5'8, 240lbs, BMI 36 - what surgeries are recommended for my body type? (Photos)

I would recommend achieving a steady state for 3-6 months prior to proceeding with surgery.
Based on your pictures I do not know what your concerns are. With massive weight loss the common concerns become excess skin and deflation of breast tissue. You would need to reposition your breasts in the form of a lift to address the skin. The deflation can be best addressed with an implant, however that depends on your aesthetic goal and needs!
Regarding the torso you have excess skin in the vertical and horizontal vectors. This may even be covered under insurance in your case. If you are scar averse a horizontal incision and traditional tummy-tuck/abdominoplasty. If you want to be as tight as possible and do not mind a midline scar then a fleur-de-lis abdominoplasty.
Regarding the posterior torso, if you feel you have decent of buttock tissue you do a lift. However, I would be curious if LIPO 360/BBL as a second stage would be more in line with your goals?
This really depends on your needs and aesthetic goals. In conjunction with a physical exam a board certified plastic surgeon can help guide you in this process. Hope that helps. Here if I can be or service. Thanks.

Dear KJJ7,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

It appears you have had massive weight loss - congratulations! Great job doing it with diet and exercise.If you are at your nadir of weight loss (low point) and weight has been stable for 6 months and no other medical problems (heart disease, high BP, diabetes, vitamin deficiency, etc) then you could proceed with body contouring procedures.
You will likely benefit from a breast lift +/- implants or potentially fat grafting in a 2nd surgery to augment the upper pole of the breasts.You will likely benefit from a circumferential body lift (360 degrees liposuction, belt lipectomy and incision all the way around waistline and back to tighten and lift the buttock, lateral thighs, flanks, back, bra lines and abdomen/pubic areas). You will likely benefit from a staged thigh lift as well (liposuction to debulk and sculpt the inner, outer and anterior and posterior thights) and then come back in 6 months and perform a formal thigh lift.
These are long extensive surgeries but they will best deal with the loose skin and irregular contours.
Many surgeons and facilities have BMI cutoffs of 30-35, and while may seem arbitrary, there is some data showing increased risk of complications for patients with higher BMI's. If you are able to to lose more weight, and are not yet at your low point/nadir of weight loss journey, then it is best to wait so you don't deflate further after surgery.
I hope this helps, just my opinion, which obviously does not override my overall recommendation to be seen by a trusted and experienced Board Certified Plastic Surgeon so they can review your weight loss, medical and surgical history and examine you.
Wish you well and great job again losing the weight!

At 5'8", you need to be below 200 pounds for a healthier weight, so keep going. Try to lose another 50 pounds. Then, consider the areas that bother you, and have them treated.

Congratulations on your impressive weight loss! It is best if you achieve your weight loss goal before considering surgery. After that you can consider a circumferential tummy tuck with liposuction for contouring as well as a breast lift. It appears you would have adequate tissue for an autoaugmentation which uses your own tissue to provide upper pole fullness with a lift. I welcome you to visit with us in the Houston area once you have achieved your weight loss goal.

I would suggest a belt (circumferential) abdominoplasty first.
Then I would consider a bilateral breast lift (anchor scars) to elevate and round out your breasts.
Dr. Taranow

Do you have a significant skin laxity and that is your major problem. Do you need an extended wraparound tummy tuck or consideration of a fleur-de-lis pattern tummy tuck.
That is the quintessential correct procedure for you. A breast reduction could be covered by medical insurance and will give you an aesthetic lift as part of the package.
Doing these as a combined procedure would allow medical insurance to cover an overnight stay in a hospital or medical facility to recover from the breast part of the operation which should be covered by insurance.
The biggest mistake is not doing it either an extended wraparound tummy tuck or adding a fleur-de-lis pattern. I suggest having multiple in person consultations. Ask surgeons to show you before and after pictures of previous patients with similar amounts of skin laxity to get an idea. Look for the following hallmarks of quality tummy tuck surgery. A natural looking belly button is probably the sine qua non of quality work. The incision should be said very low and be equal on both sides following anatomic contours naturally. The torso should look balanced and proportional from all angles including from behind.
A standard tummy tuck ignoring the fullness with skin laxity in your love handles would be a mistake.
Bring pictures of your own torso print it out with you to use for reference during consultation. Ask providers to show you similar patients with similar body characteristics when reviewing before and after pictures to get an idea of what the procedure or results will look like.
A standard tummy tuck will leave you coming back to have the second half done later because it will leave you with disproportionate and unbalanced.
An experienced provider should have what seems like an endless number of before and after pictures to choose from.
Providers that don’t have sufficient before and after pictures of patients with similar body characteristics to your own are simply lacking experience and you need to continue consulting with more providers.
Start with five consultations and continue adding more until you know you found the right provider.
Again my recommendation would be a 360 wraparound tummy tuck with an insurance based breast reduction done in a medical facility where you can spend the night and the insurance based of the procedure it would pay for the overnight stay.
You would still be responsible for the cosmetic part of the operating room and anesthesia fees.
That would be the ideal package.
Best,
Mats Hagstrom MD

Hi and welcome to our forum!
BMI (body mass index equals weight in kg / square of height in meters) is one criterion to determine the anticipated results of a cosmetic surgery. You can find BMI calculators on the internet. If your BMI is greater than 30, the cosmetic result will not be optimal. If your BMI is greater than 35, your operative risk will rise. In our practice we recommend a BMI of less than 30.
We recommend that you be at a healthy comfortable stable body weight at the time of surgery. The cosmetic effect improves with lower BMIs.
We recommend a regimen of diet and exercise to reach a safe and healthy body weight. If not achievable, one may consider a bariatric procedure such as a gastric sleeve to achieve dramatic weight loss. The procedure is now being performed on an out-patient basis.
Visit a bariatric surgeon for in-person evaluation and discussion.
Best wishes...