Hello NadineMCX, Thank you for your question regarding advice sorting out your body after losing eight stone postop gastric sleeve surgery. Congratulations on your weight loss! Great job. The most important thing for you now is to continue losing weight. It makes no sense embarking upon reconstructive plastic surgery after massive weight loss at this point. If one or to do reconstructive plastic surgery after mass of weight loss at this time, post-operatively you may continue to lose more weight and thus, damage and destroy your plastic surgery results. This post plastic surgery weight loss may require either partial or total revision of plastic surgery already performed. In terms of the procedures you will need, you will probably need a 360 circumferential lower body lift. The 360 circumferential lower body lift is also called an extended tummy tuck and butt lift, belt lipectomy, or belt abdominoplasty The 360 circumferential lower body lift procedure includes abdominoplasty (tummy tuck), pubic (mons) lift or reduction, hip lift/reduction, and butt lift/reduction. You did not provide pictures of your breast. However, I would anticipate you would need a breast reduction, based on your complaints. I would anticipate you would need a full anchor mastopexy and breast reduction. That means the incision goes around the areola, down the front of the breast, and underneath each breast. On average, the 360 circumferential lower body lift takes approximately six to eight hours to complete under general anesthesia. Typically, your breast reduction would take 4 to 5 hours. In regards to price, this varies widely by geographic location. I would suggest you consult with several board Certified plastic surgeons to get the price range. You may also consider traveling internationally to find a body lift expert. I specialize in reconstructive plastic surgery after weight loss. If you have any more questions regarding the lower body lift, 360 circumferential lower body lift, belt lipectomy, belt abdominoplasty, or belt dermolipectomy please contact my office. Since the body lift is a big procedure, please seek an experienced, board certified plastic surgeon with significant experience performing the lower body lift. Do your research. Make sure they have performed at least 100 circumferential lower body lift surgeries and have the before and after pictures to prove it. Carefully examine their before and after pictures and check their reviews on RealSelf. If you cannot find an experienced, lower body lift surgeon in your neighborhood, consider traveling out of state if you must. Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery RealSelf Hall of Fame, and RealSelf Doctor Advisory Board for Medical Review and Consumer Panel.)