Really trying to make a decision on a mommy make over or BBL tummy tuck and breast lift. Mommy make over or baby steps? (photo)

I would recommend losing some weight prior to having any cosmetic procedures as it will help improve your diabetes and give you a better outcome. You will likely need two separate stages to be safe. First I would recommend liposuction of your back, love handles and abdomen with fat transfer to the buttock (BBL). Then, six to nine months later, a combined breast lift with tummy tuck. This two staged approach is much safer than attempting to all procedures at one time. Consult with a few plastic surgeons in person for more detailed information.Best wishes,Dr.Bruno

Thank you for your question and photos. Getting a BBL could help streamline your stomach, but the amount of liposuction used for fat transfer procedures can only accomplish so much contouring. Liposuction also won’t get rid of excess skin, which a tummy tuck can do. Thus, I think you’d be a great candidate for a mommy makeover, as long as your BMI is under 30. Further, it is important that you reach your target weight range before scheduling your procedure.
 

Based on your photos, if your diabetes is under control, and you have a BMI near 30, you could benefit from a Mommy Makeover (body contouring with liposuction of the abdomen, sides, back, and bra rolls, a TT, and a breast lift) along with a BBL.   You could have the TT and breast lift done first; then the lipo and BBL.  However, the result will not be as tight as lipo and BBL first; and then TT and breast lift. This last option is why one of the plastic surgeon you consulted said you may not need a TT.
If your body mass index (BMI) is above 30, you will need to discuss weight loss and exercise plans for for reaching your BBL goal with your PCP or plastic surgeon.
Find a American Board of Plastic Surgery board certified plastic surgeon  who performs hundreds of BBLs and mommy makeovers each year with favorable patient reviews. Also look at the plastic surgeon's website of before and after photos to determine who can obtain the results you are seeking.Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA

Hello and thank you for your question.  Safety is always the number one priority when considering multiple procedures, especially since you have diabetes.  The BBL should be performed first and then 3 months later you could undergo a tummy tuck and breast lift.  Based on your photograph, you are a
good candidate for a tummy tuck with liposuction.  This can be done
through a low incision, all completely below the bikini line.  The belly button can be designed to look
natural and have no scars on the exterior. 
Your muscles can also be plicated resulting in a flat abdomen.  A breast lift can be performed at the same
time for improved shape and contour of your breasts. Make sure you specifically
look at before and after pictures of real patients who have had this
surgery performed by your surgeon and evaluate their results.  The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Shari.     This is what I recommend.  It would be unwise to have BBL and Mommy Makeover at same time for several reasons, including much higher risk for pulmonary embolism (blood clots traveling to lungs)  Do the BBL first.  Six months later, go for the Makeover, you wont need liposuction after BBL, but most likely will need Tummytuck because of 4 pregnancies. At the same time breast lift/reduction can be performed, completing your surgical journey back to your body before kids! Be sure to consult with a board certified plastic surgeon. Good luck!

Based on the information provided you will likely want to divide the procedures into two stages.  The first stage would be liposuction and BBL.  After healing from that you can address the breast lift and tummy tuck.  This is all given that you are overall healthy, your diabetes is well controlled and that your BMI is 30 or under.  See a board certified plastic surgeon near you to learn more.

Thank you for the question! Judging by your comment, you appear to be an excellent candidate for a mommy makeover. Typically, this comprehensive procedure incorporates a tummy tuck, liposuction, and breast lift. Combining these procedures will result in extensive recovery period but, ultimately, it will save you time and money since you will not require a separate recovery downtime for each procedure.  One thing I would recommend is calculating your BMI (Body Mass Index). In case it exceeds 30, you may need to attempt a weight loss program prior to undergoing surgery. An in-person exam with a board-certified plastic surgeon would be the best way to assess your needs and obtain expert medical advice. Best of luck!   

Hi, thanks for sharing your concern and photos with us!
First I want to congratulate you for making this important decision. Deciding to get an aesthetic procedure to change your body and get a new life style is a big step!

Looking at your photos I might say that you´ll be a great candidate to get an entire back, waist and flanks liposuction, with BBL, and tummy tuck, this is because all the extra skin located in this areas plus your abdominal muscle needs to be repaired. Before all this, of course, you need to get a complete medical evaluation and laboratory exams to check everything is fine. For us your safety, always, is going to be first.

Have a great day!

Dr. JPG

It would be better to approach your surgery in two stages, depending on what your priorities are. My suggestion would be to perform liposuction of the flanks, the back and the abdomen along with a brazilian butt lift with the fat harvested in the first stage of surgery. I use VASER to perform liposuction in most of my patients, as I believe it provides better skin and soft tissue tightening as well as having less side effects of bruising and discomfort in the recovery period - but check with your plastic surgeon which method he prefers to ensure the best results. I also offer my patients the option of storing excess fat at a local fat bank. This offers patients the option to have their fat (enriched with stem cells) made available in future, should any further augmentation of the buttocks (or other areas) be necessary. In the second stage of your surgery (usually about 6 months later) I would advise a tummy tuck and breast lift to complete your procedure. Best candidates for this type of surgery are those with a body mass index below 30, although I do believe (if approached safely and in a staged approach as suggested) you will have good results based on the pictures you provided. 
I wish you all the best in this very exciting road you are on!