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.
January 30, 2024
Answer: Lower body lift 360 circumferential lower body lift belt lipectomy massive weight loss extended tummy tuck 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
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January 30, 2024
Answer: Lower body lift 360 circumferential lower body lift belt lipectomy massive weight loss extended tummy tuck 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
Helpful
January 30, 2024
Answer: I cannot determinate if you are candidate for upper body lift. 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.
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January 30, 2024
Answer: I cannot determinate if you are candidate for upper body lift. 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.
Helpful