Healthy people at their ideal weight should have the best overall recovery from a TT, lipo, and a BBL, but some of this will depend upon the surgical technique and adherence to postoperative protocols. Losing 20 pounds or more would enhance your results and lessen the risks of complications during and after surgery. The TT and lipo/BBL can be combined without compromising the results of any. Creative liposuction will allow you to have stubborn fat resistant to exercise and diet removed from unwanted areas (abdomen, love handles, thighs, back) and transferred to the hips for a lifted and rounder appearance. If the waist was smaller at one time, the waist can likely be reduced to those same measurements or smaller provided the muscular and fascial integrity has remained the same. A TT with muscle tightening will create a flat abdomen, a more youthful bell button, and would also provide the benefit of placing your incision along the lower pubic region. Fifty percent of the TTs I perform are short scar, which takes about 50% of the scar away. You might want to schedule the arms lift with the TT.Schedule an email, Skype, or in-office consultation with a board certified plastic surgeon who is an expert in all three procedures, and has hundreds of before and after photos posted on his/her website along with favorable patient reviews.