Do I need an extended tummy tuck, circumferential tummy tuck or FDL tummy tuck with breast lift? (Photos)

Thank you for your question and congratulations on your 70lb weight loss.  I always recommend that patients be within about 20lbs of their weight goal.  With that being said even if your not in that range you can still have surgery just understanding if you have a substantial weight loss after surgery your surgeon may have to tweek something later.  Looking at your photos I would suggest a tummy tuck and breast lift.  A tummy tuck will allow your surgeon to tighten up your abdominal wall muscles from the weight gain and loss and remove the extra skin.  It will give you the flattest stomach that one can give.  You may have some intra abdominal wall fat, which is fat around the intestines.  That fat is the fat you will lose with weight loss.  Most surgeons will also do some liposuction on the flank area, also understanding that you may need some additional after surgery because they can't be too aggressive at the same time.  Regarding the breast I believe you would be a great candidate for a breast lift.  This will allow your surgeon to boost the breast up and if you choose to add an implant under the muscle to help with the shape you may.  I would suggest seeing a Board Certified Plastic Surgeon in person to evaluate you and discuss your options.   Best of luck to you.  

Hello dear, Thank you for the question and photos.. after analysing your case.. I can suggest you, due to the excess of skin in your belly is a standard tummy tuck combined with vaser liposuction to get rid of the cellulite. This would give you great results! l recommend you to make an appointment with a board certified plastic surgeon to talk about your goals and anything you need to know.
Best of lucks.
Dr. Luis Mejia

Hello and thank you for your question and sharing your photos. It would be useful to see full pictures of your abdomen with no clothing. Based on these photo, I
believe you are a good candidate for a standard  tummy tuck. Extended tummy tuck is really not a different surgery, rather just a tummy tuck with slightly longer incision that is needed to give you maximum skin tightening. During tummy tuck,
extra skin in the lower half of your abdomen including the stretch marks will
be removed. In addition, typically the fascial laxity/separation of recti
muscles will be taken care of by muscle plication, giving you a flat
abdomen. The added liposuction of your hips/flanks will help with creating a
natural and aesthetic waistline. Incision can be placed very low to be
hidden under bikini. With proper surgical technique, belly button can be
designed to  be a true 'innie'. Recovery from tummy tuck is 1-2
weeks. Strenuous activity and lifting heavy weights should be avoided 6 weeks
to 3 months post op. I would seek consultation with a board-certified
plastic surgeon for a full evaluation and advice. Best,
Pejman Aflaki, M.D.                                            
Johns
Hopkins-trained double board-certified plastic surgeon

Extended tummy tuck or circumferential are performed if excess skin extends to the flanks and back. Liposuction may be used with all the techniques.  One wants to be close to their ideal weight and continue to maintain their weight postoperatively.

If you are otherwise healthy, and have reached a sustainable BMI < 30, you would be a good candidate for a MM, your results would be enhanced, and your risks of complication during and after surgery would be minimal.
MM typically includes a TT, breast lift, and liposuction. This is really about your goals for your body. The procedures should be tailored to your specifications and anatomy to produce a dramatic result.  Liposuction, along with the TT, will allow you to have stubborn fat resistant to exercise and diet removed from unwanted areas (stomach, thighs, back) and also result in a waist as small as possible. 

Hi.  It is difficult to tell from the pictures, but you would likely be a good candidate for a breast lift and some form of a tummy tuck depending on an in person evaluation.  I would recommend consulting with a board certified plastic surgeon with good experience with each of these procedures to help guide you through this process.  Good luck and take care, Dr. Howell

Thank you for your photos. A thorough in person exam would be needed but it appears a full tummy tuck with rectus plication and liposuction to the hips and flanks would be very beneficial. In most cases this can be done with your breast surgery. Best wishes and stay healthy. Dr. Gervais. 

Hello and thank your for posting your question. From what I can see in your photos, you do not need extra scars. A traditional TT (preferably with a low scar so as to make sure all excess skin is removed) plus muscle repair and lipo is all you need. Other techniques would just provide extra scars with little to no improvement in the results.Liposuction should, at the very least, be performed on your waist and flanks. back lipo will help the overall shape and, if possible, some abdominal lipo can also be done in order to make sure you are as flat as possible.Best of luck and stay safe!Dr. Miguel Mota

Safe operation time for cosmetic surgery is 6 hours.  I would recommend doing your surgery in two stages: breast lift first and then the tummy tuck.  I always do the breasts first because if the tummy tuck is done first then it will pull the breasts lower making it more difficult to raise them as high as possible.  The technique I recommend for your breasts is The Bellesoma Method.  This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.  After you have healed from the breast lift, then you can consider a tummy tuck.  If you are not planning future pregnancies, I recommend abdominoplasty with mesh reinforcement.  The mesh creates a more hourglass figure by compressing the abdominal wall resulting in early satiety and helps maintain a reduced weight. Best Wishes,Gary Horndeski, M.D.

Thank you for your question and series of photographs.  Unfortunately with the limited views of your pictures it is difficult to give you the best option.  I think you would most benefit from a full tummy tuck and liposuction of your waist and flanks.  The tummy tuck will tighten your stomach muscles, helping to achieve a flatter appearance, while removing excess skin and adipose tissue.  Liposuction can be used to enhance your tummy tuck results by narrowing your waist and removing isolated areas of diet and exercise resistant fat.  I would favor the full approach because it appears that your skin and muscle laxity is present above and below your belly button. Hope that this helps