What procedure(s) would be ideal after large weight loss? (Photos)

Question

Needing skin removal/thigh lift surgery. Areas would be inner thighs as well as skin removal on hips/lift-side thigh and skin removal on abdomen without muscle repair. What procedure(s) would be ideal and what is cost estimate?

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question regarding what procedures would be ideal after significant weight loss. Thank you for your history, and thank you for your pictures. Congratulations on your weight loss. Based on your history and limited pictures, I would suggest an extended tummy tuck and thigh reduction. These procedures can be combined. The extended tummy tuck would address the abdomen, pubic region, and hips. If your buttocks bother you, the extended abdominoplasty or tummy tuck can be converted into a 360 circumferential lower body lift. Some plastic surgeons also call this a belt lipectomy. This would address the abdomen, pubic region, hips, and buttocks. I would also suggest a thigh reduction. This would include thigh liposuction on the anterior medial portions of the thigh and excision of skin and fat from the groin to the knee. The incision is placed on the inseam of the thigh so that when your legs are together, the incision is hidden. Cost estimates vary by practitioner and geographic location. Please contact multiple plastic surgeons to determine the cost.
Regarding the abdomen, I am not sure why you would not want muscle repair. Your profile picture shows that the rectus muscle is extended above the umbilicus. Rectus plication or muscle repair would correct this extended abdomen. In my opinion, I would strongly advise you have muscle repair. However, in the end, it is always your decision. Consequently, muscle repair would give you a much better result. I hope these answers help to clarify your question regarding what procedures would be ideal after massive weight loss. 
I specialize in reconstructive plastic surgery after weight loss.  Because a main focus of my practice is weight loss, I have a full time Registered Dietitian, Nutritionist, and diet coach.  As a medically certified team, we help patients to permanently lose weight.  We offer an extensive comprehensive, weight loss program from one-on-one medically supervised diet and exercise plans, to prescription medications, and even weight loss surgeries.  
If you have any more questions regarding weight loss, please contact my office. Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and ​member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)

Gary M. Horndeski, MD · Answer

I would begin with your abdomen. 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. You may also need your breasts done but I would need photographs to give you an accurate answer.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Tommaso Addona, MD · Answer

Thank you for your question and congratulations on your weight loss.
Based on the photos you have provided, I believe you are a great candidate for a abdominoplasty. With this procedure, the excess tissue from the umbilicus to the pubic region will be removed via an incision from hip-to-hip below the underwear line and the abdominal tissue will be pulled down created a flat contour to the abdomen. In addition, your umbilicus will find a new home creating a youthful shape. I also like to liposuction the flanks in order to provide a hourglass figure. With the photos you have provided, it is difficult to touch on your candidacy for a thigh lift. I recommend speaking with a board certified plastic surgeon to discuss your goals and candidacy for these procedures.

Carmina Cardenas, MD · Answer

It is wonderful what you have achieved after losing the weight. 
You will be candidate for Lower Body Lift, because skin resection will not be enough to look wonderful, it is not only what happens above incision (skin removal) it is mainly what occurs below the incision (lift of mons, lift of outer thighs, lift of buttocks). 
Be encouraged!!! Look for an experienced and expert on the Body contouring after weight loss. 
Dr. Cárdenas

Zoran Potparic, MD · Answer

Only on the basis of in person evaluation and discussion about your goals and expectation, a board certified plastic surgeon, familiar with these procedures, could give you good advise about nature and order of surgery. Good luck.

Daniel Barrett, MD · Answer

Dear Exuberant571880,
it is hard to tell for sure without an examination. Based on your photos, it looks like you would need tummy tuck and thigh lift. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Camille Cash, MD · Answer

Congratulations on your weight loss!  From the photos you would benefit from a tummy tuck with liposuction to remove excess fat and skin as well as correct abdominal wall laxity.  The result will be a flatter, tighter tummy.  An exam would be advised to determine if a thigh lift is needed or if you could consider something more minimal such as J-Plasma.  I've included a video I hope you find helpful.

Nilay Shah, MD · Answer

Hi! It’s a little difficult to determine based on the photos attached. It looks like you would benefit from a tummy tuck and a thigh lift. However, I would suggest that you take an in person consultation with a board certified plastic surgeon to discuss your goals and expectations. Good luck!

Darryl J. Blinski, MD · Answer

I appreciate you trying to post photos, but the distance is far to great to give accurate viewing. My guess is extended TT with muscle repair and Type 2 inner thigh lift at same operation. Fees from $10,000-$25,000. Best to virtual consult with...

What procedure(s) would be ideal after large weight loss? (Photos)

Answers (9)

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