Gastric sleeve, 105 pound weight loss. Extended TT or 360 TT? (Photos)

Question

I lost about 65 pounds following gastric sleeve in 2015 and lost an additional 40 pounds over the last 5 years working with a trainer and weight lifting. (Not that you can even tell in these pictures) I have had several consults. Weirdly, men surgeons are recommending 360 TT whereas the females surgeons are saying extended TT would be fine (cutting to the table). I am looking to the brilliant community for opinions. I am 49, five foot four and 155lbs. I have had three children with my oldest in their 20s, am obviously done having children. I have front, side and bent over photos for reference. :(

Ellen Ozolins, MD · Answer

Thank you for your question. You have both fat and loose skin in the lower back and buttocks, then a 360° lower body lift is the better choice. Extended tummy tuck only addresses the front and some lateral skin but leaves loose skin and fat on the lower back and buttocks untouched. A 360° lower body lift removes excess skin and fat from the lower back, lifts the buttocks, and improves the waistline, flank, and overall circumferential contour. The scar is longer, but it is well-hidden under the underwear.

Ira H. Rex lll, MD · Answer

From your photographs, the skin roll only goes to your hips, and it seems that an extended tummy tuck would do the job.  Your back seems to be in pretty good shape.

Chet Mays, MD · Answer

Thank you for your inquiry! You have excess abdominal skin making you a great candidate for an abdominoplasty procedure. We would love to see you in person and help you reach your goals. Schedule a consultation with a Board-Certified Plastic Surgeon like myself and we can create a surgical plan for you!

Camille Cash, MD · Answer

Congratulations on your impressive weight loss!  From the photos it appears you have skin laxity primarily in the front but also around the lower back/buttocks.  For optimal results a 360 tummy tuck would be recommended.  It would address the skin laxity in the front and back.  It would also address excess fat and correct abdominal wall separation.  I've included a video I hope you find helpful.

Daniel Barrett, MD · Answer

Dear a022702,

based on your photos, you look like a good candidate for a TT. Full tummy tuck should tighten your abdominal muscles and remove the excess skin. Flanks liposuction would give you a better shape. I would suggest you to consult a board-certified plastic surgeon because 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

Gastric sleeve, 105 pound weight loss. Extended TT or 360 TT? (Photos)

Answers (9)

Answer: Considering options

Answer: Considering options

Answer: Tummy tuck

Answer: Tummy tuck

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Everything you need to know about Tummy Tuck

Our mission is to create a world where every investment in modern beauty is Worth It.

Gastric sleeve, 105 pound weight loss. Extended TT or 360 TT? (Photos)

Answers (9)

Answer: Considering options

Answer: Considering options

Answer: Tummy tuck

Answer: Tummy tuck

Browse related questions

Recommended reading

Everything you need to know about Tummy Tuck

Our mission is to create a world where every investment in modern beauty is Worth It.