Body rejuvenation recommendations?

Question

In your expert opinion, if the following random 57 yo female came to you for a consult and complained of, in order of greatest concern: 1) Saggy rear end 2) Saggy upper mid back with folds 3) Abdomen saggy and pooching out 4) Saggy breasts (Maybe?) Furthermore, this random individual expressly stated that she is opposed to implants of any kind...What body rejuvenation procedures would you recommend?

Luis A. Mejia, MD · Answer

hello thank you for your question and provided information as well. based in your question and the picture you showed you area  a good candidate for mommy makeover , breast lift with small implant to get projection ,full liposuction in your belly, waist countour, full back liposuction and bbl.

Carmina Cardenas, MD · Answer

You already have a beautiful body shape and that will be a great foundation for a great result. 
Your abdomen looks great but a bit saggy on the upper abdomen and your muscle a bit loose  which make you look protruding. Your buttocks are saggy with great volume and shape. 
So you will be a great candidate for a Royal Lower Body Lift which will help to remove Circumferentially the saggy skin, Muscle Repair to achieve a flatter abdomen and s bit more tapered waist, real buttocks lift using a very low incision to prevent lengthening the buttocks cleft and I would Add some liposuction to lovehandles to add a bit of volume to  top of your buttocks. Just adding volume will not tighten or lifting your buttocks. 
Be encouraged!!!
Dr. Cardenas

J. Timothy Katzen, MD, FACS · Answer

Hello, thank you for your questions about to do for some random 57 yo female's saggy buttock, hanging back skin, saggy abdomen with loose muscle, and saggy breasts.  For the buttock, I would suggest either fat transfer to the buttock or a posterior body lift.  The fat transfer to the buttocks will augment the buttocks and fill some of the buttock wrinkles.  The posterior body lift will definitely remove almost all of the buttock wrinkles.  In regards, to be saggy upper mid back skin folds, I would suggest a vertical torsoplasty, horizontal torsoplasty or brastraplasty.  During this a horizontal torsoplasty procedure, an incision is made across the back, following the bra strap line  The horizontal torsoplasty is a very effective plastic surgery technique to remove upper back skin.  The vertical torsoplasty is another alternative treatment for upper back skin. The benefit of the vertical torsoplasty is that an incision is made from the armpit down the side of the chest. The benefit to this procedure is that the scar is hidden when the arm is by your side.  In regards to the abdomen, there are two main issues. In regards to the "pooching out", this is due to muscle weakness. If this bothers you, the only way to fix muscle weakness is with sutures plication.  This entails suturing the muscles together. This can be accomplished during a tummy tuck or a mini tummy tuck.  In regards to the specific abdomen in the pictures, I would suggest abdominal liposuction.  I would suggest collecting your abdominal fat, and any other pockets of fat throughout your body, and using this fat for fat transfer to your breasts.  Since you do not want breast implants, autologous fat transfer to the breasts would be the best way to augment your breasts.  Fat transfer to the breast is a healthy alternative to breast implants, if you have enough donor fat.   I hope that I have answered your questions about what to do with the body in the the pictures.    Before you make any decisions regarding plastic surgery,  I would suggest you seek consultation with an expert. Please seek an experienced, board-certified, plastic surgeon.  Travel out of state if you must to find such an expert. If you have any more questions regarding plastic surgery in general, please contact my office.  Sincerely, Dr. Katzen. (Certified by the American Board of Plastic Surgery and member of the American Society Plastic Surgeons, International Society of Aesthetic Plastic Surgery, American Academy of Cosmetic Surgery, and Fellow of American College of Surgeons and American Board for Metabolic and Bariatric Surgery, Awardee: RealSelf 100.)

Ryan A. Stanton, MD · Answer

In this case, about the only area i see that can be significantly enhanced is your mid/upper back with a brastraplasty. All the loose skin of your back is removed horizontally leaving behind a scar hidden underneath the bra strap. A secondary benefit is improved definition of the flanks and waistline. Glad to help.

Adolfo Sesto, MD · Answer

Hi. I would recommend you a Tummy Tuck plus Liposculpture and BBL, also an eliptical resection on the lower gluteous crease to remove  excessive  skin. But you should know  that  the skin in your back is only going to improve but will not be corrected completely, this to avoid a procedure that will leave you a scar in the upper back (upper body lift).
International Member of the American Society of Plastic Surgeons (ASPS)
Member of the International Society of Aesthetic Plastic Surgery (ISAPS)
25 year experience

Body rejuvenation recommendations?

Answers (8)

Answer: “Body rejuvenation” without implants.

Answer: “Body rejuvenation” without implants.

Answer: Body rejuvenation recommendations? (Photo)

Answer: Body rejuvenation recommendations? (Photo)

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Body rejuvenation recommendations?

Answers (8)

Answer: “Body rejuvenation” without implants.

Answer: “Body rejuvenation” without implants.

Answer: Body rejuvenation recommendations? (Photo)

Answer: Body rejuvenation recommendations? (Photo)

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Recommended reading

Everything you need to know about Body Lift

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