Timing on Breast Augmentation / Upper Body Lift (Photo)

Question

I’m a 40 yr male looking at gender affirming care and have gone through massive weight loss. I originally weighed over 500 lbs and now weight about 270 and still dropping. I plan on having feminizing top surgery later in the future (as well as FFS & voice feminization later) but also have some sagging skin. My question is, do I want an upper body lift at the same time as breast augmentation or do I want to do that first, heal and then later do the BA? Im open to travel for surgery

Krishna Vyas, MD, PhD, MHS · Answer

It’s great that you’re thinking ahead about your surgeries and how to approach them for the best outcome. Once you have achieved your weight goal, you will want to maintain that result for 6 months prior to surgery. When it comes to timing your breast augmentation and upper body lift, there are a few factors to consider. Many people opt to have the upper body lift first, followed by breast augmentation, especially when there is significant sagging or excess skin. This is because an upper body lift typically involves removing excess skin around the chest and shaping the area, which could affect the placement or outcome of breast implants. By doing the UBL first, it ensures that the chest area is properly contoured before adding implants, which can give you a more aesthetically pleasing result. Also, you will not want to lie on your back and your breasts at the same time for recovery, so it is best to separate the surgeries by several months. If you’re considering traveling for surgery, be sure to factor in the potential need for extended post-op care and follow-up appointments.

Your decision should involve a discussion with your surgeon to assess your specific needs, body shape, and goals. A surgeon with experience in both gender-affirming surgeries and post-weight-loss procedures can help you develop a personalized plan that minimizes risks and gives you the best possible results.

Dr. Krishna Vyas, MD, PhD, MHS
Harvard, Johns Hopkins, & Mayo Clinic Educated
Double Fellowship Trained 
Aesthetic Plastic Surgeon
New York, New York

Marco Carmona, MD · Answer

Hi Jose
In my experience, patients that have been overweight have bigger blood vessels and conducts, so the possibility of higher blood loss during the surgery is there. Also, there are quite some longer incisions that have to be made and for proper healing, I would recommend to do the surgeries separately. 
Please feel free to contact us for further information.

Timing on Breast Augmentation / Upper Body Lift (Photo)

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Timing on Breast Augmentation / Upper Body Lift (Photo)

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Everything you need to know about Feminizing Top Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.