Lower body lift vs extended tummy tuck with lipo (Photo)

Thank you for your question. Prior to discussing any surgery I would recommend ensuring your weight is stable at least 6 months. If you have been stable for some time now you are likely a candidate for both. Please know that a full in person evaluation would be best. In general, the extended abdominoplasty would address your belly. If you are fine with just that then that may be all you need. A circumferential lift would tighten the outside of your thighs mostly ( it does not appear that you have oa lot of loose thig skin ) It also can add volume to the buttocks if this is of interest to you. And of course, it is always possible to do the extended followed by the lower body lift should you desire. Good luck.

Hello, there's no downside in doing one half of the body as one benefit is you can recover comfortably on the unoperated half. If you're unsure about the buttock you can always do it later.

One thing to consider in whatever timing or sequence you prefer, is the shape of the buttock. If your buttock is flat on the side that will not be improved with a buttock lift and it would actually increase the flatness of the buttock when pulling all the tissues upwards. A curve can be introduced where appropriate by using your own fat. If you do an abdominoplasty and don't use the fat it's lost forever so consider taking advantage of that "yellow gold" to reshape the buttock as part of your operative plan. One way to give you the most comfortable recovery is to liposuction the abdominal wall of all its fat, transfer it to the buttock to reshape it and do the back portion of the circumferential lift. The liposuction area of the abdominal wall is uncomfortable but tolerable to lay on it. Then once recovered, you can have your abdominoplasty and rest comfortably on your back. There are even other combinations so talk in depth with your plastic surgeon about the overall plan so you don't burn any bridges. Good luck.

Thank you for your inquiry! We would love to sit down with you in person and discuss your concerns and your options. Schedule a consultation with a Board-Certified Plastic Surgeon to assist you in reaching your goals.

Dear Trustworthy667278,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

If you are not concerned about sagging in the buttocks or the skin on the sides, an extended tummy tuck with liposuction and BBL would be suitable.
However, if you do have complaints about excess skin in these areas, a lower body lift or 360-degree abdominoplasty would be a better option.

According to the information that you mentioned about losing weight and then fluctuating a little bit with your weight, when that happens, this skin becomes loose and unfortunately it doesn’t always retract completely. In most cases it doesn’t, for those cases I think what would be best for you would be a lower body lift, which is removing all the skin from the lower abdomen all the way up to your lower back, lifting your pubic area, outer thighs, and buttocks. The Extended tummy tuck with liposuction will not give you the best results being that liposuction well yes remove fatty deposits but because the condition of the skin is more so on the loose side, the skin will not retract and will give you the opposite results of what you’re looking for.

Thank you for your photographs. It has been my experience that when patients have lost more than 100 pounds, a lower body lift gives the best and most complete correction of the abdomen, some of the inner thighs, outer thighs, flanks, and buttocks. The difference between an extended abdominoplasty, and a lower body lift is only a slightly longer incision across your back, but this allows lifting and tightening up the buttocks and contouring of your waist, making it a very powerful procedure. Whichever procedure you choose, it would be very important that you have a, dedicated diet and exercise regiment that allows you to maintain your weight and therefore your result from your surgery. Best wishes.

Thank you for sharing your journey. You've achieved something truly remarkable, and it’s exciting to help you move forward with a decision for the best body contouring option.

None of my patients who have undergone a lower body lift have regretted it. However, it’s important to note that a lower body lift is typically only necessary if your buttocks are an area of concern—whether due to sagging, excess skin, or if you feel the size isn’t right for you.

After reviewing your photos, I believe you’ll achieve excellent results with either an extended tummy tuck or a lower body lift. An extended tummy tuck, especially combined with liposuction, will beautifully address your abdominal area and flanks, giving you the contoured results you're after. If you’re looking for changes around the back and buttocks as well, the lower body lift would address these areas for an all-around transformation.

Whichever you choose, I recommend considering the procedure sooner rather than later so you can enjoy the results of all your hard work as you continue your journey. Please feel free to reach out with any further questions, and I look forward to helping you achieve your goals.

Sincerely,
Dr. Katzen

Dear TrustWhorthty667278, thanks for sharing your pictures and concerns, after evaluate your case you look like a great candidate for 360 Vaser Liposuction, Extended Tummy tuck with muscle repair (Maybe Fleur de Liz Tummy Tuck) and to give butt projection to your buttocks Ultrasound guided BBL. Make sure you go on consultation with a board-certified plastic surgeon. Hope this helps and best of lucks. Dr. Luis Mejia.

I would not recommend a body lift to start with. Most of your skin laxity is on your tummy and I would bet that taking care of the loose skin on your tummy would meet your expectations. Liposuction of your hips and waist will finish off your midsection contour and your skin will retract nicely. If, at a later date, you wanted to extend to a body lift, then you could proceed without burning any bridges. It just seems to me that a body lift with a scar extending to your gluteal cleft will be a long run for a short slide . . . Also, regarding rejuvenation of your tummy, the first question to ask is if you have noticeable diastasis, meaning a bulge in-between your six-pack muscles when you do a sit up or plank type of action. Your muscles look flat in your photo so this is likely not a major issue in decision making. Assuming so, opt for liposuction (not a major part of the procedure) with skin excision and umbilical transposition. This is a tummy tuck type of skin excision excluding the muscle tightening. This can be done with an oral cocktail for sedation and local tumescent anesthesia, so you never go "under". There are no drains with resumption of activity as tolerated. There is an overall lower complication rate and down time compared to a traditional tummy tuck. This is a great option for many women out there . . . An in-person exam by an experienced body plastic surgeon will help guide you in your decision. Thank you, I hope this helps