Arm lift, tummy tuck. What should I do first? Help (photo)

Personally, many of my patients avoid arm lift scars with Vaser ultrasound liposuction and/or Smart Lipo laser which tightens the skin. Stretch marks may improve but are not removed.You can do this with tummy tuck, but I do not like to add fat transfer as recovery is more difficult.An exam and consultation with a plastic surgeon who performs these procedures is recommended to confirm you are a candidate as well as discuss your options and expectations.

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  Based on
your photographs, it is difficult to determine if you would benefit from an arm lift or liposuction alone of your arms.  A tummy tuck and BBL can be performed together if you are in good health.  If you are an appropriate candidate for a tummy tuck, this can be done through a
low and short incision, all completely below the bikini line.  The belly button can be designed to look
natural and have no scars on the exterior.  
Your muscles can also be plicated resulting in a flat
abdomen.  A BBL can be performed at the same time for improved
buttock and waist contour.     Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon