Why would some surgeons recommend adding lipo/360 lipo to a tummy tuck and others not think it's needed? (Photos)

After 100 lbs. weight loss, it is highly probable that your breasts have descended as well. I usually like to do a breast lift prior to a tummy tuck because if you do the tummy tuck first then it will pull the breasts further down making is harder to lift the breasts as high as possible. If the breasts are done first then this will pull up the upper abdominal skin and can minimize the amount of dissection necessary for the tummy tuck. The breast lift technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. At the same time, a tummy tuck can be done. If you are not planning future pregnancies, I recommend abdominoplasty with mesh reinforcement. The mesh creates a more hourglass figure by compressing the abdominal wall resulting in early satiety and helps maintain a reduced weight. After these have been completed, then you can consider liposuction and possible fat transfers to the breasts, if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

I often add liposuction as part of the tummy tuck procedure. It helps to enhance the new contours created by the tummy tuck and get my patients a more complete result. The hips/flanks and back are generally safe areas to combine with the tummy tuck. The surgeon will assess how much excess fat you have but a little extra sculpting can make an impressive difference.

Based on your nicely series posted photos there was no right or wrong answer. If possible, with the understanding that plan surgeries sometimes cannot be completed due to interoperative findings. I.e. length of surgery blood loss combinations of other issues therefore, planning multiple surgeries can usually be done, but is not a guarantee. Based on the photos you posted my initial plan. Recommendation would be an extended tummy tuck with muscle repair, Lipo of the back waist flanks, bilateral upper arm lift in combination fee $35,000. If all suit procedures cannot be done a secondary procedure, which would also include more life of necessary would be planned approximately 4 to 6 months after the first Procedure With all this in mind all the surgeons you saw or essentially saying this, but best to do a virtual consult so if you want more detailed information, try reaching me regards and good luck