Also panniculetomy or full TT? After massive weight loss ~80 lbs, I am very unhappy with my stomach and my butt especially but since I want kids soon I don't know what I should do. I want a small waist and a bigger butt but I also know I have very loose skin. Do I need a lower body lift or will a BBL be enough? Also, I want a flat/flatter stomach and don't know if a TT would be ok if I want to have kids soon. I'm in the process of getting an online consult and possibly another Dr in person consult. Thank you for any help
What procedures would I need/be a good candidate for? BBL and LBL or can I just have a BBL? (photos)
Doctor Answers 8
Tummy tuck and lipo candidate, some advices:
Surgery after Weight Loss
Thank you for your question. Also, congratulations on your weight loss. I would recommend a lower body lift with a auto augmentation to the buttocks. I would recommend having your children first, before venturing into this surgery. As always consult with a board certified plastic surgeon. Best wishes!
Massive weight loss patient
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First, if the idea of having children is in the near future, do nothing. Have your children because pregnancy will affect your result significantly. After children, you will likely need a circumferential belt lipectomy or a combination tummy tuck and lower body lift. If a larger buttock is desired, the tissue from the LBL can be used to augment the butt at the same time. Best of luck.
Surgery after weight loss
BBL and body lift
BBL or lower body lift
Congratulations on your weight-loss . After performing thousands of BBL's, tummy tucks and lower body lifts, I would recommend you reduce the volume of your subcutaneous tissue first. I would recommend the liposuction and transfer fat to your buttocks and or breasts if desired. After you have reduced the thickness of your subcutaneous tissue then approach with skin removal and you will have a more slimmer result.
If you perform skin excision first, and then Liposculpture after. Then you will have to remove additional skin because the skin will become loose or after the liposuction.
I wish you well through your procedure and your recovery,
- 20 years experience
- 33,000 operative cases
- AOA board-certified plastic surgeon
BBL + TT before having kids
Thank you for your question.From the photos you have posted, you do look like a candidate for a body lift and BBL. With the excessive weight loss, this has caused you to have loose skin which will need a body lift to correct and tighten the skin. It also looks like you have enough fat pockets to harvest fat from and transfer to the buttocks area. When performing a BBL, depending on the amount of fat necessary to fill the buttocks area, multiple donor sites on the body may be considered. After liposuction has been performed, a closed sterile system is used which ensures the fat tissue is never exposed to the air. This keeps it safe and purified for reinjection into the buttocks. Our plastic surgery office uses P188, a triple-wash antibiotic that sterilizes the tissue and separates the healthy fat from any tissue that may not survive the transfer process. I will then re-inject the fat to make sure that the layering is done properly, effectively and that the results are smooth and shapely.
If you are planning on having children soon I would wait to have these procedures done due to the fact that when I perform a tummy tuck I tighten the diastasis rectus muscle which brings in the waist. During pregnancy, this muscle stretches out along with some weight gain.
Best wishes in your endeavors!
James Fernau, MD, FACS
Board Certified ENT
Board Certified Plastic Surgeon
Member of ASPS, ASAPS, ISAPS, The Rhinoplasty Society, AAFPRS, OTO/HNS, ASLMS
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.