Body Lift + Liposuction for Weight Loss Patient?

I have lost 60 pounds I gained after having twins and a another baby. Resulting in excess saggy skin & fat around my belly and thighs. My height is 5'7" and weight is 215lbs. My BMI is 33. I'm not looking for a weight loss solution, but to enhance my trouble areas. I will attempt to lose more weight, before any procedures. What would be my best options? Please give me any suggestions. The photo are of the same day.

Doctor Answers 9

BMI is key to reduce complications

A BMI above 30 is not a contraindication to surgery, but it does place you at higher risk of complications.

Now you have a concrete goal and a rationale, so it should make it easier for you to get the willpower to lose this weight. Just get to a BMI below 30.

Easy first step- define what your problem food is. Soda? Sweets? Snacks? Whatever it is, limit it to only once a week. That way you are not giving it away completely, yet vastly reducing calorie intake. Secondly, lots of fluids.

You can do it easily, I know because you have already lost 60 pounds.


Baltimore Plastic Surgeon
4.5 out of 5 stars 94 reviews

Timing For Massive Weight Loss Surgery

Although it's difficult to make specific recommendations without a physical examination, your pictures suggest that you would most likely benefit from a lower body lift procedure. This procedure would remove excess skin and fat from your abdomen and back. It would also tighten your abdominal wall muscles. In addition, this procedure would elevate your buttocks and lateral thigh. The net impact of this procedure would be a significant improvement in your overall contour. The procedure is associated with excellent clinical results and high levels of patient satisfaction.

Timing is everything when performing this type of procedure. We feel that it's important to be within 10% of your ideal body weight before proceeding with surgery. In addition, we feel that it's important to have a stable weight for at least six months before proceeding. When these steps are taken, results are better and complication rates are lower.

If you're considering massive weight loss surgery, it's important to consult a board certified plastic surgeon with experience in this area. This surgeon should be able to formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals.

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
4.9 out of 5 stars 194 reviews

Best options for excess skin removal after having a baby

Congratulations on your massive weight loss and your children! It is difficult to answer your questions without more pictures or a thorough physical examination. However, I will try to answer this question as best I can.

If your abdomen, hips, and buttocks bother you, I would suggest a 360 circumferential lower body lift. If just your abdomen bothers you, I would suggest an extended abdominoplasty or tummy tuck. Whether it is a 360 circumferential lower body lift or an extended abdominoplasty, your rectus abdominis (tummy muscles) should be tightened to give a long-lasting flat tummy.

In regards to your legs, based on your history and your pictures, I do not think you will be satisfied with just leg or thigh liposuction. I think you will require a medial thigh lift. During this surgery, an incision is made from the groin to the knee. The medial thigh lift surgery will remove excess skin and fat from the anterior (front), medial (inner), and posterior (back) thigh.

Good luck with your weight loss journey. If you have any questions, please contact my office.

Dr. Katzen

J. Timothy Katzen, MD, FACS
Los Angeles Plastic Surgeon
5.0 out of 5 stars 207 reviews

Timing of surgical procedures after weight loss

Great job!! I would not get lipo now because your skin will not have the elasticity to snap back even if the fat is removed. One you have lost the weight you will have saggy skin and it can be removed at that time. I would wait for 6 months of weight stability before you have surgical procedures. Unfortunately there is no effective non-surgical method.  However, a body lift can truly change your life. Excess abdominal fat  and skin is removed, the abdomen and your core is tightened, your hips are raised and defined and your buttock has new definition and shape.  The combination is powerful and the results are immediate. I would do the body lift first, then stage procedures every 4-6 months. Healing time is 2-4 weeks. The most important thing is safety. Please don't compromise on this! See a board certified plastic surgeon

Raj S. Ambay, MD
Tampa Plastic Surgeon
4.3 out of 5 stars 35 reviews

Weight loss and surgery

Thank you for your question.

Yes, the best thing to do is to continue with weight loss.  The way to have the best surgical results is to be at your lowest, stable weight prior to surgery.  From your photos, it seems that a tummy tuck or extended tummy tuck (tummy tuck with back lipectomy) would be a good option.  Liposuction may also be used a tool to get better contouring during surgery.

Best Wishes!

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,499 reviews

Body lift

I would first lose weight and get down to an ideal place before undergoing a body lift. I do not combine it with liposuction.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Body Lift vs Extended Tummy Tuck

Based on your photo you will likely benefit from a body lift or an extended tummy tuck.

A body lift generally refers to a procedure known as a belt lipectomy a.k.a. circumferential body lift. These procedures are usually tailored for a patient who has experience significant weight loss or have excess skin and fat extended to their back/flanks and buttock areas. These procedures are designed to recontour the entire waist and lower trunk.

They include 3 procedures:

•Tummy Tuck •Waist lift/lateral thigh lift •buttock lift

On the other hand, an extended tummy tuck focuses on the anterior abdomen and waist. I often perform liposuctioning of the waist to help contour this area too.

If your concerns are the anterior tummy and waist, I would likely guide you to an extended tummy tuck with lipo of the waist. Hope this helps. 

C. Bob Basu, MD, FACS
Houston Plastic Surgeon
4.7 out of 5 stars 211 reviews

Body Lift + Liposuction an individual case.

.In looking at your picture I would advise a two step procedure for you. A body lift will make a large improvement in your trouble areas and can be done safely.  Liposuction of areas that are not involved in the body lift procedure can also be performed safely. However, I feel you will obtain the best result by having the body lift first and then, in a second procedure, having liposuction to really refine the overall body shape. I would recommend that you seek the consultation of a Board Certified Plastic Surgeon to discuss your individual goals.

Paul Vitenas, Jr., MD
Houston Plastic Surgeon
4.8 out of 5 stars 109 reviews

Lower Body Lift

A lower body lift is also referred to as  circumferential body lift = belt lipectomy.  This procedure is essentially 3 procedures in one: extended tummy tuck + waist/lateral thigh lift + buttock lift.  The buttock lift can also include buttock augmentation.  The lateral thigh lift will help contour the lateral aspect of your thighs.  The procedure can taken between 5-7 hours depending on the amount of tissue/skin that needs removal/treatment.  Please see a board certified plastic surgeon to learn more about your options.
Dr. Sugene Kim

Sugene Kim, MD, FACS
Houston Plastic Surgeon
4.7 out of 5 stars 76 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.