Thank you for your question and photos. Based on your information, your BMI is 37. This puts you in the morbidly obese category! You should not have all those procedures that you desire done at the same time, unless you are aiming for poor results and lots of scars and potential major life threatening complications. I would work on getting your weight down to 180-190lbs prior to any surgery. Once at that weight:If you were my patient, I would do VASER Hi Def lipo 360 and fat grafts to the buttocks first. Second, I would do aggressive arm liposuction knowing that you will need an arm lift later on. This can be done under local with minimal oral sedation a few days after the body liposuction. If you try to do an arm lift on a fat arm, you will still end up with a fat arm and a very long scar. Third, I would do a tummy tuck, but it seems that you also have a lot of intraabdominal fat. Hopefully this will improve with the weight loss.See a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person consultation/evaluation. Do not believe some of the posts that tell you what you want to hear and give you unrealistic promises. Good luck.
Dear Awesome164867,I understand your concern. It is best however that you consult with a board certified plastic surgeon to determine whether you can have several aesthetic surgeries in one session, as this would depend on various factors including but not limited to your general health condition, the type of anesthesia that will be used, and the type of surgeries that will be performed among others.Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery