Thank you for your question about how to best prepare for a successful body lift and what can help or hinder your healing. Proper preparation and postoperative care can make a significant difference in your outcome, comfort, and long-term results. First and foremost, one of the most critical factors is achieving and maintaining a stable weight before surgery. Ideally, patients should be at or near their goal weight for at least 3 to 6 months prior to their procedure. This helps ensure optimal skin removal and better long-term contour. Significant weight loss after a body lift could result in new skin laxity, while weight gain could compromise the results. Regular exercise—especially strength training—before surgery improves circulation, tones underlying muscles, and can make recovery easier. However, you should stop strenuous activity several days before surgery to reduce your risk of injury or inflammation. Regarding medications, it’s important to review all prescriptions, supplements, and over-the-counter drugs with your plastic surgeon. Some medications can interfere with healing, such as: Blood thinners like aspirin, ibuprofen, or warfarin (can increase bleeding) Steroids (can impair wound healing if used long-term) Smoking and nicotine products (can dramatically impair blood flow to healing tissue) If you're taking medications for diabetes, blood pressure, or thyroid, your surgeon may consult with your primary care provider to adjust dosages for optimal balance before and after surgery. To enhance healing, many surgeons recommend starting a vitamin and supplement regimen that may include Vitamin C, zinc, magnesium, iron (if anemic), and a multivitamin. These support tissue repair and immune function. However, always confirm with your plastic surgeon before starting any supplements, as some can affect clotting. After surgery, the most important things you can do to promote healing include: Wearing your compression garment as directed Avoiding smoking or alcohol Maintaining adequate nutrition and hydration Getting enough rest Attending all post-op appointments Following wound care instructions precisely Considering hyperbaric oxygen therapy if your surgeon recommends it—this can increase oxygen delivery to healing tissues and reduce risk of complications in high-risk patients. By focusing on healthy habits, optimizing your medical conditions, and working closely with an experienced board-certified plastic surgeon, you can maximize both the safety and success of your body lift. If you have further questions about the body lift, extended lower body lift, or 360 circumferential lower body lift, please contact a surgeon who specializes in post-weight loss plastic surgery. Choose someone who has performed at least 100 body lifts and has the before and after pictures to prove it. Sincerely, Dr. Katzen (President of the American Society of Bariatric Plastic Surgeons, Certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, International College of Surgery, and American Board of Metabolic and Bariatric Surgery, and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery, and RealSelf Hall of Fame.)