I'm a 36-year-old man who has lost 110 pounds over the past two years. I'm now considering gynecomastia surgery and a tummy tuck to address excess skin. The plastic surgeon I've chosen has proposed two options for the torso: a traditional tummy tuck with liposuction on the back flanks (his recommendation), or body lift. I'm looking for a second opinion on which direction I should take. My main concern is making sure my back and sides match my front as best as possible.
Answer: Body lift vs. Extended abdominoplasty The distinction between the two procedures depends on the condition of your lateral thighs and buttocks, both of which are covered in the photos submitted. With that much weight loss, it is highly likely that a simple tummy tuck and lipo will be insufficient because the left over skin laxity is circumferential both vertically and horizontally which makes the body lift more reasonable... even without seeing representative photos. However, I have seen several patients whose thighs and buttocks look great after massive weight loss and those patients do well with smaller procedures.
Helpful
Answer: Body lift vs. Extended abdominoplasty The distinction between the two procedures depends on the condition of your lateral thighs and buttocks, both of which are covered in the photos submitted. With that much weight loss, it is highly likely that a simple tummy tuck and lipo will be insufficient because the left over skin laxity is circumferential both vertically and horizontally which makes the body lift more reasonable... even without seeing representative photos. However, I have seen several patients whose thighs and buttocks look great after massive weight loss and those patients do well with smaller procedures.
Helpful
February 2, 2025
Answer: Tummy tuck Dear Brave427239,
Helpful
February 2, 2025
Answer: Tummy tuck Dear Brave427239,
Helpful
January 17, 2025
Answer: Thank you for your question! Due to your previous weight loss, the ideal procedures according to the pictures would be a circular tummy, tuck, a gynecomastia, and definitely a torsoplasty this will ensure that the area fully improved, otherwise if they just did liposuction because of the weight loss, the skin doesn’t retract as well and doing liposuction without skin removal. Can give you the opposite result that you’re looking for, it would be the same case for the tummy tuck the lower back, skin removal is what would need to be done in order to get the best results.
Helpful
January 17, 2025
Answer: Thank you for your question! Due to your previous weight loss, the ideal procedures according to the pictures would be a circular tummy, tuck, a gynecomastia, and definitely a torsoplasty this will ensure that the area fully improved, otherwise if they just did liposuction because of the weight loss, the skin doesn’t retract as well and doing liposuction without skin removal. Can give you the opposite result that you’re looking for, it would be the same case for the tummy tuck the lower back, skin removal is what would need to be done in order to get the best results.
Helpful
December 23, 2024
Answer: Body lift results more profound Good morning! This is a very common scenario. A traditional abdominoplasty with lipo will address the front, obviously, and get out some of the fat laterally and around the back to whatever degree can be reached with you lying on your back. This helps with some volume and contouring laterally, but if there are concerns about the lateral thigh, buttocks, and lower back then a circumferential body lift with lipo will yield superior results. It is hard to say with shorts on in the picture. Downside is additional cost and slightly longer recovery, but upside is huge.
Helpful
December 23, 2024
Answer: Body lift results more profound Good morning! This is a very common scenario. A traditional abdominoplasty with lipo will address the front, obviously, and get out some of the fat laterally and around the back to whatever degree can be reached with you lying on your back. This helps with some volume and contouring laterally, but if there are concerns about the lateral thigh, buttocks, and lower back then a circumferential body lift with lipo will yield superior results. It is hard to say with shorts on in the picture. Downside is additional cost and slightly longer recovery, but upside is huge.
Helpful
December 10, 2024
Answer: Tummy Tuck or Body Lift? Congratulations on your weight loss. I would recommend an extended abdominal lipectomy with repair of the rectus diastasis. The extended procedure will remove the excess amount of "apron" skin that curves around the side and unto the back region. I don't feel a body lift is necessary. Liposuction of the flanks can be of benefit. Just remember that you have lots of flaccidity of the skin following your weight loss journey. Good luck, Doc PG
Helpful
December 10, 2024
Answer: Tummy Tuck or Body Lift? Congratulations on your weight loss. I would recommend an extended abdominal lipectomy with repair of the rectus diastasis. The extended procedure will remove the excess amount of "apron" skin that curves around the side and unto the back region. I don't feel a body lift is necessary. Liposuction of the flanks can be of benefit. Just remember that you have lots of flaccidity of the skin following your weight loss journey. Good luck, Doc PG
Helpful
