Can you get butt implants at the same time as 360 bodylift? If no, is it best to get implants before or after 360 BL? (Photo)

Question

Hello Im 54yr white female 2yrs post Bariatric surgery. I had a ry gastric bypass. Ive lost 90lbs. My max weight was 215lbs and my current weight is 125lbs. I am 5 feet tall. I really want a 360 body lift , arm lift, breast lift with implants and butt implants. Im hoping to find a surgeon to do my bodylift and hopefully butt implants togther.

Ryan A. Stanton, MD · Answer

Allow me to answer your question as best i can based upon your photos. However, please keep in mind that an in-person, or at least a virtual, consultation with physical exam is first necessary before any legitimate evaluation or final surgical recommendations can be made.

I typically would perform both procedures together for several reasons.  One, significant increase risk of wound healing complications if done together. Two, a surgeon can be much more accurate in both procedures when doing them separately. I personally like to place the buttock implants first to recreate the buttock mound/projection/landmarks so that i can more accurately later place the incisions/scar for the 360 lower body lift 6+ months later.

Keep in mind however that very few plastic surgeon truly specialize in intramuscular buttock implants and the first time around has the absolute best chance for aesthetic success. Revision  for botch-jobs are not only very expensive but extremely challenging to achieve, at minimum, a reasonable aesthetic final outcome.  Because of this, patients not infrequently have to fly long distances to have their surgery done by a board-certified plastic surgeon whom specializes in buttock implants. Glad to help.

Lane Smith, MD · Answer

Congratulations on your weight loss! Now to answer your question, can a surgeon do it all at once safely with decent results? Possibly. Should they? Probably not. I’d recommend breaking it down into 2-3 separate procedures. No one wants to deal with the down time multiple times but sometimes that’s necessary to avoid having less than optimal results. It looks like you have a lot of excess skin to remove. You’re already going to be under anesthesia for an excessive amount of time if you decide to lift all of the areas needed. Plus for optimal results you will want to already have the excess skin removed to see what size implants you’ll want to go with for buttocks. For Butt implants, you’ll also need to be laying on your tummy for a while, that is not conducive to the arms, breast or abdomen procedures having optimal results. I recommend consulting with a board certified plastic surgeon to reach your goals with minimal complications and optimal timing for the results you desire.  
We would love to see you here at Smith Plastic Surgery when you are ready.

Kenneth Hughes, MD · Answer

The lower body lift is a surgery that involves removal of loose skin by way of an incision that goes around the waist and helps tighten the abdomen, sides, lower back, outer thighs, and butt. The lower body lift will create a flat abdomen along with an improved waist and an improved lower back. At the same time, the buttock can be lifted and the outer thighs can be improved.
You may also need a TT to take care of the skin and abdominal wall laxity in the front of the body. However, some patients may have loose skin on the back, buttocks, or lateral (outer) thighs as well. This is referred to as a posterior lower body lift. The TT and the posterior lower body lift performed at the same time is a lower body lift.

Daniel Barrett, MD · Answer

Dear Wannabesexy2,
I understand your concern. It is best however that you consult with a board certified plastic surgeon to determine whether you can have several aesthetic surgeries in one session, as this would depend on various factors including but not limited to your general health condition, the type of anesthesia that will be used, and the type of surgeries that will be performed among others.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Paul E. Chasan, MD, FACS · Answer

Thank you for your question.  I routinely perform buttock augmentation with implants, fat transplantation to the buttocks, and body lift together.  I believe this is the best combination to achieve the most attractive buttock.  My practice is uniquely set up for this as I have an assistant surgeon that works with me on a regular basis and we keep patients in our facility overnight.  Best wishes to you.

Felix Omar Márquez, MD · Answer

Hi, thanks for your question and photos. It's common in bariatric patients, after successful weight loss, to have excess skin. You are a candidate for a Full Tummy Tuck with Liposuction and BBL or fat transfer to the buttocks. The procedures are performed at the same for the best result. You can eliminate fat deposits and saggy skin and get shape and volume to the buttocks. Consult a board-certified plastic surgeon in your area for a physical exam. Good luck!

Mats Hagstrom, MD (license on probation) · Answer

Successful, massive weight loss patients are often candidates for numerous skin tightening procedures. The list of all the procedures you mentioned is too much to be done in the single session. Gluteal implants is not a good procedure and it’s definitely not a good procedure to be done in conjunction with a body lift.
I suggest you focus on the procedure that’s going to have the greatest impact and makes the most sense and do that first. For most patients, this is going to be a body lift with or without a breast lift(+- implanants). Once you’ve healed up properly from those procedures, your body will be quite different and you can get a new assessment in regards to what priorities are next.
Priorities, can evolve and change as patients go through the multiple stages of managing diffuse skin laxity after successful, massive weight loss. I do not recommend putting go to your implants high on that list. If anything, it should be the last procedure.
The majority of board-certified plastic surgeons in the United States, do not offer gluteal implants, despite the fact that most plastic surgeons offer almost all described cosmetic surgical procedures. There’s a good reason why most plastic surgeons don’t offer a good deal implants. The procedure has very high complication and failure rates. Long-term patient satisfaction is generally not hire with this procedure. It is best done only buy plastic surgeon to exclusively specialize and use intramuscular placement of implants the properly fit within the gluteus muscle. Even if done correctly, the procedure still has a long list of potential issues, complications, including failure.
Start the journey with the procedures that have high, patient satisfaction consistently as described above.
I suggest having multiple in person, consultations for the local board-certified plastic surgeons. I generally recommend anybody considering permanent and irreversible surgical body contouring procedures start by having at least five in person consultations. I do not recommend virtual consultation, and I do not recommend people travel long distances for elective surgical procedures.
During your consultations, you can get a clear plan of action, and ask questions about each of the procedures.
Best,
Mats Hagstrom, MD

Can you get butt implants at the same time as 360 bodylift? If no, is it best to get implants before or after 360 BL? (Photo)

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