. In Florida the max is 4 liters NOT 5 liters. If you add areas the results of the 360 lipo will be limited. Wait for a round 2 or thigh lift if needed.

Dear Cavalier,
If you are already near the 5 liter limit, I would separate the thigh liposuction so your surgeon may do the best they can on the areas agreed rather than holding back on multiple areas to conserve total volumes.
Dr. Taranow

You need to consider a high defintiion body contouring transformation where ex-vivo liposuction can be used to increase the total volume of fat removal. You should also consider skin removal that can be done at the same time as your liposuction with proper technique. Please consider a virtual consultation with a high definition body contouring expert to get an accurate recommendation for your individual case.

Weight loss patients universally have issues with skin laxity. Fat typically is no longer an issue because it’s been lost through successful weight loss.

Loose skin is easily perceived as being excess subcutaneous fat for those who don’t understand how to assess the thickness of their subcutaneous fat layer.

Generally speaking people with skin laxity are not good candidate for liposuction or fat transfer procedures.

Almost always weight loss patients need skin surgery and skin surgery delivers much much more impressive results because the diagnosis or problem it’s not fat distribution it is skin laxity.

Treating skin laxity with Liposuction and fat transfer leaves unimpressive results because the primary problem isn’t being addressed.

Without including pictures we can’t really make an accurate assessment but this instant my first rodeo and unless you’ve already had a body lift a.k.a. wrap around Tommy tuck you may want to reconsider what procedure you have first.

Weight-loss patients that skins surgery then more skin surgery.

The truth is most successful weight-loss patients don’t have an issue with that distribution at all.

If you want to add volume to your buttocks with a BBL then you need to do that after skin laxity has been managed correctly.

Grafting fat and someone who’s lost a massive amount of weight typically leads to an impressive results.


This is just my opinion and these are just general statements.

I recommend all patients have multiple in person consultations with local board-certified plastic surgeons and listen to the surgeons recommendation in regards to what is the best treatment for what they’re trying to achieve.

Typically the primary problem it should be managed first and then weight loss patients that is skin.

Thigh liposuction on a weight-loss patient is probably not going to deliver good results.

Regardless, good luck with whatever you decide to do.

Mats Hagstrom MD