Should I have a revision with the same surgeon? (photos)

Thanks for your question!
Reach out to your surgeon to discuss your concerns. Let him/her know that you are not happy with the results and may want a revision. Best wishes!

Congratulations on your impressive weight loss! With significant weight loss sometimes a revision is needed due to the laxity of the skin. If you are uncomfortable having a revision with the same surgeon I encourage you to visit a few board certified plastic surgeons near you for a consultation. Discuss your concerns and what you could expect in terms of results.

Hello @danimoo43, thank you for your question. If you're not satisfied with your initial surgeon's assessment or feel that your expectations were not met, it may be appropriate to seek a second opinion from another board-certified plastic surgeon. When considering revision surgery, it's important to consider several factors, such as the surgical technique used during the initial surgery. It's also important to establish a surgical plan that meets your needs and expectations. Your surgeon should be able to provide you with a clear explanation of the surgical plan and the expected outcomes, as well as the potential risks and benefits of the procedure. Best wishes! Alan Gonzalez MD. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), Colombian Society of Plastic Surgery member (SCCP).

Soft tissues, including skin, have significantly decreased elasticity after weight loss. For that reason result after abdominoplasty and, in particular, breast lift, may not be long lasting and may need revision. Good example is your breast; new breast lift and fixation of inframammary fold will be needed. In order to tighten vertical folds of abdomen (horizontal laxity) a skin excision in the midline, with scar extended from sternum to mons, is needed. The same effect may be achieved with two excsions on each side of torso, extending from breasts to hips. It is difficult to evaluate your result without before surgery images, but it seems to be very much within average for someone loosing 90 lbs. Hope this helps.

I suggest you get a second opinion. Achieving 90 pound weight loss is an exceptional achievement. However, most people experience significant skin laxity following significant weight loss. This often results in the skin stretching out within the first year of their abdominoplasty and breast lift that can effect the quality of the results for both procedures (especially if the breast lift is combine with an augmentation). The main question is whether or not your skin has enough integrity to make a revision surgery worth it.