Can you advise on my plans for 360 lipo (full upper back, upper arm), mini tummy tuck and fat transfer to inner calves? (Photos)

You need a formal evaluation by an expert in body shaping and contouring to determine what is best. The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heats the skin with radiofrequency devices such as Renuvion (J-Plasma), InMode BodyTite, and ThermiRF to heat the undersurface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HI-DEF VASER Liposuction and can only be done by a well-trained body contouring specialist. At the same time, fat should be harvested and purified, with PRP and stem cells added, and then injected into muscles, indentations and cellulite to get body shaping and contouring. For a Brazilian butt lift (BBL), we inject the fat into the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face. Cellulite should also be treated with a combination of QWO or Cellfina, subcision, and/or fillers such as Bellafill, Renuva synthetic fat, or Sculptra. If skin is very loose before surgery, then it will need to be removed: tummy tuck/abdominoplasty for lower abdominal skin; breast lift for excess breast skin; and/or a brachioplasty for loose arm skin.

Overall, you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting. See an expert. Best, Dr. Emer.

Every state has laws that determine the maximum amount of fat that may be removed. I would recommend that you obtain at least 3 consults to determine if every specialist is on the same page and also determine if you are a candidate or not for a tummy tuck. If you truly have diastasic of the recti you will need a tummy tuck for repair.

Based on your photos, you are a good candidate for the above procedures in one go.he Gold Standard for superior liposuction results requires use of the advanced technology of ultrasound-assisted VASER liposuction. As an official trainer of VASER liposuction, I perform full body liposuction cases every week. VASER liposuction has beTen the only modality that has consistently resulted in outstanding liposuction outcomes. VASER liposuction ensures a smooth contour regardless of degree of excess fat by virtue of being able to remove any and all remaining fat comprehensively and uniformly. If skin redundancy is observed, Renuvion technology can be simultaneously applied to tighten your skin to optimize your overall contour outcome.

The optimal BBL outcomes are achieved with: 1) use of VASER liposuction to harvest the fat, 2) a closed looped system such as Puregraft to process the fat, and 3) strategic micro-packet transplant technique. These three processes have demonstrated over 95% fat graft take. This means that your results will be stable as long as you maintain your weight. As an official VASER trainer, I am routinely referred unhappy BBL patients. One of the most common reasons for disgruntled BBL patients is that patients are not able to accurately communicate their desired buttocks goals to their surgeons. A buttocks assessment tool can be an invaluable tool to communicate to your surgeon the exact buttocks size and shape you are desiring
A Skype or FaceTime consultation with a VASER specialist will help you get an accurate recommendation and pricing.
Respectfully,
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

I’m not sure your proposed plan makes all that much sense.

First of all it looks like you’ve had previous liposuction which is absolutely important to know if anyone is going to make an accurate assessment.

It looks like your entire midsection has that liposuction and this is also apparently true for your arms as well. I could be wrong but that’s just how your body shows in your pictures.

The correct treatment plan should be based on with the underlying primary, secondary and possibly tertiary diagnoses are.

In your case I would say for your abdomen obesity with excess visceral fat and muscle separation aka diastasis recti are the biggest issues. Muscle separation from previous pregnancies is not a tear in the muscle but rather a thinning and stretching of the fascial layer and covering the abdominal muscles.

A mini tummy tuck is not going to dress muscle separation and you don’t have much skin laxity.

I don’t think you have 5 L of fat to remove because I think you’ve had previous liposuction.

Also, fat transfer to your inner calves doesn’t seem indicated based on your pictures but I am not sure quite what you’re trying to achieve. Regardless I cannot imagine anyone grafting 5 L to your inner calves.

My best recommendation for you is to have multiple in person consultations with highly experienced board-certified plastic surgeons. Find the most qualified a plastic surgeon and listen to their recommendations.

This is how a proper surgical plan is put together.

Patients putting together a plan of what they want on their wish list without proper consultation typically doesn’t work out as well as they had hoped for.

In your case I think weight loss followed by a full tummy tuck is probably the most appropriate procedure if you want to have a flat abdomen.

Liposuction of your back is a good source for fat and may give improvements in contour but this area does have skin laxity that contributes to shape and contour as well.

To create a feminist S-curve fat can be grafted to the buttocks and outer thighs/hips.

Find the right plastic surgeon, listen to their advice and typically patients get the best possible outcome.

Patients have had a previous procedures should always include before and after pictures in order for us to make an accurate assessment.

I could be wrong in my assessment in my opinion is just my opinion.
Good luck with your decision making and upcoming procedure.


Mats Hagstrom MD

Hi and welcome to our forum!
From your photos, I note a relatively full abdomen with suprapubic skin and soft tissue redundancy, a periumbilical bulge, slightly full flanks, and the presence of minimal bra rolls
A mini-tummy tuck will not address the tear of the abdominal musculature which would require a full tummy tuck to tighten the abdominal wall.
In the state of Florida (where I reside), there is a maximum of 1000 cc of liposuction allowed if liposuction is performed in conjunction with another procedure. 4000 cc is allowed if liposuction is performed as a stand alone procedure. This limitation is placed to prevent complications of blood loss and electrolyte imbalance associated with higher volumes of fat removal.
5000 cc lipoinjection to the calves seems somewhat excessive.
Be sure you and your plastic surgeon are on the same page.
Best wishes...