Body lift vs extended tummy tuck and butt lift/BBL after weight loss

It is very difficult to give advice without any photos or in person evaluation. In general, your options are as you stated. One option that I would consider is belt lipectomy ( circumferential lower body lift with abdominoplasty) including buttock lift with augmentation with your own tissue in form of supergluteal skin/fat flaps. Breast lift can be done separately. Good luck.

There is no right or wrong answer. It is possible to break a body lift to front and back or do it in one go. Often times, I do it in one surgery since the results are much better, but occasionally I do it in two for recovery reasons. Also a body lift not only will take care of you abdomen, and buttocks, but also your lower back, waist, and offers a thigh lift if done comprehensively. Feel free to browse our extensive body lift and tummy tuck galleries. Often times, it is possible to avoid a flour-de-lis. You can also see our extensive body lift work at drsiamakagha on instagram

Without including pictures, we can’t really make a good assessment.
Based on what you describe, I would say a wrap around tummy tuck a.k.a. body lift is the right procedure.
I really try to avoid a vertical scar a.k.a. Fleur du lys pattern unless absolutely necessary.
I’m a big fan of extended tummy tucks, which usually end up being a wraparound.
The difference between a wraparound tummy, tuck and extended tummy tuck is usually the difference of the patient being turned during surgery or not.
There’s only so far as surgeon can reach with the patient laying on their back.
This limits how much skin can be removed along the sides.
In regards to scar and recovery. The difference between a wraparound tummy tuck and extended tummy tuck is virtually nothing.
Those who have substantial skin laxity will inevitably have dog ears or persistent skin laity on the backside unless skin is removed all the way around.
Not doing a complete circumferential tummy tuck would be a mistake for most massive weight loss patients.
A tummy tuck only treats, vertical skin laxity, so there will still be some degree of horizontal skin laxity left.
A lot of this can be corrected with circumferential surgery by pulling some of the horizontal skin laxity towards the backside.
In the end provider selection will be the most important variable.
In the hands of the right provider, the correct and best procedure will be recommended and implemented in a correct manner.
And the hands of the wrong provider you’ll be guided towards a less than ideal procedure That could potentially not be done well with a less than ideal Aesthetic outcome.
To find the right provider, I suggest the following.
First get a complete set of body pictures taken the same way of plastic surgeons take before and after pictures.
Have someone else take the pictures for you or use the timer on your camera.
Don’t rely on the mirrors.
Bring pictures of yourself to use as a reference for any consultation.
Next make a list of local plastic surgeons who seem to have a lot of experience with tummy tuck or weight loss surgery.
Schedule exclusively in person consultations with each of the providers on your list.
Avoid virtual consultations whenever possible.
During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients who had similar body characteristics.
This is we’re having pictures of yourself comes in handy.
Don’t rely on memory of what your body looks like or how much skin laxity you have From each angle.Ask providers to show you examples of previous patients who look just like you do.
Get familiarized with what quality results should look like.
Take care notes during each consultation, especially regarding the quality and quantity of before and after pictures.
When it comes to extended tummy tuck surgery ask specifically if the surgeon is going to turn you to a face down or prone position during surgery.
This is necessary in order to remove the skin laxity on the backside.
It’s the main reason plastic surgeons don’t remove enough skin on weight loss patience.
Turning a patient during surgery is a pretty involved thing.
It is however, necessary in order to get a good outcome if their skin laxity all the way around.
It’s really important that you know this before going into surgery.
It’s one of the questions patients rarely, if ever ask or understand.
A wraparound tummy tuck require requires the patient to be turned during surgery.
There’s no correct number of consultations needed to find the right provider.
The more consultations you schedule the more likely you are to find a better provider for your needs.
The biggest mistake I see patients make is having only one consultation and then scheduling surgery.
This more or less eliminates the ability to choose a better provider.
Average plastic surgeons do average work.
Only the exceptional plastic surgeons deliver exceptional outcomes.
Finding the right plastic surgeon is much more difficult than most people realize and most patients don’t do a good job at it.
My recommendation is to have 3 to 5consultations before considering selecting a provider
Mats Hagstrom MD