Thank you for your question regarding what to do with your lower body after massive weight loss. Based on your pictures and your history weight loss, I would suggest a 360 circumferential lower body lift combined with a longitudinal vertical medial thigh with thigh liposuction. These procedures can be combined as one surgery performed under general anesthesia on an outpatient or inpatient basis. During the 360 circumferential lower body lift, the abdomen is flattened by the removal of excess skin and fat of the abdomen. The mons region is also lifted and reduced. The hips are also lifted and reduced. The outer thighs are lifted, and the cellulite is diminished. Also, the buttock is lifted and reduced during a 360 body lift. Often I perform the thigh lift at the same time. However, if you wish, the thigh lift can be postponed for a secondary surgery approximately one or two months later. During the longitude vertical medial thigh lift, thigh liposuction is done from the groin to the knee. Then a large elliptical area of skin and fat is removed from the inner thigh to the knee. This will get rid of the excess skin and fat on the inner thigh. For these combined procedures, plan a 2 to 3 weeks recovery. You’ll need to wear compression garments for approximately six weeks. You can probably return to a sitting type of job at approximately 2 to 3 weeks. More active jobs require a longer recovery, perhaps 3 to 4 weeks.
