The Mommy Makeover is a combination of procedures to bring a woman’s body back to the way she looked prior to pregnancy. Most commonly some variation of a #TummyTuck and #BreastSurgery are performed. Additional procedures can include liposuction, umbilical hernia repair. The most common #breastprocedures include #mastopexy or #breastlift, #breastaugmentation, or #breastreduction. In addition to a one-on-one consultations with a board certified Plastic Surgeon, patients always need to be seen by their primary care doctor prior to such procedures. We screen every patient and their medical records for risks of blood clots (DVT) and then take appropriate measures. MWL (massive weight loss patients of 75 lbs or more) tend to have poor skin elasticity and will frequently need additional tightening even afte 6 -12 months regardless of who or how their surgery is performed. This is simply the nature of such body tissues and the ability to heal with the lack or limited elasticity.
Thank you for your question. She should be treated as a post-bariatric patient. The cost depends on each doctor, but make sure she sees one that is board certified in plastic surgery.
All the best,
Bravo! on your weight loss. I most important question is what are her contour priorities. Please meet with your board certified PS to star the journey. Most common first procedure is a lower body lift. Good luck and be well.
Big congrats on the weight loss. Thank you for the question and excellent photos. Your wife has many options to improve the shape and contour of her body including abdomen, breasts, thighs, arms, and back. The bigger question is what areas bother her most and what combination of procedures to do first. I would encourage you to consider:
Stage 1: Bra line Back Lift, breast lift, flour-de-lis abdominoplasty
Stage 2: Brachioplasty, +/- breast augmentation if deisred
Stage 3: Hips, thighs
Stage 4: Face if desired
All the best,
Dr. Remus Repta
Congrats on the weight loss!!! It looks like she is a great candidate for a lower body lift first and then an upper body lift at the second stage.
My best advice would be for your wife to have a consultation with a plastic surgeon certified by the American Board of Plastic Surgery to discuss the various surgical options following the weight loss she achieved. This will enable her to understand the magnitude of the procedures involved as well as to develop a realistic expectation for the outcome.
There are various names for the possible procedures but they essentially involve removal and tightening of the excess skin and total body contouring. They are generally divided into upper body and lower body.
This includes a lwer body lift, thigh lift, breast lift with possible sugmentation, arm lift and lateral chst and upper back lift.
Many of these can be performed together or they can be done separately.
After massive weight loss and excess skin all over.
The abdomen requires a full tummy tuck. Consideration should be given to doing a fleur de lis type of abdominoplasty. Finish the circumferential lift at another surgery with dermis fat graft to the buttock. Because a buttock lift does flatten the buttock.
Then breast Lift and extend to upper back lift.
At each surgery, some liposuction of the thighs, knees can be done. The once the thighs are reduced, a thigh lift.
Arm lift .
After massive weight loss patients often undergo belt lipectomy, mastopexy, brachioplasty, thigh lift, possibly even a facelift. All of these are determined by the result of the weight loss in the aesthetic goals patient.
First, be certain to congratulate your wife on her weight loss, she has already taken the greatest step to improve her health and appearance. If she is in good health, she could consider a tummy tuck possibly with a breast lift (mommy makeover). Give the amount of loose skin, she may want to consider an extended tummy tuck or possibly a Fleur de lis (inverted "T") type of tummy tuck. She should check, first with her primary physician to make certain they don't have any medical concerns. Best wishes, Dr Lepore.