Should I get a Breast Lift or Brazilian Butt Lift first? And can I get Breast Augmentation w/ implants if my breast are sagging?

After
130 lb weight loss, you have stretched the skin of your breasts, abdomen,
buttocks and thighs.It would be
impossible to do all these procedures at the same time.I would begin with the breast lift.If you are happy with the volume of your
breasts in a bra then implants are not required.However, you do need a lift and I recommend a
new technique called The Ultimate Breast Lift™.The breast tissue is reshaped creating upper pole fullness, elevated
higher on the chest wall and more medial to increase your cleavage.This technique avoids the ugly vertical scars
of the traditional technique, maintains nipple sensation and the ability to
breast feed.After the breast surgery, I
recommend Abdominoplasty with Mesh Reinforcement.The mesh increases the mechanical strength of
the abdominal wall resulting in early satiety, weight loss and maintains the
reduced weight.After the abdominal
surgery, I would consider the anterior or posterior thigh lift.The last procedure would be fat transfer if you
have adequate tone of your skin to support fat grafting.Best Wishes,Gary Horndeski, M.D.

These procedures cannot be done in one sitting.  If you just have loose skin and not much fat then it really doesn't matter how you proceed first. It really depends on what you want. If you have excess fat that can be transferred to your buttocks for improved shape then that should be done first. Implants and a breast lift can be done at the same time. You just need to seek consultation from a board-certified plastic surgeon.

It is unlikely that you will have adequate skin tone for a BBL. More likely, you will need to undergo a body lift; your buttocks can be made larger at that procedure by your surgeon by shifting tissue from you hips to buttocks. Depending on whether or not your breasts are drooping after your significant weight loss will dictate whether or not you need a breast lift along with implants. Obtain a consultation with a board certified plastic surgeon experienced in these procedures.

Congratulations on your weight loss!Without a complete physical exam --- it is impossible to accurately assess.  However,generally speaking after a massive weight loss a patient is left with excess skin that needs to be removed -- usually in stages. So, again you need to schedule an appointment with a qualified Board Certified Plastic Surgeon who specializes in Post Bariatric Reconstruction.

Photos would have helped with more useful responses.Simple answer to one question--these should not all be done at once. I would ask you what bothers you the most, and usually start there. If neutral, I  would probably favor the body lift first, and in all likelihood try to build up the buttocks with tissue that would otherwise be tossed. Many weight loss patients do better to have an augmentation and breast lift done separately, but this is a case by case decision, and involves safety. Consultation with a plastic surgeon will be the way to review your options. All the best. 

Weight loss patients pose an entirely different scenario.  You would most likely need the lower body lift first followed by the breast surgery.   If there is enough fat to harvest then you may be able to do the BBL.

Congratulations on achieving the weight loss.  You ask very important questions, the answers to which will require a direct exam and discussion with a board certified plastic surgeon. Don't shortcut the process-schedule 2 or even 3 consultations, because there could be more than one way to approach the problem. For example you can create a more prominent buttock with some of the tissue you might otherwise throw away from the body lift procedure. I would certainly not try to do everything you mentioned at once-it would be too stressful on your system. Ask the PS what kind of experience they have with these types of operations, what kind of complications they have had (if they say "none" be skeptical), what the recovery is like for starters. Check out the ASPS website at plasticsurgery.org for more information. Good luck!