Will a LBL Address Significant Saddlebags? I Hear Resagging is Almost a Given.

I have lost about 190 pounds and my primary area of concern are my lateral saddlebags. How effective is the LBL in correcting this area? Or should I be seeking another procedure which is more effective?

Doctor Answers 4

Surgery for saddlebags?

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Thank you for the question and picture. Congratulations on your successful weight loss.

The area you are concerned with can be treated with a lateral thigh lift along with liposuction surgery. If you are also concerned about the abdomen, flanks and lower back areas then a lower body lift would be indicated.

I think you are correct in that some “sagging” after surgery is to be expected given the skin elasticity changes  that occurred after the weight loss.. Nevertheless, as long as your expectations are realistic,  you should have a very nice contoured change with either one of the operations mentioned above.

I hope this helps.

Lower body lift and saddle bags

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A lower body lift (aka circumferential body lift) is essentially 3 procedures in 1: an extended tummy tuck, lateral thigh/waist lift, and buttock lift +/- buttock augmentation.   In my experience the "saddle bag" area can be successfully treated with a properly planned lower body lift.  In some cases, if there are dense fat deposits in addition to excess loose skin, I will often liposuction this area.    You will see significant permanent changes.   In the most severe cases of excess skin/fat in the saddle bag area, an additional smaller secondary tightening procedure may be needed to fine tune the final result.   Please visit with a board certified ASPS member surgeon to learn more about your options.  Best of luck.

Dr. Basu

Lower Body Lift Should Correct Saddle Bags

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A lower body lift, if performed properly, should correct your saddlebag deformity very nicely.  I personally have not seen a recurrence of the problem.  In addition to correcting your saddlebags, a lower body lift should also address excess skin in the buttocks, flanks, and back.  Make certain that your surgeon has performed this procedure since it is very lengthly.  Congratulations on your wonderful weight loss!

John Whitt, MD (retired)
Louisville Plastic Surgeon

Lower Body Lifts and Body Recontouring

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Hello Txestella,

It is true that outer thigh lifts or lower body lifts have a difficult time with the saddlebag region due to it's unique anatomy.  However, that does not mean you won't get a significant permanent improvement, even with some settling of the tissues after surgery.  Body contouring for those that were morbidly obese has a very high re-operation rate due to poor tissue and skin characteristics; it's the norm not the exception.  You should enter into any plastic surgical procedure armed with the knowledge that you will probably benefit from some form of revision surgery that may require general anesthesia or just local anesthesia, depending on how extensive the revision. A responsible and experienced plastic surgeon will tell you this during a preoperative consultation.

Please don't misunderstand what I am saying; body contouring is the best way possible to change your appearance after adequate weight loss, and other less expensive or minimally invasive techniques will give you no results.  An alternative to the LBL is direct excision of the saddlebag region.  It is more effective, but has a much more conspicuous scar placement and will not address other issues including the waist, hip, and buttocks.

Best of luck!

Gerald Minniti, MD, FACS
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 100 reviews

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