I've lost nearly 70 lbs since August 2021. I want my body back. What procedures are recommended? (photos)

Question

I ended up immobile for around 4 months after a long hospitalization. Muscle tone was lost and I gained so much fat. I've been steady in a caloric deficit. I've hit a plateau and it's really because of my struggle to see the weight I am losing. The loose bits all over are depressing. I've also lost so many cup sizes. I just want to feel and look sexy again. I'm only 28 and my 20's have been spent with my mom bod. I want to be beach ready and not feel so insecure.

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Camille Cash, MD · Answer

Congratulations on your impressive weight loss!  To address the lower body you can consider a tummy tuck with liposuction.  This would remove excess fat and skin as well as correct abdominal wall laxity.  The result is a flatter, tighter tummy.  For the breasts you can consider breast augmentation.  This would bring back the fullness and volume you've lost.  See a board certified plastic surgeon near you to learn more.

Randy Dean, MD - Account Suspended · Answer

Hi and welcome to our forum!
From your photos, your weight loss has been remarkable. I note residual localized suprapubic fullness and a hanging abdominal pannus as well as minimal fullness of hips, flanks, and inner thighs.
You may wish to consider a tummy tuck and liposuction of hips, flanks, and inner thighs.
As you note a reduction of breast size, a breast augmentation may also be considered.
Visit a board certified plastic surgeon for evaluation and discussion.
Best wishes...

James Fernau, MD, FACS - Account Suspended · Answer

Hello,

Thank you for your question. This is Dr. James Fernau from Pittsburgh, Pennsylvania. In your case, I would recommend a lipoabdominoplasty (tummy tuck). In cases when major skin tightening and body contouring is needed, an extended tummy tuck is recommended. This is a necessary technique for patients who have undergone a significant weight loss. It was developed after some patients noted that even after a full tummy tuck, the parts surrounding the abdomen still showed excessive folds of skin. The incision may extend around the navel, flank, and lower back depending on where skin tightening is necessary. Liposuction is still used and excess skin is trimmed then tightened. Similar to a full tummy tuck, the belly button is repositioned. I recommend a consultation with a board-certified plastic surgeon to determine the best plan for your desired results. Best of wishes.

Sincerely,

James Fernau, MD FACS

Kristine Brecht, MD (license suspended) · Answer

Dear Hannah,
Congratulations on loosing the weight and taking control of your life again!
After big changes in weight, lax hanging skin can be a problem.
Liposuction 360 and tummy tuck are a nice start to get your core back.
Starting with a personalized consultation to discuss your goals is the next step.
Best. DrBrecht 
Seattle, Wa

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Good for you!  Keep working out and get a trainer to help with areas that are bothering you. Also have a consult with a plastic surgeon to see what your options are.

Best of luck!

Jose A. Munoz, MD - Account Suspended · Answer

Hi and welcome to our forum!The before and after compilation is striking!From your photos, I note relatively small symmetric breasts with minimal sag. The abdomen appears to demonstrate a hanging pannus. There is a degree of fullness of the hips.You may wish to consider a breast augmentation to restore breast size, a minor breast lift, an abdominoplasty, and a liposuction of the hips.Visit a board certified plastic surgeon for evaluation, examination, and discussion.Best wishes...

I've lost nearly 70 lbs since August 2021. I want my body back. What procedures are recommended? (photos)

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