I lost 130 lbs, now I don't know what procedures to get. What is the most cost effective route to take? (photos)

Question

I lost 130 lbs over all, I'm down to around 15% body fat after weighing 243 lbs. My stomach, my thighs, my breasts, my mons and butt are the most frustrating to me now. I don't know what is the most cost effective route to take to handle so many areas. I'm leaving a terrible relationship and just want to feel comfortable again. Photos are my before and now.

J. Timothy Katzen, MD, FACS · Answer

Congratulations on your significant weight loss and for overcoming personal challenges. You've accomplished so much already!
Given your weight loss, I would advise staging your procedures into two parts for optimal results and safety.
The first stage could focus on your lower body, including a 360-degree circumferential lower body lift and a vertical medial thigh lift. The lower body lift would address several areas, including lifting and reducing the pubic region, flattening the abdomen, permanently removing excess skin inside the abdomen, lifting and reducing the hips, and similarly addressing the buttock area. The thigh lift would involve liposuction and an incision following the inseam of your thigh, significantly improving the shape of your inner thighs.

After a suitable recovery period, the second stage could focus on your upper body. An arm reduction, using an incision from the armpit to the elbow, might be considered, though a proper evaluation of your arms would be needed for a firm recommendation. For your breasts, the approach would largely be dictated by your personal goals. If you desire larger breasts, a breast augmentation could be considered. It appears a lift may not be necessary, but a full examination would provide a more definitive answer.
All of these procedures would be conducted under general anesthesia and are outpatient in nature. Typically, you could expect to return to a sedentary type of work around 3-4 weeks after the first stage and around two weeks after the second stage. Of course, prior to scheduling any procedures, necessary medical assessments would be performed to ensure you're in good health.
Once again, kudos on your incredible transformation so far! You've made great strides and I'm confident that, with a tailored plan, you'll achieve the look you're aiming for.
Sincerely,
Dr. Katzen

Marguerite E. Aitken, MD, FACS · Answer

A consultation would be most beneficial. That way I can feel your skin and see if a classic abdominoplasty would be most beneficial, or a circumferential. The circumferential will give an outer thigh lift as well. Both procedures will get rid of your mons area and it will also give this area a big "pick up".

Dallas Buchanan, MD · Answer

Congrats! I would say that it is likely going to take staged procedures to achieve all your goals. For me when it comes to weight loss patients, the most bang for your buck is the body lift. This is a circumferential tummy tuck which includes improvements to the lateral hip and flanks, elevation of the buttock (with sometimes augmentation with your own tissue), and even improvements in the mons. I would start there and then go from there with additional procedures.
Hope this helps!
Dallas Buchanan, MD
VIVIFY plastic surgery
Tampa, FL

Luis A. Mejia, MD · Answer

Dear HannahRae94, thank you for sharing your question. After analyzing your case I can say you're a good candidate for Lipo in your flanks and back + tummy tuck, BBL and breast lift and augmentantion with silicone gel implants, this procedures will provide you an amazing shape. Make sure you go on consultation with a board-certified plastic surgeon. Hope this helps and best of lucks. Dr. Luis Mejia.

Zoran Potparic, MD · Answer

You have wonderfull result after weight loss! Obviously good biology and strong will. Tummy tuck vs. circumferential body lift (belt lipectomy) are options. I will be inclined towards body lift with flap augmentation of buttocks to give you some perk there. Most likely, breast augmentation without lift will work for breast improvement. You are very good candidate for these surgeries, but you also need an expert board certified plastic surgeon to sucseed. Try not to limit yourself with "best price". Good luck.

Daniel Barrett, MD · Answer

Dear HannahRaye94,
congrats on the weight loss. it is hard to tell for sure without an examination. Based on your photos, it looks like you would benefit from a tummy tuck and breast lift. 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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Camille Cash, MD · Answer

Wow! Congratulations on your impressive weight loss!  You can consider combining some of the procedures you mentioned.  Typically board certified plastic surgeons limit surgical time to around six hours, so a few of the concerns you mentioned could be addressed in one trip to the operating room.  I encourage you to begin by visiting with a board certified plastic surgeon near you for a consultation.  Together you can discuss your concerns and determine which areas to address in the first stage. The breasts and tummy may be a good place to begin and they are commonly combined.  I've included a video about plastic surgery after major weight loss that I hope you find helpful.

Ahmad H. Ahmadi, MD · Answer

Good job on losing the weight.    Looking at the photos, you will need a tummy tuck plus a pubic lift to correct the excess abdominal skin.  Shot of an examination, it will be hard to recommend a tummy tuck vs. an extended incision tummy tuck.  You may need an inner thigh lift, but the photos are limited.  You may also consider breast augmentation.  Good luck to you.

Alain Polynice, MD · Answer

First let me congratulate you on your weight loss! The first step is to schedule a consultation with a board certified plastic surgeon who specializes in body contouring to discuss the areas that bother you the most. Looking at your photos I would recommend a procedure that would address the excess skin along the abdomen and create more shape to the back and buttocks. That can be achieved with a tummy tuck with 360 liposuction and fat transfer to the buttocks and hip dips to create that snatched contoured shape. Best of luck on your body transformation journey!

Derek Fletcher, MD · Answer

Congratulations on your weight loss! What an accomplishment! You will most likely need either an extended abdominoplasty or a lower body lift. Liposuction and a rectus plication will be needed as well. Which operation you need will depend on how much extra skin you have from front to back. Well done and good luck!

I lost 130 lbs, now I don't know what procedures to get. What is the most cost effective route to take? (photos)

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