I’ve had a few consults and get such a wide variation on recommended procedures. I’ve lost over 90lbs naturally with clean diet and CrossFit 5x+ a week. I’m currently 5’8 and 240lbs which puts my bmi around 36. The doctors I’ve consulted with state I don’t look like I weigh what I do and state losing more weight will impact results. Shouldn’t I lose more weight before surgery? Also what surgeries are recommended? Extended TT or body lift? I’d like MMO with no implants. Opinions please! Thank you
December 23, 2022
Answer: Body contouring 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!
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December 23, 2022
Answer: Body contouring 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!
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December 12, 2022
Answer: Surgery 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.
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December 12, 2022
Answer: Surgery 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.
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