Excess skin removal - what is the correct order to get these procedures in?

Thank you for your question regarding the correct order of procedures after a 146 lb weight loss. Congratulations on your weight loss. Great job! There are many scenarios where reconstructive surgery can be ordered after massive weight loss. I've been undergoing reconstructive plastic surgery after massive weight loss for 20 years. I think the best way to address all these areas is in a specific order. I would first suggest a 360 circumferential body lift. This would entail an abdominoplasty (tummy tuck), mons lift, pubic lift, muscle plication, hip lift and reduction, and buttock lift and reduction. Depending on your medical health and your plastic surgeon's team, doing the thigh lift simultaneously with the 360 circumferential body lift is possible. I would then wait one month and proceed with the arm lift or brachioplasty as well as the breast lift or mastopexy. As for pricing in Chicago, I do not know the pricing. However, many patients come to Beverly Hills from Chicago for these procedures. Thank you for the question regarding the correct order of operations after a 146 lb weight loss. Congratulations on your weight loss.

I always begin with the breasts because it pulls up the upper abdominal skin. The breast lift can be done simultaneously with a tummy tuck or you have have the breast lift and thigh. You will need 2 stage surgeries to have all these procedures done.

Best Wishes,

Gary Horndeski, M.D.

In my professional opinion, the correct sequence if lower body lift (this includes a tummy tuck and butt lift combined together), upper body lift (this includes an arm lift and breast lift), followed by a thigh lift performed last. 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!