Lower body lift with 360 lipo or BBL, 360 lipo with thigh lift and breast lift/implants plus arm lift? Which one/way? (Photo)

You must acknowledge because of SAFETY, plastic surgery procedures should never last over 5-6 hours, every single hour after that time will increase dangerously the risk of serious complications, so the idea of having multiple procedures at once is now NOT recommended, based on the Worldwide recommendations to prevent DVT and PE for instance.So all of your procedures must be staged. Another SAFETY measures will be: BMI below 30 by the time of your surgery, no more than 1-2 litters of fat liposuction in combination with other procedures, do not perform in different body areas at a time, minimum of 12.5 grs of Hemoglobin, all lab work beyond perfect. So a great plan will be: 1.-Lower body lift with real buttocks lift and outer thigh lift  and a bit of liposuction to waist and lovehandles. 2.-Breast and arm lift 3.- Thigh lift with liposuction to thighs6 Months in between stages.Be encouraged!!! Y truly believe you want to return to your loveones safe and sound and MORE BEAUTIFUL, so look for a Board Certified PS, with wide experience in After Weight Loss Surgery.Dr. Cardenas 

Thank you for your question regarding what procedure would be best and in what order they would be best performed. I would suggest you undergo a 360 circumferential lower body lift. This would include tummy tuck, pubic lift, muscle plication, hip lift and reduction, and buttock lift and reduction. I think you could also have a longitudinal, vertical medial thigh lift during this surgery. During your thigh lift, thigh liposuction would be performed in addition to an incision from the groin to the knee. Please give yourself at least one month to heal from this procedure when embarking upon the second stage. Your second stage procedure would be a breast lift with an arms reduction. Your breast lift would require an anchor incision around the areola down the front of the breast and underneath the breast. Your arm reduction would include arm liposuction and an incision from the armpit to the elbow. In terms of implants, that depends on you. Do you want your breasts bigger? If you are happy with your breast size, I don't think you need implants.

Thank you for your question and based on your pictures you seem to be a good candidate for the procedures you ask about. I recommend an in-person consultation would be best a proper exam and evaluation.Always see a board certified PS.

Congrats on the weight loss!! Given the areas of concern that you have, I'd recommend two procedures. First a lower body lift and arms, second breasts and thighs. You want to make sure you're at your goal weight prior to surgery. Ideally your BMI should be below 28, but 28-32 also acceptable. You appear to have plenty of breast volume so implants may not be necessary unless you want to be much larger that you are when in a bra. I think 4-6 weeks off per procedure is adequate. 

hello thank you for your question and provided information as well.. based in your question and in the pictures showed , its recommended if you get a consultation in person with a plastic surgeon , to check before the level of the hemoglobin if you can apply for the first surgery.

I do not recommend a BBL for patients with photographs like yours.  An in person physical exam would be needed to be sure but in general a breast lift and abdominoplasty/body lift could be done together.  If there are other components that bother you these could be addressed later but will not involve the downtime of the abdominal component.  
Good luck!

Thanks for your question, mskmichelle.
While it’s theoretically possible to do multiple procedures at once, we have to think of your safety first and foremost. In general, the maximum time to have surgery is six hours, because after that, you are at higher risk to develop anesthesia complications.
In your case, lower body lift and inner thigh lift can be paired together, while breast lift and am lift can be done after you’ve recovered from the first two--probably around six months after your first surgery.
It’s also advisable to get a physical consultation with a reputable and board-certified plastic surgeon so that you can discuss your priorities and expectations. I offer free initial consultations that you may schedule on my website.
Good luck!