Mommy makeover - what procedures would you recommend after 75 pound weight loss? (Photos)

Question

I am 40 y/o 5’2 158lbs. Ive struggled with having excess weight around my midsection my whole life mostly due to PCOS. I have recently lost around 75lbs. Would I get good results with a ex tummy tuck? I would also like my breast to be lifted. What procedure would you recommend for both?

Luis A. Mejia, MD · Answer

Hello, thank you for your question, first of all congratulation on your weight loss, after evaluating your case, if you have good Hemoglobin levels... a Vaser Liposuction Technique, witch will help with the skin retraction, a Ultrasound guided butt fat transfer to improve projection and volume of the area, and a Tummy Tuck with muscle repair will definitely improve your self steam, now depending on your labs values a Breast Lift could be done.

J. Timothy Katzen, MD, FACS · Answer

Hi nlj4521, Thank you for your question regarding a mommy makeover and the procedures you would recommend after a 75-pound weight loss.  Congratulations on your weight loss!  Great accomplishment.  Thank you for your history and your pictures.  First, we should analyze your images to determine the most appropriate procedures.  You have excess skin and fat on your abdomen, hips, and upper buttocks.  Medically, you have cutis pleonasmus (excess skin), dermatocholosis (loose skin), cellulite, and striae (stretch marks) of your abdomen, hips, and buttocks.  To address all these areas in one surgery, most experienced plastic surgeons would recommend a 360-degree circumferential lower-body lift.  This would include a tummy tuck, pubic lift, rectus abdominis muscle plication, hip lift and reduction, and buttock lift and reduction.  If the incision is placed low in the pubic region, and high over the superior iliac crest (hip bone), you will get a more of an hourglass shape.  This incision pattern, called a high-lateral tension lower-body lift, would yield optimal results.  You can also take some excess fat and augment the buttocks if you would like a Brazilian butt lift or BBL.  A second choice would be an extended tummy tuck with aggressive liposuction over the superior iliac crest (or the love handle region).  This would achieve good results, but not as good as a 360-degree circumferential lower-body lift with a BBL.  With the extended tummy tuck, you can transfer the fat to the buttocks as a BBL.  If your breasts bother you, you could undergo a mastopexy or breast lift.  The best breast lift for you would be an anchor or an inverted T, Wise pattern mastopexy.  A second mastopexy alternative, though not as good as the anchor mastopexy, would be a vertical or lollipop mastopexy.  Your mastopexy and either your 360 circumferential lower-body lift or extended tummy tuck and BBL can be combined into a single procedure.
Alternatively, you can stage any of these procedures.  Good luck.  To get an accurate assessment of what exactly you need, schedule a free virtual consultation.  Most plastic surgeons offer free virtual consultations.  I hope I have answered your question regarding a mommy makeover and the procedures you recommend after a 75-pound weight loss.  If you have any further questions regarding the lower body lift, 360 circumferential lower body lift, belt lipectomy, belt abdominoplasty, or belt dermolipectomy, please consult an experienced plastic surgeon.  Because the body lift is a complex procedure, please consult an experienced, board-certified plastic surgeon with significant experience performing the lower body lift.  Do your research. Ensure they have performed at least 150 circumferentiallower-bodyy lift surgeries and havebefore-and-after photographss todocument thist.  Carefully examine their before-and-after photographs and review their RealSelf reviews.   If you cannot find an experienced lower-body lift surgeon in your neighborhood, consider traveling out of state if necessary.   incerely, Dr. Katzen, MD, MBA, FACS, FICS, FASMBS (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.)

Sedat Tatar, MD, FACS, FEBOPRAS · Answer

Hello, I’m Dr. Sedat Tatar, a double board-certified plastic surgeon from Istanbul.
Congratulations on your weight loss &mdash; that’s a major achievement. Based on your description, many patients with significant weight loss and PCOS-related fat distribution can achieve very good results with an extended tummy tuck, which helps remove excess skin and tighten the abdominal area. If your breasts have lost shape or position, a breast lift (mastopexy) can be done at the same time to restore a more youthful contour. The ideal approach depends on your skin quality, remaining fat distribution, and expectations, and should be planned individually for the best and safest outcome.

Vasileios Vasilakis, MD, FACS · Answer

Hello, 
Thank you for the question and congratulations on your weight loss!! The best surgery for you would be a circumferential lower body lift (includes a tummy tuck), liposuction to areas of your body, and a breast lift. 
I wish you the best
Vasileios Vasilakis, MD FACSDouble Board-Certified Plastic Surgeon

Gary M. Horndeski, MD · Answer

You would benefit from a few procedures and I recommend starting with your breasts first. The technique I recommend is a breast lift using 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. This will also lift the upper abdominal skin. After this is done, you will need a circumferential body lift and it can be done in 2 stages, doing the abdomen first and then the back. The abdomen may be able to be done at the same time as the breasts.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Mehmet Ozdemir, MD · Answer

Hi and thank you for your question.
Based on your current body shape, I would recommend liposuction, a tummy tuck, and a breast lift to address excess fat, loose abdominal skin, and breast sagging.This combination is typically the most effective way to achieve balanced, natural results. I hope this helps.

Laura Roider, MD · Answer

Yes! Based on your photos you are a good candidate for an extended tummy tuck. This could be performed in conjunction with liposuction 360 to help improve contour and remove some of the residual fat. For your breast you should consider a mastopexy (breast lift). Depending on your goal size you could consider adding an implant or fat grafting to increase the volume and add some cleavage. 
To optimize your long term results you should be as close to your goal weight as possible!

Ayhan Isik Erdal, MD, FACS, FEBOPRAS · Answer

It seems you'll achieve your desired result with a 360-degree (circumferential) tummy tuck (lower body lift) combined with a breast lift. Of course, liposuction should also be performed where necessary. Best wishes.

Camille Cash, MD · Answer

Congratulations on your impressive weight loss!  From the photos and descriptions of your concerns you appear to be a good candidate for an extended tummy tuck with liposuction for contouring and a breast lift.  This will remove excess subcutaneous fat and skin as well as correct abdominal wall laxity.  The breast lift will remove excess skin and lift the position of the nipple for a more youthful breast appearance.  When you have met your weight loss goal and are able to maintain it, schedule a consultation with a board certified plastic surgeon near you.

Mommy makeover - what procedures would you recommend after 75 pound weight loss? (Photos)

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