Am I candidate for a Body Lift or Extended Tummy Tuck? What to do with booty and outer thighs? (photos)

Question

A mommy make over is needed. Can't loose more weight. Body lift or extended tummy tuck? No loose skin in back area except for outer thighs and booty. I was born with a Brazilian booty and this is it 51 years later. Help! I'm 51, healthy, good diet and exercise, and want the best version of myself.

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question regarding what to do with your body. In examining your pictures, I think you would do best with a body lift. In my opinion, your buttock has a lot of excess skin, wrinkles, and cellulite. An extended tummy tuck will not take care of the buttock. A 360 circumferential lower body lift will take care of the buttock, hips, and tummy. During this procedure, the rectus muscle is plicated, the mons is reduced, the tummy is lifted and reduced, and the buttocks are lifted and reduced. With the body lift as opposed to the extended tummy tuck, the loose skin on your buttock will be removed.

If you have any more questions regarding a tummy tuck, lower body lift, 360 circumferential lower body lift, belt lipectomy, belt abdominoplasty, or belt dermolipectomy please contact my office. Since the body lift is a big procedure, please seek an experienced, board-certified plastic surgeon with significant experience performing the lower body lift. Do your research. Make sure they have performed at least 100 tummy tuck or circumferential lower body lift surgeries and have the before and after pictures to prove it. Carefully examine their before and after pictures and check their reviews on RealSelf. If you cannot find an experienced, tummy tuck or lower body lift surgeon in your neighborhood, consider traveling out of state if you must. Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)

Chet Mays, MD · Answer

Thank you for your inquiry!   You have surgical options that we could discuss with you.  Schedule a consultation with a Board-Certified Plastic Surgeon to discuss your goals.

Marguerite E. Aitken, MD, FACS · Answer

Hi, a consultation would be needed to give an accurate assessment what would be the best procedure for you.

Gianfranco Frojo, MD · Answer

You appear to be a great candidate for a lower body lift (which is essentially a circumferential tummy tuck). I would highly recommend seeing a board eligible or board certified plastic surgeon for a physical exam and accurate analysis with safe recommendations for potential surgical options. Best of luck!

Derek Fletcher, MD · Answer

Based on your photos, you would benefit from a circumferential body lift because it would have a lifting effect on your thighs (anterior and lateral) as well as provide a lifting effect for your buttocks. You would also benefit from gluteal fat transfer in the safe zone. Best of luck and thank you for your question.

Siamak Agha, MD, PhD, FACS · Answer

The answer to your question depends on what you want.  If you want your abdomen enhanced, then at a minimum, you will need an extended tummy tuck with monsplasty.  If you want your abdomen and thighs corrected, then a tummy tuck and thigh lift.  If you want the abdomen tightened, the outer thigh lifted and the buttocks smoothened, then a lower body lift.  My point is that, you are probably a candidate for all these surgeries as long as there are no health issues. Ultimately, you need to decide what you want. Having said that, a lower body lift will give you the best comprehensive correction and results. Best of luck.  Below you can see our Total Body Lift Gallery and the results that can be expected from body lift surgeries.

Carmina Cardenas, MD · Answer

It is wonderful the huge achievement of losing weight on your own!!!! 
You have developed very saggy breast and you will need major breast lift (reconstructive) and augmentation. 
Regarding your trunk you have severe degree saggy skin on your abdomen, thighs, buttocks and most likely mons pubic area. So you will need a Lower Body Lift reconstructive in order to get rid of the saggy skin 360 but most importantly the lifting to mons, front and outer thighs and buttocks, also you will need muscle repair and double buttocks augmentation after losing all the volume: buttocks flap using your own tissues and after liposuction to waist and lovehandles, fat grafting to buttocks. 
I honestly foresee a wonderful rejuvenation to your body doing the correct approach. 
Be encouraged!!
Dr. Cárdenas

Daniel Barrett, MD · Answer

Dear 2fearless,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

M. Shuja Shafqat, MD · Answer

Good afternoon,
You may be a candidate for either of these depending on how much loose skin you have in the back. A body lift does help lift the buttock and outer thighs. You should be seen by a board certified plastic surgeon who specializes in these surgeries to examine you in person. Best of luck!

Camille Cash, MD · Answer

You appear to be a great candidate for a tummy tuck with liposuction for contouring.  For the buttocks and outer thighs you can consider liposuction for sculpting.  To reduce the appearance of cellulite you can consider either Qwo which is designed specifically for the buttocks or Aveli which is an exciting non surgical treatment that can address the thighs as well.  The breasts can be lifted and an implant can be added if more volume is wanted.  See a board certified plastic surgeon to learn more.

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