How do you avoid a straight up and down body figure with skin removal surgery?

Thank you for your question.The contour after surgery depends on the patients frame. If you have more of an hour glass shape to begin with, then the skin removal should enhance that.

Thank you for your question regarding body shape after a body lift. This is a pervasive question. First of all, you must realize that your current body shape is probably due to excess skin and fat. These pockets of fat are around the lower lateral or outside portions of the breast. Another centralized local pocket is in the hip region. If these areas are significant, even after a hundred-pound weight loss, you can still have an hourglass figure. This means even though you've lost a lot of weight you still have curves. With a body lift, a significant amount of excess skin and fat is removed from the abdomen and hips. By eliminating these pockets of fat, this can change the shape of the lower body. There are ways to maximize the potential for an "hourglass shape" after a lower body lift. This includes the corset abdominoplasty or sewing up the rectus abdominis muscles. I almost always perform this step.  Also, by adding a second stage procedure, namely a vertical torsoplasty, an hourglass figure can be created. During a vertical torsoplasty, an incision is made from the armpit to the hips. The waist is tightened, and the hips are brought in. This can give you an excellent hourglass shape after a body lift. If the defect is not too large, aggressive liposuction may be able to achieve an hourglass shape. Therefore, go ahead and have the 360 circumferential lower body lift. Then later, if you still don't have that hourglass shape, consider either liposuction of the love handles or a vertical torsoplasty. Usually, these are not performed at the same time. The reason they are not performed at the same time is that of blood supply. If performed at the same time, blood supply can be compromised to the abdominal portion of the flap. When considering reconstructive surgery after massive weight loss, please seek an experienced, board-certified, plastic surgeon who specializes in reconstructive plastic surgery after massive weight loss. Travel out of state if you must to find such an expert. Thank you for your questions regarding hourglass-shaped after a 360 body lift.

Thanks,

Dr. Katzen

Congrats on the 100# weight loss! There are many procedures involved with your reconstruction. They have to be planned accordingly, step by step. I disagree about the 'straight up and down' figure.
The initial combination might include 'belt lipectomy', SAL back/braline 1st, then breast lift/augmentation submuscular; then abdominoplasty/ventral hernia-diastasis recti repair.
The second stage (months later) would include reconstruction of the thighs which might in the groin crease and the posterior buttock crease- not vertical incisions on the medial thigh down to the knees!
Arm lipectomy and SAL arms can be done alone or with one of the other procedures. I would recommend two board certified plastic surgeons to perform the procedures to save time and anesthesia. Also, make sure you be put on Lovenox postop to decrease chance of developing any blood clot. It is safe and does not cause bleeding problems.
Continue to lose the weight, use pre-op and post-op vitamins (Vitamedica...check it out), tone those muscles and choose the best plastic surgeon with the most experience.
Good luck!