What would be the best procedure for me? I'm thinking breast back fat and stomach (Photo)

Question

I'm thinking breast back fat and stomach!

Jordan Kaplan, MD · Answer

Hi and thank you for providing photographs with your question. What really matters is what your goals are. If your main goals are to remove excess skin, contour your abdomen / waistline, and improve your overall breast aesthetics then I think a circumferential tummy tuck with flank liposuction will be a great procedure. This has the added benefit of removing excess skin from your lower back and elevating your buttock (as composed to a traditional tummy tuck). Your breasts could then be addressed with either a breast lift or a breast lift with implants depending on your goals for breast size and cleavage. Lastly, your upper back does have moderate fat present but also has excess skin that will not be addressed with liposuction. A bra-line lift is a nice procedure but the tradeoff is a visible scar depending on what you are wearing.

I recommend that you find a surgeon who is familiar with weight loss body contouring surgery who can talk you through the different ways these procedures can be safely staged to achieve the best outcome for your aesthetic goals.

I recommend that you find a surgeon who is familiar with weight loss body contouring surgery who can talk you through the different ways these procedures can be safely staged to achieve the best outcome for your aesthetic goals.

Semih Yildiz, MD, FEPOBRAS · Answer

The photos show abdominal skin and soft-tissue excess, fullness of the flanks/back, and breast droop, so liposuction alone would probably not address all of your concerns. Liposuction can help reduce localized fat in the back, flanks, and waist, but it does not tighten loose abdominal skin or lift the breasts.

Based on the photos, an in-person consultation would likely include discussion of an abdominoplasty/tummy tuck for the abdomen, possibly combined with liposuction of the waist, flanks, and back for contouring. For the breasts, the choice is usually a breast lift, breast reduction, or lift with implants depending on whether you want smaller, lifted, or fuller breasts. These procedures are often combined as a mommy makeover when the patient is medically fit, but the exact plan depends on your exam, BMI, skin quality, muscle separation, breast volume, and recovery tolerance.

Chet Mays, MD · Answer

Thank you for your inquiry! I recommend scheduling a consult with a board certified plastic surgeon like myself and we can create a surgical plan based on your specific goals!

Daniel Barrett, MD · Answer

Dear lambgrl444,it is hard to tell for sure without an examination. Based on your photos, it looks like you have a lot of loose skin so you will most likely need tummy tuck, breast and back lift in order to remove it all. 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Emmanuel Mallol Cotes, MD · Answer

Determining the best procedure for you depends on your specific goals, body type, and overall health.

Tummy Tuck is ideal as you have excess skin and fat around the stomach area. It involves removing excess skin and tightening the abdominal muscles, resulting in a firmer and flatter abdomen. Also, liposuction can effectively remove excess fat from the belly and back, resulting in a more contoured appearance.

Choosing the right procedures involves careful consideration of your goals and a detailed discussion with a qualified plastic surgeon. They can guide you through the process and help you make an informed decision that aligns with your desired outcomes.

Sincerely, 
Dr. Emmanuel Mallol

John Michael Thomassen, MD · Answer

You have lost a significant amount of weight.  I would recommend a circumferential abdominoplasty that would address your abdomen, lateral thighs and buttock.  A bra lift would address the excess skin of the mid back, along with a breast lift.  This would be 2 procedures.

David Hansen, MD · Answer

Getting an arm tuck under local with a little iv sedation for complete comfort would look amazing and be easy to undergo. Do the mid back  fat lipo at the same time.

Warren Schutte, MD · Answer

Thank you for providing photographs. It appears that you would be a great candidate for Mastopexy (breast lift), abdominoplasty with lateral hip extension, and as a second stage surgery, a bra strap back lift. Good luck on your plastic surgery journey.

Gary M. Horndeski, MD · Answer

I would begin with your breasts 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. At the same time, you can undergo a tummy tuck. If you are not planning future pregnancies, I recommend abdominoplasty with mesh reinforcement. The mesh creates a more hourglass figure by compressing the abdominal wall resulting in early satiety and helps maintain a reduced weight. After you have healed from these procedures, you can consider a back lift or circumferential body. You may also want to consider a brachioplasty for the hanging arm skin.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Arif Eroglu, MD · Answer

Hello; This is a situation that; can only be solved by removing fat from any parts of your body; there is no. You need for stretching surgery in every part of your body. Lipoabdominoplasty, Inner Thigh Lift, Arm Lift, Back Lift and Lateral Thigh Lift; these are all required and necessary. Of course, by the way; also to the breasts; with or without prosthesis; Breast Lift process is required.

What would be the best procedure for me? I'm thinking breast back fat and stomach (Photo)

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