80+ lb weight loss. What procedures should I consider? (photos)

There are several procedures which are possible. For the optimal result with greatest contouring of the waist, I would suggest a fleur-de-lis abdominoplasty as a first stage procedure, followed by a posterior lower body lift in a second stage. We often have patients who choose to do their inner arms as well as a breast implant and lift in combination with the first stage of their procedure.

Congratulations on your incredible 80+ pound weight loss and your dedication to maintaining it for six years! That’s an amazing achievement. Based on your photos and description, you have excellent options for addressing the excess skin and achieving your aesthetic goals.

If the excess skin on your hips and buttocks bothers you, a 360 body lift would be a fantastic choice. This procedure removes excess skin and fat all the way around your midsection, addressing the front, sides, and back. It not only improves the abdomen but also lifts the buttocks and tightens the hips, giving a comprehensive transformation. For patients with significant skin laxity in these areas, the 360 body lift offers truly life-changing results.

However, if the buttocks are not a concern and your focus is primarily on the abdomen and waist, I would recommend an extended tummy tuck. This procedure would address the loose skin and provide muscle repair (if needed) while contouring the flanks. You’ll still get a beautifully sculpted result, but with less extensive surgery than a full 360 body lift.

No matter which procedure you choose, with your weight loss and fitness efforts, you’re going to see amazing results. I recommend consulting with a board-certified plastic surgeon who can discuss your goals in detail and help create a customized surgical plan that fits your needs.

Sincerely,
Dr. Katzen

Thank you for your question. If your main concern is excess abdominal skin, then a tummy tuck, possibly combined with liposuction, would be a consideration. A mini tummy tuck would not improve the skin laxity on the upper abdomen, which is apparent on the lateral photo. Based on the photos your back does not seem to have as much loose skin, but if this area is a concern, then back lift or belt lipectomy surgery are options. You would need an in-person assessment to discuss your overall health, check for any hernias/diastasis, and talk more about your goals, in order to pick the optimal procedure.