Should a 270° tummy tuck be sufficient to remove excess skin, or am I likely to require a 360° body lift? (Photo)

Either of those options are fine. If you go 270 degrees you will probably need to be turned facedown fir part of the surgery. At that point why not go all the way around.

Congratulations on your weight loss!! Body lift surgery is one of the most common procedures used to improve the body's appearance after massive weight loss. Based on your photos, it seems like you may benefit from a liposuction, extended tummy tuck and lower body lift. Consult via email or Skype with a board certified PS who can answer your specific questions.

Hi there, thank you for your question. You are a very good candidate for tummy tuck due to the sagging on your tummy. But, it seems that there is also excess skin on your back, that's why; you might need 360 body lift. The best advice can be given after virtual consultation.

You have excess skin that extends posteriorly. It is hard to assess how far posteriorly because the underwear is distorting the skin envelope. You would be better off with a 360 body lift as that will give you more pull and pull in the sides better. A 270 tummy tuck may be possible but I recommend the 360 body lift.

Best Wishes,

Gary Horndeski, M.D.

Congratulations on your weight loss! Since the excess skin is loose, the only way to effectively make your body contour tighter is to remove this skin. The more you remove, the tighter the outcome. An extended (270) abdominoplasty would do very well since there isn’t as much loose skin in the middle of your back, but 360 bodylift would make that area tighter too. I would recommend that you do the 360 for the tightest result. Best of luck!

Thanks for the question.

In this regard, I recommend you a Tummy Tuck to get a flat abdomen and waist and back Liposculpture, getting better curves especially in the waist, improving your body contour.

Kind regards,
Dr. Emmanuel Mallol Cotes.-

Thank you for your question and photos. Your BMI is 25 and you are a good candidate for body contouring surgery. Unfortunately, the posted photos do hide the areas of the lower abdomen and back for a good evaluation. With a 125 lbs. weight loss, it is most likely that a full abdominoplasty with a lower body lift will give you the best results. You also need liposuction of your back, chest and lateral chest wall at the same time.
See a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person consultation/evaluation. Good luck.
See attached web reference.

Thank you for sharing your question and photographs. It appears that an extended TT (270degrees), should provide you a nice improvement. Hope this helps.

Dear adjustermarc,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Congratulations on your weight loss, and it appears that an extended tummy tuck with slight extension of your incisions and flank and lower back liposuction would be your best option. This would address the redundant skin of your abdominal region and it does not appear you have a great deal of redundant skin of your back. Consult with a board-certified plastic surgeon in your area to confirm my advice. Good luck.