Is it possible to do a 360 lower and upper body lift at the same time? (Photo)

Question

I had an extended tummy tuck after a 150 lb weight loss and my surgeon said I didn’t need a circumferential body lift because I didn’t have too much skin around my hips/back. That turned out to be a lie and now my tummy tuck seems to have failed as I have loose skin on my upper and lower abdomen again with this giant tire of excess skin around my hips.

Camille Cash, MD · Answer

Based on your photos it appears you will have an improvement in your results from a lower body lift.  This would address the skin laxity that concerns you both in the front and back.  You may be a candidate to revise the tummy tuck as well.  An upper body lift which involves a horizontal scar along the bra line to address upper body skin laxity.  That procedure would typically be performed in a separate stage from the lower body lift.

Fernando Ovalle Jr., MD · Answer

Hello and thank you for your question!
I am sorry to hear about the frustrations along the way of your journey. A circumferential body lift would help with the problem areas that you demonstrate on the second photo. An upper body lift commonly includes a breast lift/mastopexy on the anterior/front part of the body with an upper back lift with an incision situated near the bra line to remove extra, loose skin across the mid/upper back. The lower body lift has an incision situated across the top of the gluteal/hip bone region to remove extra loose skin across the lower back as well as lift the buttocks. In general, we would not want to do two procedures that have an opposite direction of pull at the same time, as this could cause excess tension at both sites.

Murat Diyarbakirlioglu, MD, FEBOPRAS · Answer

To be honest, although you have done tummy tuck, but we need to make a tummy tuck revision and extend the scar to the back, so complete 360 body lifting will be done. 
From the photos examined and amount of weight lost, Fleur de Lis will be recommended since you have excess skin in the upper abdominal area.
Upper back lifting can be done at the same session. Of course, a blood test will need to be done before the surgery to check the HGB.

J. Timothy Katzen, MD, FACS · Answer

Hello,
Thank you for sharing your history and pictures. Based on what I see, an extended posterior body lift would be suitable for you. You might also want to consider having a 360 circumferential lower body lift with a revision of your tummy tuck, as your pictures show excess skin and fat on both hips and buttocks.
Alternatively, an extended posterior body lift could involve an incision from the lateral aspect of your prior tummy tuck, extending over your hips, across the top of your buttocks, and meeting at the top of the vertical gluteal cleft. This procedure would address issues with your hips and buttocks. Additionally, a vertical tummy tuck, involving an incision from the xiphoid process through the umbilicus to the pubic region, could be considered. This is essentially a Fleur de Lis (FDL) procedure, addressing excess skin and fat in the upper abdomen. However, most plastic surgeons would agree that a well-performed, complete 360 circumferential lower body lift would be sufficient, eliminating the need for the vertical incision.
I hope this information is helpful in deciding whether to undergo a 360 lower and upper body lift simultaneously.
Sincerely,
Dr. Katzen

Rodolfo Castillo, MD · Answer

The images reveal that the tummy tuck addressed the surplus of vertical skin; however, there remains an excess of horizontal skin that necessitates a fleur-de-lis procedure: a vertical incision from the ribs to the pubic area. Additionally, to get the best results possible it is crucial to eliminate excess skin on both the hips and buttocks, achieved by extending the original tummy tuck incision to 360 degrees. This extension enables improvement, encompassing both buttocks lift and lateral thigh lift.
Best, Dr Rodolfo Castillo.

Is it possible to do a 360 lower and upper body lift at the same time? (Photo)

Answers (10)

Answer: Lower body lift 360 circumferential lower body lift belt lipectomy massive weight loss extended tummy tuck

Answer: Lower body lift 360 circumferential lower body lift belt lipectomy massive weight loss extended tummy tuck

Answer: I cannot determinate if you are candidate for upper body lift.

Answer: I cannot determinate if you are candidate for upper body lift.

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Is it possible to do a 360 lower and upper body lift at the same time? (Photo)

Answers (10)

Answer: Lower body lift 360 circumferential lower body lift belt lipectomy massive weight loss extended tummy tuck

Answer: Lower body lift 360 circumferential lower body lift belt lipectomy massive weight loss extended tummy tuck

Answer: I cannot determinate if you are candidate for upper body lift.

Answer: I cannot determinate if you are candidate for upper body lift.

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Recommended reading

Everything you need to know about Body Lift

Our mission is to create a world where every investment in modern beauty is Worth It.