Should I lose weight before TT, lipo 360 and BBL? Currently 5'7 and 180 lbs. (photos)

Question

Currently 180 and 5 ft 7. My goal weight is 160. Scheduled for mommy make over with BA in Nov. (BBL, TT, lipo 360). Should I lose weight before procedures?

Pejman Aflaki, MD · Answer

Hello and thank you for your question and sharing your photos. Based on these photos and your BMI of 28, you are a good candidate for TT and BBL, which can be performed at the same time.  During tummy tuck, extra skin in the lower half of your abdomen including the stretch marks will be removed. In addition, typically the fascial laxity/separation of recti muscles will be taken care of by muscle plication, giving you a flat abdomen.  Brazilian Butt Lift (BBL) typically includes a 360 liposuction of the abdomen and flanks, and fat grafting for gluteal augmentation. Liposuction of the flanks will narrow down the waist for an hourglass appearance and adding volume to buttocks in combination with liposuction of the lower back is intended at creating a natural curvy look.  Basically, BBL removes the fat from unwanted areas and transfers it to areas that are desirable.Incision can be placed very low to be hidden under bikini. With proper surgical technique, belly button can be designed to  be a true 'innie'. Recovery from tummy tuck is 1-2 weeks. Strenuous activity and lifting heavy weights should be avoided 6 weeks to 3 months post op. I would seek consultation with a board-certified plastic surgeon for a full evaluation and advice. Best,
Pejman Aflaki, M.D.
  
Johns Hopkins-trained double board-certified plastic surgeon

Brian K. Reedy, MD · Answer

Hi & thanks for your question.It is best to be at your goal weight or within 5- 10 lbs prior to having surgery. You will get the best result this way. Consult with a board certified plastic surgeon to discuss your options. Best wishes!

Shawn A. Birchenough, MD · Answer

Thanks for your questions and photos.  Weight loss discussions come up frequently with my patients - prior to any cosmetic procedure - facelift, breast surgery, abdominal surgery, liposuction etc. 
I advise patients to get to a “maintainable” weight.  This is usually not their ideal or “perfect” body weight. We are all able to lose weight quickly with crash diets or over-exercising, but that weight rarely stays off when we return to our normal diet or exercise regiment.  
Maintainable weight is the weight that patients can REASONABLY achieve with reasonable and permanent diet and exercise changes. This varies for every patient, and it won’t be listed in a table or book or online chart!
In our practice, my wife (also an MD) has a wellness practice through which she can help and guide patients to their optimal weight and health prior to surgery with me. 
Make reasonable and lasting changes in diet and exercise for your overall health and fitness, and you’ll likely feel better and be at the best weight for your surgery.  Discuss it at length with your board-certified surgeon. And best of luck!

Richard Nadal, MD, FACS · Answer

Hi and welcome to our forum!
Your candidacy for cosmetic surgery requires consideration of many
factors. One is measurement of your BMI (body mass index equals weight in kg /
square of height in meters). You can find BMI calculators on the internet. If
your BMI is > 30, the cosmetic result will not be optimal. If your BMI is
> 35, your operative risk will rise.  Your BMI is 28.19, considered overweight, but not excessively so. You would be considered a suitable surgical candidate at this time.
It is best to be at a stable comfortable body weight at the time of surgery. Can your dramatic preoperative weight loss be maintained after your surgery? Will your weight loss put you into negative nitrogen balance, impairing your ability to heal after the surgery?  Dieting is fine, but don't overdo it.
Visit a board certified plastic surgeon for evaluation and advice.
Best wishes...

Jeff Angobaldo, MD · Answer

Hello, thank you for your questions and pictures! Typically it is suggested that you are within 10lbs of your desired weight prior to surgery. You don't want to lose too much weight within a month of surgery or it can cause vitamin deficiency's which can result in delayed healing. You can achieve optimal results with weight loss prior to surgery because it will also aid in the healing process if you maintain your BMI

Lane Smith, MD · Answer

Thank you for your questions and your photos. I recommend that my patients be within 10 pounds of their ideal weight before surgery. The extra 10 pounds is actually welcomed as that is the approximate amount of extra weight you will need to achieve optimal results of your BBL. While the 20 pounds can easily be removed via liposuction and abdominoplasty, I recommend trying to get as close to your ideal weight as possible so you will love your outcome of your procedures even more. You will be unable to work out for at least 6 weeks following your procedures. I recommend seeking in person consultations with Board Certified Plastic Surgeons in your area to decided what's best for you. Hope this helps. Best Wishes, Dr. Lane Smith Board Certified Plastic Surgeon Las Vegas, NV

Miguel Delgado, MD · Answer

It is recommended that you get as close to your goal weight as possible before surgery, and a weight that you can maintain. Being close to your goal is for safty purposes and will give you the best results. Be sure to select a board certified plastic surgeon. Good luck.

William Bruno, MD · Answer

Try to get as close to your goal weight as possible before having your mommy makeover. You will not only have a better cosmetic outcome, but also reduce your risk of complications such as infection, blood clots (DVTs) and wound healing issues. During your recovery you will have to avoid direct pressure on your buttock and abdomen/chest,so positioning will be important- discuss this with your plastic surgeon.Best wishes,Dr.Bruno

Alex Campbell, MD · Answer

Thanks for your question. You are a great candidate for the procedures you mention. You don't really need to lose more weight, the fat you have can be used for the brazilian butt lift. Combination procedures can give powerful results but SAFETY is KEY.  You definitely have to choose your surgeon correctly and make sure that he/she has the training and experience to meet your goals with absolute safety.  Don’t settle for less than a Board Certified Plastic Surgeon with specialized expertise in this procedure.

Kenneth Hughes, MD · Answer

Reaching your goal weight (160) and maintaining it for several months would enhance the results of the surgery.  General rule of thumb is to be within 10 pounds of your weight goal and maintain a stable weight prior to surgery.  
In most cases of weight loss, the buttocks and other areas with stored fat will become smaller.  About 50% of the fat that is transferred lives and becomes a part of you.  This will hold stable as long as there is no weight fluctuation AFTER the BBL.  The fat will not move, but losses in weight will distribute differently. The fat that lives in the buttocks from the procedure will get larger with weight gain and smaller with weight loss.
Losing weight after a tummy tuck is not necessarily an issue unless you are losing so much as to require another tummy tuck.

Should I lose weight before TT, lipo 360 and BBL? Currently 5'7 and 180 lbs. (photos)

Answers (19)

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