After 150 lbs Lost, Do I Need More Surgery Than Tummy Tuck and a Breast Lift ?

After my 150 lb weightloss, I am looking into TT and Breast Lift. I also have lot of skin in the back and side of my breasts. Will I have to get more surgery to get rid of the skin on sides on my breast or Breast lift will be enough? I am also looking in to losing 30 more lbs before TT, Is that wise or I should go for surgery as the Doctors here are saying that I don't need to lose anymore.Currently I am 180 lbs, 5ft 6in.

Doctor Answers 15

Plastic Surgery After Weight Loss

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You photos indicate that you probably have a circumferential excess of skin, which would make a lower body lift your best option.  My preference is to perform that at the same time as a breast lift as a Stage 1 procedure.

At a second stage, the side of chest skin can be removed along with any touchups from Stage 1.

I would suggest that you go ahead with your weight loss until you reach a health and sustainable goal.  This will help your results and may even mean that you would require less surgery.


Surgery After Weight Loss

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Thank you for the question pictures.  Congratulations on your  successful weight loss.   I would suggest that you get as close as possible to your goal weight prior to proceeding with surgery.

At that time, what procedures you undergo depend on what your goals are. In general however patients who had more than 150 pounds of weight loss  choose to have breast augmentation done along with a breast lifting procedure. Often the loose skin of the upper outer chest area is treated with and “upper body lift” which involves excision of excess skin and adipose tissue of the upper body area.

If the loose skin of the flank and back areas are of concern you should consider the “extended  tummy tuck" procedure. This extended tummy tuck procedure involves flank and back skin and adipose tissue excision as well as liposuction surgery. If liposuction alone is done the you may still end up with the "muffin top"Him and require further surgery to improve the waistline in the future.

Another word of advice for you:  Patients who are about to undergo tummy tuck surgery spend a lot of time thinking about the physical preparation for the procedure (for example weight loss issues) but do not spend a lot of time thinking about the emotional aspects.
It is not uncommon for patients who undergo the procedure to experience severe “mood swings”. These emotions may range from depression ( “why did I do this to myself”) to elation  (which may lead to over activity). I think it is helpful to be aware that these emotional swings do occur postoperatively. 
Suggestions I have for patients undergoing this procedure: 1. Make sure you have a strong support system in place who have time/patience to take care of you. 2. Be patient with the healing process, understanding that it will take several weeks to months to feel “normal” again. 3. Be prepared to distract your mind with things of interest such as books, magazines, and movies. 4. Expect less of yourself; do not go back to work too early and let others take care of you (for a change). 5. Keep in close communication with your surgeon and do not hesitate to communicate questions/concerns and the emotional swings that you may experience. 6. Keep in mind the end results!

I hope this helps.


Weight loss and surgery

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Congratulations. If you are planning to lose 30 more lbs, then I would wait to have surgery.  You probably need a circumfernetial abdominoplasty and may  need more than a breast lift to accomplish your goals.

Body and Breast Contouring After Massive Weight Loss: Different than routine cosmetic breast and body contouring

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Body and breast contouring after massive weight loss is very different than that of a patient who has just had children and is wanting a mommy make-over. The techniques applied to the weight loss patient usually involves accompanying for a significant amount of excess skin which can lead to longer and more scars, as well as trying to preserve some subcutaneous tissue to maintain shape rather than remove it with liposuction. From a breast perspective, the outer chest skin and fat can be utilized to fill and shape the breast in a procedure which i refer to as a breast lift with autologous augmentation. This is a great operation because it is a win win scenario with improved breast and out chest contour. A standard tummy tuck would likely leave you with excess skin on the sides therefore an extended abdominoplasty or body lift would likely be the better option. Please let me know if you would like to discuss this in Dallas.

Dr. Trussler 

Weight loss before tummy tuck

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You should get down to your goal weight before having any type of body contouring surgery. You may actually need more than a tummy tuck, you may need what is called a corsetplasty which will address the excess skin of your sides as well. This will also involve a scar which runs vertically down your abdomen but it will give a much better contour that a traditional tummy tuck. Discuss these options with a board certified plastic surgeon during your consultation.

Best wishes,


Body contouring procedures following massive weight loss

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Congratulations on you considerable weight loss. With regard to your question on additional weight loss, if you are planning/desiring to lose additional weight, you would be best served if you do so before any cosmetic contouring procedures. This would allow you to obtain the best tightening and rejuvenating results.

What procedures would be best for you would depend on what your goals and finances are. Clearly, you could benefit from a lower body lift that would be a circumferential tightening of your trunk that would include the tummy tuck, buttock and outer thigh lift. If your thighs/inner thighs are lax and you would like improvements here, then a thigh lift could be performed as well.

For your breasts, a lift with an augmentation may be a consideration. There may need to be additional skin resection that extends to your back. Other lax areas such as the arms can be tightened as well.

You may want to see a few board certified plastic surgeons in your area who can provide you with recommendations.


What surgery after 150 lb weight loss?

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Way to go! I think that you need a circumferential tummy tuck which will re-shape your tummy, waist and low back. You should have additional lipo of your mid-back roll but you will probably still have a bit of a fold there. The only way to get rid of that would be with an upper body lift. Wait till you lose the extra weight if it will be easy. Especially before your breast surgery since it might really make a difference with the size of your breasts. Good luck.

150 pound weight loss

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Congratulations on your weight loss!  As most people have already stated, it is adviseable to be as close to your ideal body weight as possible before surgery, and be sure to be stable at that weight for at least a few months.  As you lose more weight you may find that increased hanging skin and less fat will cause different areas to bother you more, and your results will be better.   Most patients in your situation do benefit from breast surgery and tummy tuck, with extension around the backside to elevate the buttocks and get rid of excess tissue, and something to address the "bra" area.  Other common procedures performed after massive weight loss are arm lifts and medial thigh lifts.   It is important to stage the procedures in a way that makes sense and is safe. 

Tummy tuck and breast lift are NOT recommended.

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Either (or both) of these operations performed at the present time will only leave you with inadequately-treated residual loose skin, particularly if you plan to lose additional weight.

You have done so well thus far (GOOD FOR YOU!); spending thousands of dollars and ending up with your surgeon saying to you "Well, I'm sorry you still have loose skin of the thighs, hips, and buttocks, not to mention the sides of your chest and back--you need more surgery!" would be quite a surprise and a major disappointment. Of course you can pay thousands more for even more surgery, but if that is the rationale of your surgeon, he or she is not being a good steward of your money, time recovering, risks, and overall well-being.

I firmly believe the best recommendation is for you to lose all the weight you plan to, stabilize at a healthy point where you are no longer fluctuating weight and have a healthy ability to heal after major surgery, and then start with a circumferential belt lift (lower body lift, torsoplasty, etc.--all terms for the same thing in most cases). This is a 6-7 hour operation in itself, and although most surgeons perform this as an inpatient procedure, I have been doing body lifts as an outpatient procedure for 14 years, and our practice has taken care of over 250 body lift patients as outpatients without death, heart attack, or stroke. This not only saves thousands of dollars in cost, but also keeps you out of a hospital where the operating rooms have seen ruptured appendices, dead bowel and all sorts of infections and trauma, not to mention the sick patients and nasty bacteria that reside in hospitals! Just a couple of points to consider.

Once you have healed from your beltlift, then you can have a breast lift, back lift, arm lift, and/or medial thigh lift as necessary or desirable, combining procedures as time and safety allow. For examples of patients having outpatient beltlifts in our AAAASF-accredited office surgical facility, click on the link below. You can also look for my article (on the About tab of my Profile page) titled: "Lower Body Lift After Massive Weight Loss--Is Outpatient Beltlift Surgery Safe?" for more information.

Don't rush into any operation(s) yet! Be fully prepared and informed! Best wishes!

Cosmetic surgery after weight loss

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Dear New me,

Well done! If you feel like you can loose more weight, by all means do so.  Once your weight is stable you can consider elective surgery for optimum results. I would recommend a TT with mesh to 'lock' you in at the weight you are when you come in for surgery and to help you loose any additional weight if needed. Once you are locked in at your desired weight, then an Ultimate Breast Lift would be ideal for you. This new technique for lifting breasts works for all breast types. It gives you upper pole fullness without needing an implant. Plus, there is NO VERTICAL SCAR. Good luck to you! Best wishes, Dr. H

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.