When to fix excess skin on side of boob?

First, let me congratulate you on your weight loss. I suggest that you lose the weight down to a weight that you can maintain before having your surgery.

The extra skin and fat lateral to your breast and just under your axilla will probably have to be excised to achieve the tightness that you will probably want. This can be done when you have your mastopexy (uplift) or it can be done separately. Your plastic surgeon may suggest a liposuction for this area, and that will certainly reduce the volume of fat, but I suspect you will continue to have too much excess skin. With a personal examination your plastic surgeon can determine whether you need the above-mentioned skin excision as well as a liposuction.

Stick with your diet, and you will be a much healthier person with more longevity. Best of luck to you, and thank you for your question and photos.

The roll lateral to your breast is very common as I am sure you have seen on others. It would be best to have this corrected at the same time as the mastectomy. Depending on the exam it needs liposuction Skin excision , or both. Good luck.

Discuss this issue with your surgeon.   From your pictures it appears as though the issue can be improved with liposuction at the time of your breast lift .   The mastopexy incision may need to be extended to remove the excess skin.  After your weight loss is completed, your surgeon will be able to better define the treatment.  Good Luck.