Breast lift and panniculectomy - smaller breasts, excess skin and mons lift. Would this also lift my thighs? (Photos)

Question

I had gastric bypass 10 years ago and lost about 170 pounds, which I have maintained. I constantly have to wear compression garments to keep the excess skin contained, but I continue to struggle with rashes and chafing. I would like recommendations regarding a breast lift and panniculectomy. I want to be smaller in my breasts and have the extra skin removed. I also have excess skin on my lower abdomen and my mons area sits lower than I would like. Would this surgery also provide any lift to my thighs?

Zoran Potparic, MD · Answer

Based on these photos, you would need a lot of surgery; this includes breast augmentation with breast lift, abdominoplasty with mons pubis lift, and selective liposuction of the anterior abdomen and flanks. This can be done as a single procedure, or it can be devided in two separate procedures. In-person consultation with a board-certified plastic surgeon with a good reputation in body contouring surgery is recommended. Good luck.

Gary M. Horndeski, MD · Answer

You are an excellent candidate for the Bellesoma. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. This will also lift the upper abdominal skin. You would also benefit from a tummy tuck. This will remove excess skin from the anterior abdominal wall and lift the pubic area. These can be done together or separately. You may also need a circumferential body lift later.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Dallas Buchanan, MD · Answer

Thank you for your pictures and questions and congrats on your weight loss! Rather than pursuing a panniculectomy, which only addresses the skin hanging over the waistline, you need to be deciding between a tummy tuck (which will address all the anterior skin from the waist to the belly button) or a body lift (which will address excess skin in the lateral hips and lower back as well). A panniculectomy is a medically necessary procedure which focuses on functional outcomes rather than cosmetic outcomes and would provide less skin removal and an inferior aesthetic outcome. Make sure to see a surgeon with adequate experience in massive weight loss patients. 
As for the breast, more photos would be required but you will probably need a breast lift (mastopexy) to achieve your goals.
Hope this helps!
Dallas Buchanan, MD
VIVIFY plastic surgery
Tampa, FL

Camille Cash, MD · Answer

Congratulations on your impressive weight loss!  From the submitted photos and description of your concerns the recommendation would be a tummy tuck.  This would address the excess fat and skin on the abdomen as well as correct abdominal wall laxity.  The mons can be addressed during this procedure as well.  Your legs would not really be impacted but if that is a concern for you you can explore other procedures such as a thigh lift.  You can discuss your desired look for your breasts and learn more about options during a consultation with a board certified plastic surgeon.  I've included a video that I hope you find helpful.

Darryl J. Blinski, MD · Answer

Congratulations on 170 pound weight loss. And the posted photos are limited though you did post many. Best to virtual consult with. I would combine Extended TT with muscle repair with mons pubic lift, full breast lift (only no implants), Lipo waist, inner thigh lift in the surgery . Expect fees to range from $18,000-$25,000. Again best to virtual consult.

Breast lift and panniculectomy - smaller breasts, excess skin and mons lift. Would this also lift my thighs? (Photos)

Answers (5)

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