Surgeries required? Could I get a belt lipectomy for my abdomen and thighs? (Photo)

Congratulations on your weight loss and maintenance. There are four areas that you wish improved. It is possible to address these in 2 surgery’s. For safety purposes, it would be better to have a practice which has two plastic surgeons who can work as a team so that your time on the operating table is minimized. The lower body lift would be done first, by starting you on your stomach and completing the back portion of the operation. Then you would be turned over and the front part of the lower body lift will be completed. Next, through an extended incision, your upper arms, lateral chest and breast lift would be done. This gives you one anesthesia, and one recovery for essentially three operations. After you’re fully healed from this, a thigh lift could be done. The thigh lift is not done before the lower body lift, because the lower body lift will elevate the skin of the groin crease and inner thigh, and an incision placed in the groin crease prior to the lower body lift, can be pulled upward so it is out of position. Have a detailed discussion with your plastic surgeon. Best wishes.

Thank you for your inquiry! Typically, abdominoplasty and thigh lift are not done at the same time. We would love to sit down with you and discuss your options. Schedule a consultation with a Board-Certified Plastic Surgeon to discuss your goals.

Thank you for your query. A belt lipectomy can be modified to a lower body lift. It will address the abdomen, lower back, buttocks, and lateral thighs but will not address the medial side (inside) of the thighs. A BBL will help with shaping the buttocks but will not help with the inside of the thighs either. An inner thigh lift will be the appropriate procedure, if the loose skin on the inside of the thighs is a major concern. Please find an experienced Board certified Plastic surgeon who can examine you and help you with all your concerns. All the best!

Congrats on your weight loss! Based on limited photos, you appear to be a good candidate for circumferencial abdominoplasty/ buttock lift, medial thigh lift, possible monsplasty, breast lift with or without implants . In our Practice we often perform complex body contouring procedures post massive weight loss in a Hospital setting-with patients staying overnight for observation. I suggest that you seek an experienced Board Certified PS and discuss your options and details during consultation.

Congratulations about losing the weight!!!
Based on your photos you will be candidate for at least 3 stages because of SAFETY. Stage 1 will be recommended to do a Lower Body Lift which means 360 skin resection and vertical as well (Fleur de Lis) because you have saggy skin not only as excess of length which is the skin as a little apron on the bottom but also the wrinkly upper abdomen which means an excess of width, if only the 360 is performed, the saggy skin above bb will remain, you will also need muscle repair to tighten the muscle and achieve a smaller waistline and flatter abdomen, mons lift and reduction, tightening of front and outer thighs, no improvement of the inner thighs, because you will need in the future an Inner Vertical Thigh tightening (incision from groin to inner mid thigh). Real buttocks lift should be included in the LBL, some liposuction to waist and lovehandles and use that small amount to transfer to buttocks.
6 months later the upper body lift can be done safely which means breast lift and augmentation using implants (if you want), arm lift and lateral torsoplasty.
BBL won’t improve or lift buttocks and either thighs.
You have already a nice bone frame, so I can only foresee a wonderful result.
My recommendation is to have consultation only with a Board Certified PS and expert in After weight loss surgery.
Be encouraged!
Dr. Cárdenas

Dear DesireeSteele83,
it is hard to tell for sure without an examination. Based on your photos, it looks like you would benefit from an extended tummy tuck and breast lift. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Congratulations on your remarkable 115-pound weight loss! Thank you for sharing your history and pictures. Based on your situation, I recommend a staged surgical approach to address different areas of your body.
For the first stage, I suggest a 360 circumferential lower body lift. This procedure involves an incision made in the pubic region that extends over the hips and connects to the top of the buttocks. Excess skin and fat from the abdomen, hips, and buttocks are permanently eliminated during this comprehensive lift, providing lift and reduction in the pubic, hip, and buttock regions. Although the 360 lower body lift primarily targets the outer thighs, if the inner thighs also concern you, liposuction can be combined with an incision from the groin to the inside of your knee, referred to as a vertical medial thigh lift. Both procedures can be performed together during the first stage.
Stage two would focus on your upper body and may include breast augmentation with implants and an anchor mastopexy to lift your breast tissue on top of the implant. This stage can also involve an arm reduction, which includes arm liposuction and an incision from the armpit to the elbow. The arm reduction and breast procedures can be performed concurrently during stage two.
While it is possible to address the arms, breasts, and stomach in a single surgery, it won't target the thighs and buttocks. I recommend the staged approach outlined above for patients with massive weight loss for comprehensive results.
I hope this response clarifies your situation and provides guidance on the best surgical plan. Either way, I am confident that you will achieve excellent results.
Good luck!
Sincerely,
Dr. Katzen

Belt lipectomy/lift would be good procedure for you as a starting point.; if above the buttock skin/fat flaps are included to provide buttock augmentation, you may end up with a very good result. Breast lift/augmentation and arm lift could be done in the same time but as a separate surgery. It appears that you will still need inner thigh lift? Only on the basis of in person consultation a board certified plastic surgeon, expert in body contouring, could give you more accurate plan of reconstruction. Hope this helps.

Dear Desiree, Congratulations on the successful weight loss! Skin removal surgery would be amazing for you. Brachioplasty for your arms, Breast lift, body lift (belt lipectomy), and inner thigh lift would help your entire body but get ready to spend enough to buy a house!! You can find a surgeon who could do a couple of procedures simultaneously if you are a safe medical candidate. However, you are probably still looking at 3-4 stages of surgery, a great deal of recovery, and financial outlay. IMO, BBL would not do enough for your thighs. Also, you have to have a large amount of fat to donate for BBL, and I can't tell by the pictures if you would have enough donor fat. Best wishes to you, and keep up the good work!!

First of all congratulations on your incredible transformation and for maintaining your weight for that long. Your abdomen, outer thighs and buttocks can be addressed by a belt lipectomy. Remember you have excess skin and this needs to be removed to give you the outcome you desire. A BBL is an option but fat grafting after massive weight loss is not ideal. The quality of the fat you have remaining is of poor quality for fat grafting. As far as having three procedures at one time is also not ideal and for me not recommended.